A qualitative study of cognitive behavioural therapy in multiple sclerosis: experiences of psychotherapists

International Journal of Qualitative Studies on Health & Well-Being

Charlotte Chruzander¹  Kristina Gottberg¹  Gunnel Backenroth¹  Charlotte Ytterberg¹  Marie Kierkegaard¹  Gerd Ahlström² 

[1] Karolinska Institutet;Lund University;

关键词: Multiple sclerosis;    depression;    cognitive behavioural therapy;    psychotherapists;    content analysis;   

DOI  :  10.1080/17482631.2017.1325673

来源: DOAJ

【 摘 要 】

Purpose: To investigate how psychotherapists experience using individual, face-to-face cognitive behavioural therapy (CBT) aimed at alleviating depressive symptoms in persons with multiple sclerosis (MS). Method: Semi-structured interviews with three psychotherapists were conducted after CBT with 12 participants with MS, and analysed using qualitative content analysis. Results: Two main themes emerged: Trusting their expertise as psychotherapists whilst lacking MS-specific knowledge, and The process of exploring the participants’ readiness for CBT with modifications of content and delivery. The psychotherapists perceived it difficult to know whether a symptom was attributable to depression or to MS, and for some participants the CBT needed to be adapted to a more concrete content. Conclusions: Psychotherapists may need more MS-specific knowledge and an insight into the individual’s functioning. The content of CBT in terms of concrete home assignments and behavioural activation needs to be individualised.

【 授权许可】

Unknown