ABSTRACT

Introduction

The Unified Protocol (UP) is a well-established transdiagnostic psychotherapeutic intervention. Recently, a Danish group manual was developed and tested in the Danish mental health services. We set out to evaluate the Danish UP group manual with the purpose of understanding which factors patients found helpful and hindering for their change process. Furthermore, we explored therapists’ perspectives on the utility and possible challenges of the UP group manual.

Methods

The study was a pragmatic qualitative study. Twelve patients and eight therapists were interviewed. The interviews followed a semi-structured interview guide focused on their experiences of therapy. The data was analysed using thematic template analysis.

Results

The results revealed one superordinate theme: Elements of significance, which embodied 5 distinct sub-themes 1) Exposure, 2) Homework, 3) Increased understanding of thoughts, emotions, behaviour and physical sensations and 4) Interrelatedness of therapeutic factors and 5) Increased understanding of symptoms, the past, and oneself. Overall, the evaluation found that the patients and therapists accepted the new treatment. The core interventions in the UP were meaningful to the participants. Some patients considered the treatment demanding due to the high level of emotional engagement and reflection. Therapists found the manual more suitable for the treatment of anxiety disorders.

KEY POINTS

What is already known about this topic:

1. The evidence for transdiagnostic psychotherapy for anxiety and depression is growing.

2. One of the most well-established transdiagnostic psychotherapy manuals is the Unified Protocol.

3. Recently, a Danish Unified Protocol Group Manual was developed and tested

What this topic adds:

1. Patient and therapist interviews were carried out, to explore their perspectives on the new treatment.

2. Patients and therapists generally accepted the treatment model and found the manual content to be meaningful.

3. Some patients found the therapy program to be demanding, whilst some therapists found the manual more suitable for the patients with anxiety compared to those with depression.

中文翻译：

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统一协议：患者和治疗师对团体手册效用的看法

摘要

介绍

统一协议 (UP) 是一种行之有效的跨诊断心理治疗干预措施。最近，丹麦精神卫生服务部门开发并测试了丹麦团体手册。我们开始评估丹麦 UP 小组手册，目的是了解患者认为哪些因素对他们的改变过程有帮助和阻碍。此外，我们探讨了治疗师对 UP 小组手册的实用性和可能挑战的看法。

方法

该研究是一项务实的定性研究。采访了 12 名患者和 8 名治疗师。访谈遵循半结构化访谈指南，重点关注他们的治疗经验。使用主题模板分析对数据进行分析。

结果

结果揭示了一个上级主题：重要性元素，它体现了 5 个不同的子主题：1）暴露，2）家庭作业，3）增加对思想、情绪、行为和身体感觉的理解，以及 4）治疗因素的相互关联性和 5）增加了解症状、过去和自己。总体而言，评估发现患者和治疗师接受了新疗法。UP 中的核心干预对参与者来说是有意义的。由于高度的情感参与和反思，一些患者认为治疗要求很高。治疗师发现该手册更适合治疗焦虑症。

关键点

关于这个主题的已知信息：

1. 对焦虑和抑郁进行跨诊断心理治疗的证据正在增加。

2. 最完善的跨诊断心理治疗手册之一是统一协议。

3. 最近，开发并测试了丹麦统一协议组手册

本主题添加的内容：

1. 进行了患者和治疗师访谈，以探索他们对新疗法的看法。

2. 患者和治疗师普遍接受治疗模式，并认为手册内容有意义。

3. 一些患者发现治疗计划要求很高，而一些治疗师发现与抑郁症患者相比，该手册更适合焦虑症患者。