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Terapeutbeteenden vid iKBT: Vad gör terapeuten och spelar det någon roll? Terapeutbeteenden vidinternetbaserad kognitiv beteendeterapi (iKBT) för depression
Örebro University, School of Law, Psychology and Social Work, Örebro University, Sweden.
Örebro University, School of Law, Psychology and Social Work, Örebro University, Sweden.
2014 (Swedish)Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesisAlternative title
Therapist behaviours at iCBT : What does therapists’ do and does it matter? Therapist behaviours at internet delivered cognitive behavior therapy (iCBT) for depression (English)
Abstract [sv]

IKBT är en effektiv behandling för olika typer av problematik och terapeutstöd är en viktig faktor för behandlingens framgång. Det finns dock lite kunskap om vad terapeutstödet består av och vad i det som bidrar till behandlingens effektivitet. Syftet med denna uppsats är att undersöka vad terapeuter gör vid iKBT för depression och om detta har ett samband med behandlingsutfall. Data bestod av 644 e-postmeddelanden skickade från 5 terapeuter till 42 klienter vid en återfallspreventionsbehandling för egentlig depression. Kvalitativ innehållsanalys resulterade i 10 beteendekategorier. Efterföljande korrelationsanalyser fann att högre grad av beteendena bekräfta och uppmuntra hade samband med minskning av depressiva symptom, medan en högre grad av öppna frågor, modulinformation, förtydligande av ramar och uppmaningar hade samband med lägre grad av förbättring. Beteendena belysa klientens ansvar samt ställa uppgiftsorienterade frågor hade samband med ökat antal avhopp. Sammantaget fann studien flera terapeutbeteenden av vilka några hade samband med förändrad grad av depression samt avhopp.

Abstract [en]

ICBT is an effective treatment for various types of problem and therapist support appears to be important for the treatment's success. However, little is known about what it is and what in it that contributes to the effectiveness of treatment. The purpose of this thesis is to examine what therapists do in iCBT for depression and whether this is related to treatment outcome. The data consisted of 644 messages sent from 5 therapists to 42 clients in a relapse prevention treatment for major depression. Qualitative content analysis resulted in 10 behavioural categories. Subsequent correlation analysis found that higher levels of the behaviours to validate and to encourage were related to client improvement, while a frequent use of open-ended questions, module-information, clarification of frameworks and prompts had the opposite effect, i.e. correlated with a lower degree of improvement. Highlighting client's responsibility and asking task-oriented questions was associated to increasing numbers of dropouts. Overall, the study found a number of therapist behaviours, of whom several were associated with changed levels of depression and dropout rates.

Place, publisher, year, edition, pages
2014. , 42 p.
Keyword [en]
Internet-treatment, iCBT, therapist behaviour, depression
Keyword [sv]
iKBT KBT terapeut beteende depression internetbehandling
National Category
Psychology
Identifiers
URN: urn:nbn:se:oru:diva-33292OAI: oai:DiVA.org:oru-33292DiVA: diva2:690848
Subject / course
Psykologi, (psykologprogrammet)
Presentation
2014-01-16, Örebro, 13:15
Supervisors
Examiners
Available from: 2014-02-12 Created: 2014-01-24 Last updated: 2014-02-12Bibliographically approved

Open Access in DiVA

Terapeutbeteenden vid iKBT(837 kB)498 downloads
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Type fulltextMimetype application/pdf

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School of Law, Psychology and Social Work, Örebro University, Sweden
Psychology

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CiteExportLink to record
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