ABSTRACT

Clinicians often omit or underuse several techniques while delivering therapy. These omissions can be due to unconscious factors (e.g., clinician’s anxiety), or due to clinicians’ deliberate decisions (e.g., modifying therapy believing that such modifications are on the patients’ best interests). However, little is known about whether patients consider these modifications necessary. The main aim of this study was to explore the opinions about the important aspects of CBT according to both patients’ and clinicians’ perspectives. It also aimed to determine whether clinicians’ anxiety influenced such preferences. To achieve these aims, two groups of participants were approached—CBT clinicians (n = 83) and CBT patients (n = 167). An online survey with a list of techniques commonly used in CBT was developed for each group, who indicated the importance they attributed to the techniques. Additionally, clinicians completed an anxiety measure. Results indicated that clinicians valued all “change-oriented” techniques and several “interpersonal engagement” techniques more than the patients. The only technique preferred by patients was “relaxation”. Higher levels of clinician anxiety were associated with a lower preference for “behavioural experiments” and “exposure”. In conclusion, clinicians are encouraged to plan therapy in collaboration with the patient, as well as to discuss the rationale for the implemented techniques.

摘要

临床医生在提供治疗时经常忽略或未充分利用多种技术。这些遗漏可能是由于无意识因素（例如，临床医生的焦虑），或由于临床医生的故意决定（例如，认为此类修改符合患者的最佳利益而修改治疗）。然而，关于患者是否认为这些修改是必要的知之甚少。本研究的主要目的是从患者和临床医生的角度探讨对 CBT 重要方面的看法。它还旨在确定临床医生的焦虑是否影响了这种偏好。为了实现这些目标，我们接触了两组参与者——CBT 临床医生（n = 83）和 CBT 患者（n = 167）。为每个组开发了一个在线调查，其中列出了 CBT 中常用的技术列表，谁表示了他们对这些技术的重视。此外，临床医生还完成了一项焦虑测量。结果表明，临床医生比患者更看重所有“以变革为导向”的技术和几种“人际交往”技术。患者偏爱的唯一技术是“放松”。较高水平的临床医生焦虑与较低的“行为实验”和“暴露”偏好相关。总之，鼓励临床医生与患者合作计划治疗，并讨论实施技术的基本原理。患者偏爱的唯一技术是“放松”。较高水平的临床医生焦虑与较低的“行为实验”和“暴露”偏好相关。总之，鼓励临床医生与患者合作计划治疗，并讨论实施技术的基本原理。患者偏爱的唯一技术是“放松”。较高水平的临床医生焦虑与较低的“行为实验”和“暴露”偏好相关。总之，鼓励临床医生与患者合作计划治疗，并讨论实施技术的基本原理。