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

机译:青少年如何在心理学性心理治疗中具有抑郁体验的改善?定性学

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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. 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. 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. 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. ClinicalTrials.gov . Id: NCT01531101. Date of registry: 8 February 2012, retrospectively registered.
机译:抑郁症的心理动力学心理治疗有效性出现了新的证据。然而,我们知道如何经历过这种关联的治疗模式以及患者自己认为有用的关系。因此,本研究的目的是探索青少年的因素的经验,促进心理动力学治疗的改善。包括八位女性患者参加挪威研究的心理动力治疗研究,包括转移工作的第一个实验研究 - 在青少年(FEST-IT)中。参与者被提供总数为28个课程。然后,通过系统文本凝结和诠释学解释进行了关于治疗的经验的半结构性定性访谈。分析显示了四个主要主题。 “探索自己”包括自主和致谢,开放,洞察力和接受。 “治疗师关系和特征”包括对治疗师的信心和信任和支持,以及有一个值得信赖和经验丰富的治疗师。 “专注于日常生活”包括学习和实践的方向。 “时间因素”是指持续时间和频率。与一个支持性和听力的治疗师一起,青少年通过在有限的治疗期的框架内探索自己来改善。通过对自己和其他人的更好的关系以及在家庭中找到一个地方,或在学校来看,改善似乎有所改善。青少年价值解决问题和具体挑战的帮助。因此,应根据抑郁症的需要量身定制治疗,并纳入日常生活中面临的挑战。 Clinicaltrials.gov。 ID:NCT01531101。注册处日期:2012年2月8日,回顾性注册。

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