Innovative moments with young patients treated for depression: An analysis of post-therapy interviews

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL Clinical psychology & psychotherapy Pub Date : 2023-08-17 DOI:10.1002/cpp.2896

Fritz Mende, João Batista, Sally O'Keeffe, Nick Midgley, Rui Braga, Miguel M. Gonçalves, Margarida Rangel Henriques

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Abstract

Introduction

Innovative moments (IMs) pinpoint new and more adaptative meanings that emerge in clients' discourse during psychotherapy. Studies with adult clients have found a greater proportion of IMs in recovered compared to unchanged cases, but similar studies have yet to be conducted with adolescents.

Aims

The paper aims (1) to study retrospectively the emergence of IMs in therapy, using a post-therapy interview, in adolescents that underwent psychotherapy for depression, and (2) to characterize the themes present in IMs identified retrospectively in the interviews.

Method

Semi-structured post-treatment interviews conducted with 24 adolescents on the experience of taking part in a clinical trial of youth depression, were coded using the Innovative Moments Coding System. After identifying IMs, a thematic analysis identified the prominent themes within them.

Results

Higher presence of IMs were found in recovered compared to unchanged cases. Two main themes emerged in the IMs, changes that occurred with therapy and attributions of changes. Recovered cases presented more IMs centred on the self, whereas unchanged cases identified more non-specific changes.

Conclusion

This study suggests that it is possible to code IMs, identified retrospectively, based on post-therapy interviews with adolescents. Meaningful differences were found between recovered compared to unchanged cases. Therapeutic recovery was associated with a higher focus on the self and more specificity in clients' representations of the change process.

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年轻抑郁症患者的创新时刻：治疗后访谈分析

导言：创新时刻（IMs）是指在心理治疗过程中，求助者话语中出现的新的、更具适应性的含义。对成年求助者的研究发现，与未发生变化的案例相比，康复案例中出现创新时刻的比例更高，但类似的研究尚未在青少年中开展。目的本文旨在：（1）利用治疗后访谈的方式，对接受抑郁症心理治疗的青少年在治疗过程中出现的即时信息进行回顾性研究；（2）对访谈中回顾性发现的即时信息中出现的主题进行描述。方法使用创新时刻编码系统对 24 名青少年参加青少年抑郁症临床试验的经历进行半结构化治疗后访谈。在确定创新时刻后，进行主题分析以确定其中的突出主题。结果发现，与未发生变化的案例相比，康复案例中出现的 IM 更多。即时信息中出现了两大主题：治疗带来的变化和变化的归因。康复者的即时信息更多是以自我为中心，而未康复者的即时信息则更多是非特定的变化。结论本研究表明，可以根据对青少年的治疗后访谈，对回顾性识别的 IM 进行编码。与未发生变化的案例相比，康复案例之间存在有意义的差异。治疗康复与对自我的更多关注和客户对变化过程的更具体表述有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.