Background: There is a substantial lack of qualitative research concerning individual cognitive behavioral therapy (CBT) for patients with major depressive disorder (MDD). In the present study, we wanted to explore how patients suffering from MDD experience improvement in CBT. Method: Patients with MDD (N = 10) were interviewed at therapy termination with semi-structured qualitative interviews. The transcripts were analyzed using a thematic analysis approach. Results: We identified three elements that were relevant to the process of improvement for all patients: the therapeutic relationship, the therapeutic interventions and increased insight. There is a dynamic interrelationship and synergy between these elements that may explain why patients considered the same elements as helpful, but often in different ways and at different stages of therapy. Conclusions: Highlighting the synergies and interrelationship between the elements that patients experience as helpful, may help therapists to learn from and utilize these experiences. This is a reminder of the importance of always being attentive to the individual processes of patients.

中文翻译：

---

重度抑郁症认知行为疗法改善的协同过程


背景：严重抑郁症（MDD）患者的个体认知行为治疗（CBT）的定性研究严重缺乏。在本研究中，我们想探讨患有 MDD 的患者如何在 CBT 中获得改善。方法：MDD 患者（ N = 10）在治疗结束时接受半结构化定性访谈。使用主题分析方法对成绩单进行分析。结果：我们确定了与所有患者的改善过程相关的三个要素：治疗关系、治疗干预和增强的洞察力。这些要素之间存在动态的相互关系和协同作用，这可以解释为什么患者认为相同的要素是有帮助的，但通常以不同的方式和在不同的治疗阶段。结论：强调患者体验到的有益元素之间的协同作用和相互关系，可能有助于治疗师学习和利用这些体验。这提醒我们始终关注患者个体过程的重要性。