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Shared or different pathways to change? Clients' experiences of change in cognitive behavioral therapy and emotion-focused therapy for depression.

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Název: Shared or different pathways to change? Clients' experiences of change in cognitive behavioral therapy and emotion-focused therapy for depression.
Autoři: Aardal H; Department of Clinical Psychology, University of Bergen, Bergen, Vestland, Norway., Hjeltnes A; Department of Clinical Psychology, University of Bergen, Bergen, Vestland, Norway., Schanche E; Department of Clinical Psychology, University of Bergen, Bergen, Vestland, Norway., Danielsen YS; Department of Clinical Psychology, University of Bergen, Bergen, Vestland, Norway., Franer P; Department of Clinical Psychology, University of Bergen, Bergen, Vestland, Norway., Stiegler JR; Department of Clinical Psychology, University of Bergen, Bergen, Vestland, Norway.
Zdroj: Psychotherapy research : journal of the Society for Psychotherapy Research [Psychother Res] 2025 Sep; Vol. 35 (7), pp. 1121-1135. Date of Electronic Publication: 2025 Jan 23.
Způsob vydávání: Journal Article
Jazyk: English
Informace o časopise: Publisher: Routledge Country of Publication: England NLM ID: 9110958 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1468-4381 (Electronic) Linking ISSN: 10503307 NLM ISO Abbreviation: Psychother Res Subsets: MEDLINE
Imprint Name(s): Publication: 2005- : London : Routledge
Original Publication: New York, NY, USA : Guilford Publications, [1991-
Výrazy ze slovníku MeSH: Cognitive Behavioral Therapy*/methods , Depressive Disorder, Major*/therapy , Emotion-Focused Therapy*/methods , Outcome and Process Assessment, Health Care*, Humans ; Female ; Male ; Adult ; Middle Aged ; Qualitative Research
Abstrakt: Objective: Cognitive behavioral therapy (CBT) and Emotion-focused therapy (EFT) are empirically supported models for treating depression. Comparisons of the models regarding outcome exist, but no comparison of the clients' experiences of change. This study explored and compared experiences of change in CBT and EFT for major depression.
Method: We conducted a comparative thematic analysis of the experiences of 28 clients after 12-18 sessions of either CBT ( n  = 14) or EFT ( n  = 14).
Results: The analysis resulted in five themes reported across treatments: (1) Changing the understanding of my problems; (2) Finding a new way to relate to inner experiences; (3) Changing how I see myself; (4) Challenging problematic ways of being with others; (5) Bringing changes into everyday life. Across treatment modalities, the clients experienced the same types of changes. Compared to EFT clients, more CBT clients emphasized the importance of practicing new strategies when facing adversity in their change process. Reversely, more EFT clients emphasized getting in touch with, tolerating, and listening to their inner experiences.
Conclusion: Our findings suggest that clients undergoing CBT and EFT describe changes in the same domains but show differences in how they emphasize various pathways leading to their change.
Contributed Indexing: Keywords: change in psychotherapy; client experiences; cognitive behavioral therapy; emotion-focused therapy; qualitative research methods; thematic analysis
Entry Date(s): Date Created: 20250123 Date Completed: 20250825 Latest Revision: 20250825
Update Code: 20250827
DOI: 10.1080/10503307.2024.2445662
PMID: 39847606
Databáze: MEDLINE
Popis
Abstrakt:Objective: Cognitive behavioral therapy (CBT) and Emotion-focused therapy (EFT) are empirically supported models for treating depression. Comparisons of the models regarding outcome exist, but no comparison of the clients' experiences of change. This study explored and compared experiences of change in CBT and EFT for major depression.<br />Method: We conducted a comparative thematic analysis of the experiences of 28 clients after 12-18 sessions of either CBT ( n  = 14) or EFT ( n  = 14).<br />Results: The analysis resulted in five themes reported across treatments: (1) Changing the understanding of my problems; (2) Finding a new way to relate to inner experiences; (3) Changing how I see myself; (4) Challenging problematic ways of being with others; (5) Bringing changes into everyday life. Across treatment modalities, the clients experienced the same types of changes. Compared to EFT clients, more CBT clients emphasized the importance of practicing new strategies when facing adversity in their change process. Reversely, more EFT clients emphasized getting in touch with, tolerating, and listening to their inner experiences.<br />Conclusion: Our findings suggest that clients undergoing CBT and EFT describe changes in the same domains but show differences in how they emphasize various pathways leading to their change.
ISSN:1468-4381
DOI:10.1080/10503307.2024.2445662