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How do adolescents with depression experience improvement in psychodynamic psychotherapy? A qualitative study

BACKGROUND: There is emerging evidence for the effectiveness of psychodynamic psychotherapy for depressive disorders. However, we know less of how this relation-focused therapy mode is experienced and what the patients themselves identify as helpful. Hence, the purpose of this study is to explore ad...

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Autores principales: Løvgren, André, Røssberg, Jan Ivar, Nilsen, Liv, Engebretsen, Eivind, Ulberg, Randi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6429792/
https://www.ncbi.nlm.nih.gov/pubmed/30898111
http://dx.doi.org/10.1186/s12888-019-2080-0
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author Løvgren, André
Røssberg, Jan Ivar
Nilsen, Liv
Engebretsen, Eivind
Ulberg, Randi
author_facet Løvgren, André
Røssberg, Jan Ivar
Nilsen, Liv
Engebretsen, Eivind
Ulberg, Randi
author_sort Løvgren, André
collection PubMed
description BACKGROUND: There is emerging evidence for the effectiveness of psychodynamic psychotherapy for depressive disorders. However, we know less of how this relation-focused therapy mode is experienced and what the patients themselves identify as helpful. Hence, the purpose of this study is to explore adolescents’ experiences of factors promoting improvement in psychodynamic therapy. METHODS: Eight female patients participating in a Norwegian study on psychodynamic therapy, the First Experimental Study of Transference Work – In Teenagers (FEST-IT), were included. The participants were offered a total number of 28 sessions. Semi-structured qualitative interviews about experiences with therapy were then conducted and analysed with systematic text condensation and hermeneutic interpretation. RESULTS: The analysis revealed four main themes. ‘Exploring oneself’ comprises autonomy and acknowledgment, openness, insight and acceptance of oneself. ‘Therapist relation and characteristics’ includes confidence and trust in and support from the therapist as well as having a trustworthy and experienced therapist. ‘Focusing on everyday life’ includes learning and practical orientation. ‘Time factors’ refers to duration and frequency. CONCLUSIONS: Together with a supportive and listening therapist, the adolescents improve by exploring themselves within the frames of a time-limited treatment period. Improvement seems to be experienced through better relations to oneself and to others and by finding one’s place in the family, or at school. Adolescents value problem solving and help with concrete challenges. Hence, therapy should be tailored to the needs of adolescents with depression and incorporate the challenges they face in their everyday life. TRIAL REGISTRATION: ClinicalTrials.gov. Id: NCT01531101. Date of registry: 8 February 2012, retrospectively registered.
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spelling pubmed-64297922019-04-04 How do adolescents with depression experience improvement in psychodynamic psychotherapy? A qualitative study Løvgren, André Røssberg, Jan Ivar Nilsen, Liv Engebretsen, Eivind Ulberg, Randi BMC Psychiatry Research Article BACKGROUND: There is emerging evidence for the effectiveness of psychodynamic psychotherapy for depressive disorders. However, we know less of how this relation-focused therapy mode is experienced and what the patients themselves identify as helpful. Hence, the purpose of this study is to explore adolescents’ experiences of factors promoting improvement in psychodynamic therapy. METHODS: Eight female patients participating in a Norwegian study on psychodynamic therapy, the First Experimental Study of Transference Work – In Teenagers (FEST-IT), were included. The participants were offered a total number of 28 sessions. Semi-structured qualitative interviews about experiences with therapy were then conducted and analysed with systematic text condensation and hermeneutic interpretation. RESULTS: The analysis revealed four main themes. ‘Exploring oneself’ comprises autonomy and acknowledgment, openness, insight and acceptance of oneself. ‘Therapist relation and characteristics’ includes confidence and trust in and support from the therapist as well as having a trustworthy and experienced therapist. ‘Focusing on everyday life’ includes learning and practical orientation. ‘Time factors’ refers to duration and frequency. CONCLUSIONS: Together with a supportive and listening therapist, the adolescents improve by exploring themselves within the frames of a time-limited treatment period. Improvement seems to be experienced through better relations to oneself and to others and by finding one’s place in the family, or at school. Adolescents value problem solving and help with concrete challenges. Hence, therapy should be tailored to the needs of adolescents with depression and incorporate the challenges they face in their everyday life. TRIAL REGISTRATION: ClinicalTrials.gov. Id: NCT01531101. Date of registry: 8 February 2012, retrospectively registered. BioMed Central 2019-03-21 /pmc/articles/PMC6429792/ /pubmed/30898111 http://dx.doi.org/10.1186/s12888-019-2080-0 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Løvgren, André
Røssberg, Jan Ivar
Nilsen, Liv
Engebretsen, Eivind
Ulberg, Randi
How do adolescents with depression experience improvement in psychodynamic psychotherapy? A qualitative study
title How do adolescents with depression experience improvement in psychodynamic psychotherapy? A qualitative study
title_full How do adolescents with depression experience improvement in psychodynamic psychotherapy? A qualitative study
title_fullStr How do adolescents with depression experience improvement in psychodynamic psychotherapy? A qualitative study
title_full_unstemmed How do adolescents with depression experience improvement in psychodynamic psychotherapy? A qualitative study
title_short How do adolescents with depression experience improvement in psychodynamic psychotherapy? A qualitative study
title_sort how do adolescents with depression experience improvement in psychodynamic psychotherapy? a qualitative study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6429792/
https://www.ncbi.nlm.nih.gov/pubmed/30898111
http://dx.doi.org/10.1186/s12888-019-2080-0
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