Types and mechanisms of idiographic change during guided self-help for anxiety

IF 2.6 3区医学 Q2 PSYCHIATRY Psychology and Psychotherapy-Theory Research and Practice Pub Date : 2024-06-24 DOI:10.1111/papt.12536

Emma Headley, Stephen Kellett, Charlotte Bee, Jess Lancashire, Vikki Aadahl, Claire Bone, Niall Power

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Abstract

Objectives

To compare idiographic change during two formats of guided self-help (GSH); cognitive-behavioural therapy guided self-help (CBT-GSH) and cognitive analytic therapy guided self-help (CAT-GSH).

Design

Qualitative inductive thematic analysis.

Methods

Semi-structured interviews with N = 17 participants with a reliable change outcome on the GAD-7 after completing GSH for anxiety. Changes were categorised and themes extracted.

Results

No differences between CAT-GSH and CBT-GSH were found regarding types of change reported. The five overarching themes found were personal qualities of success, enlightenment through understanding, specific tools and techniques, changes to relationships and tailoring support. Four themes maximally differentiated between the two different types of GSH; CAT-GSH enabled relational insight and change whilst CBT-GSH enabled better understanding of anxiety, new coping techniques and supportive relationships.

Conclusions

Both common and model-specific factors contribute to patient change during GSH. Whilst all forms of GSH are grounded in the psychoeducational approach, separate theoretical foundations and associated methods facilitate different types of ideographic change.

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引导式焦虑症自助治疗过程中特质变化的类型和机制。

目的比较两种指导性自助（GSH）形式：认知行为疗法指导下的自助（CBT-GSH）和认知分析疗法指导下的自助（CAT-GSH）的特质变化：设计：定性归纳主题分析：对N = 17名完成GSH治疗焦虑后在GAD-7上有可靠变化结果的参与者进行半结构式访谈。研究人员对这些变化进行了分类，并提取了主题：结果：在报告的变化类型方面，CAT-GSH 和 CBT-GSH 没有发现差异。发现的五大主题分别是成功的个人品质、通过理解获得启迪、特定的工具和技巧、人际关系的改变以及量身定制的支持。有四个主题对两种不同类型的 GSH 进行了最大程度的区分；CAT-GSH 带来了关系洞察力和改变，而 CBT-GSH 则带来了对焦虑的更好理解、新的应对技巧和支持性关系：结论：在一般心理卫生过程中，共同因素和特定模式因素都有助于患者的改变。虽然所有形式的心理健康教育都以心理教育方法为基础，但不同的理论基础和相关方法会促进不同类型的意识形态改变。

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来源期刊

Psychology and Psychotherapy-Theory Research and Practice 医学-精神病学

CiteScore

6.10

自引率

5.90%

发文量

审稿时长

6 months

期刊介绍： Psychology and Psychotherapy: Theory Research and Practice (formerly The British Journal of Medical Psychology) is an international scientific journal with a focus on the psychological and social processes that underlie the development and improvement of psychological problems and mental wellbeing, including: theoretical and research development in the understanding of cognitive and emotional factors in psychological problems; behaviour and relationships; vulnerability to, adjustment to, assessment of, and recovery (assisted or otherwise) from psychological distresses; psychological therapies with a focus on understanding the processes which affect outcomes where mental health is concerned.