Objective: Individual patient characteristics are important in trying to understand why people respond differently to group CBT. Only a few studies have explored therapists’ perceptions of within-patient attributes that may be hindering in group CBT in a mental health setting.

Method: We explored the perception of individual patient characteristics and related obstacles in 12 psychotherapists in Danish Mental Health Services through semi-structured interviews. The interviews were analyzed using a descriptive qualitative framework.

Results: The results revealed four distinct themes that the therapists pointed to as important for the outcome of a 14-week group CBT intervention for social phobia, panic disorder, agoraphobia and major depressive disorder. The four themes were Complexity & severity, External circumstances, Attitudes & coping and Cognitive ability & reflection level. The therapists explained how they perceived higher complexity and severity in the patients as an obstacle, they highlighted that a calm and stable outside environment aided therapeutic change, whilst stressors were hindering. They perceived active coping mechanisms, positive attitudes and high readiness to change as positive factors, whilst dependent and hostile coping mechanisms and negative attitudes were seen as obstacles. Finally, the therapists pointed to cognitive abilities and reflection level, explaining how it could be difficult to obtain good outcomes for patients who’s cognitive abilities were debilitated due to psychopathological factors or for patients with a generally low reflection level.

Conclusions: The results indicated that the therapists experience group CBT as an intervention that requires certain prerequisites of the patients, and that the four themes should be considered when deciding on treatment options for any given patient. The clinical utility and theoretical implications of the results are discussed.

目标：个体患者特征对于理解为什么人们对群体 CBT 的反应不同很重要。只有少数研究探讨了治疗师对可能阻碍心理健康环境中团体 CBT 的患者内部属性的看法。

方法：我们通过半结构化访谈探讨了丹麦心理健康服务中心的 12 名心理治疗师对个体患者特征和相关障碍的看法。使用描述性定性框架对访谈进行了分析。

结果：结果显示，治疗师指出四个不同的主题对于针对社交恐惧症、恐慌症、广场恐惧症和重度抑郁症的 14 周团体 CBT 干预的结果同样重要。四个主题是复杂性和严重性、外部环境、态度和应对以及认知能力和反思水平。治疗师解释了他们如何将患者的复杂性和严重性视为障碍，他们强调平静和稳定的外部环境有助于治疗变化，而压力源则是阻碍。他们认为积极的应对机制、积极的态度和对改变的高度准备是积极因素，而依赖和敌对的应对机制和消极态度则被视为障碍。最后，

结论：结果表明，治疗师将团体 CBT 作为一种干预措施，需要患者的某些先决条件，并且在为任何特定患者决定治疗方案时应考虑这四个主题。讨论了结果的临床效用和理论意义。