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Perceived Barriers and Facilitators to Psychotherapy Utilisation and How They Relate to Patient’s Psychotherapeutic Goals

Access to psychotherapy is still limited by various barriers, and little is known about the facilitating circumstances. This study aims to assess self-reported barriers and facilitators to psychotherapy utilisation in private practice and how these access factors relate to psychotherapy goals as for...

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Autores principales: Schaffler, Yvonne, Probst, Thomas, Jesser, Andrea, Humer, Elke, Pieh, Christoph, Stippl, Peter, Haid, Barbara, Schigl, Brigitte
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9690172/
https://www.ncbi.nlm.nih.gov/pubmed/36360569
http://dx.doi.org/10.3390/healthcare10112228
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author Schaffler, Yvonne
Probst, Thomas
Jesser, Andrea
Humer, Elke
Pieh, Christoph
Stippl, Peter
Haid, Barbara
Schigl, Brigitte
author_facet Schaffler, Yvonne
Probst, Thomas
Jesser, Andrea
Humer, Elke
Pieh, Christoph
Stippl, Peter
Haid, Barbara
Schigl, Brigitte
author_sort Schaffler, Yvonne
collection PubMed
description Access to psychotherapy is still limited by various barriers, and little is known about the facilitating circumstances. This study aims to assess self-reported barriers and facilitators to psychotherapy utilisation in private practice and how these access factors relate to psychotherapy goals as formulated by patients. The dataset consists of 21 face-to-face semi-structured interviews with patients treated by psychotherapists in private practice in Austria. Data were analysed using qualitative content analysis, including a frequency count of the number of codings to analyse relations between categories. A critical external barrier theme was unaffordable psychotherapy and confusion about how the Austrian funding system works. A negative experience with psychotherapy prior to the current one, such as not being understood and answered well enough by one’s therapist, was a frequently reported internal barrier. Individuals who faced more internal barriers and more external facilitators in seeking therapy, such as moral support from significant others and professionals, formulated less elaborate treatment goals. Although the study was carried out amid the COVID-19 pandemic, the pandemic played a minor role in patients’ self-reported barrier and facilitator themes.
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spelling pubmed-96901722022-11-25 Perceived Barriers and Facilitators to Psychotherapy Utilisation and How They Relate to Patient’s Psychotherapeutic Goals Schaffler, Yvonne Probst, Thomas Jesser, Andrea Humer, Elke Pieh, Christoph Stippl, Peter Haid, Barbara Schigl, Brigitte Healthcare (Basel) Article Access to psychotherapy is still limited by various barriers, and little is known about the facilitating circumstances. This study aims to assess self-reported barriers and facilitators to psychotherapy utilisation in private practice and how these access factors relate to psychotherapy goals as formulated by patients. The dataset consists of 21 face-to-face semi-structured interviews with patients treated by psychotherapists in private practice in Austria. Data were analysed using qualitative content analysis, including a frequency count of the number of codings to analyse relations between categories. A critical external barrier theme was unaffordable psychotherapy and confusion about how the Austrian funding system works. A negative experience with psychotherapy prior to the current one, such as not being understood and answered well enough by one’s therapist, was a frequently reported internal barrier. Individuals who faced more internal barriers and more external facilitators in seeking therapy, such as moral support from significant others and professionals, formulated less elaborate treatment goals. Although the study was carried out amid the COVID-19 pandemic, the pandemic played a minor role in patients’ self-reported barrier and facilitator themes. MDPI 2022-11-07 /pmc/articles/PMC9690172/ /pubmed/36360569 http://dx.doi.org/10.3390/healthcare10112228 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Schaffler, Yvonne
Probst, Thomas
Jesser, Andrea
Humer, Elke
Pieh, Christoph
Stippl, Peter
Haid, Barbara
Schigl, Brigitte
Perceived Barriers and Facilitators to Psychotherapy Utilisation and How They Relate to Patient’s Psychotherapeutic Goals
title Perceived Barriers and Facilitators to Psychotherapy Utilisation and How They Relate to Patient’s Psychotherapeutic Goals
title_full Perceived Barriers and Facilitators to Psychotherapy Utilisation and How They Relate to Patient’s Psychotherapeutic Goals
title_fullStr Perceived Barriers and Facilitators to Psychotherapy Utilisation and How They Relate to Patient’s Psychotherapeutic Goals
title_full_unstemmed Perceived Barriers and Facilitators to Psychotherapy Utilisation and How They Relate to Patient’s Psychotherapeutic Goals
title_short Perceived Barriers and Facilitators to Psychotherapy Utilisation and How They Relate to Patient’s Psychotherapeutic Goals
title_sort perceived barriers and facilitators to psychotherapy utilisation and how they relate to patient’s psychotherapeutic goals
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9690172/
https://www.ncbi.nlm.nih.gov/pubmed/36360569
http://dx.doi.org/10.3390/healthcare10112228
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