Facilitators and barriers to “Positive Outcomes” from cognitive-behavioral therapy, according to young people: A thematic synthesis

IF 2.5 3区心理学 Q2 PSYCHOLOGY, CLINICAL

Journal of Clinical Psychology Pub Date : 2024-02-08 DOI:10.1002/jclp.23653

James Redburn, Ben Hayes

{"title":"Facilitators and barriers to “Positive Outcomes” from cognitive-behavioral therapy, according to young people: A thematic synthesis","authors":"James Redburn, Ben Hayes","doi":"10.1002/jclp.23653","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objective</h3>\n \n <p>This qualitative review sought to explore how young people (YP) conceptualize positive outcomes from cognitive-behavioral therapy (CBT) and what YP perceive to be the facilitators and barriers to positive outcomes.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>A systematic literature search was conducted in June 2021 using six online databases. Studies were included if qualitative data were collected from participants who were aged up to 25, had internalizing mental health difficulties, and had received in-person CBT from trained practitioners.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Nineteen studies were included. The Gough Weight of Evidence framework was used to assess methodological and topical quality and relevance. A thematic synthesis identified 34 conceptualizations of positive outcomes, 57 facilitators, and 49 barriers. Descriptive and analytical themes were identified. In line with the review's pragmatic perspective, the latter were worded as practice recommendations: acknowledge YP's perspectives on outcomes, teach tangible CBT techniques, balance autonomy and support, frame CBT as “upskilling,” explore nuanced barriers to engagement, and consider the power of group dynamics.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>This review established the range of YP's views about positive outcomes from CBT, as well as facilitators and barriers to achieving these. Findings should prompt CBT practitioners to reflect and consider how their practice might be shaped through reports from YP as experts by experience.</p>\n </section>\n </div>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":"80 5","pages":"968-1002"},"PeriodicalIF":2.5000,"publicationDate":"2024-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jclp.23653","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Clinical Psychology","FirstCategoryId":"102","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/jclp.23653","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}

引用次数: 0

Abstract

Objective

This qualitative review sought to explore how young people (YP) conceptualize positive outcomes from cognitive-behavioral therapy (CBT) and what YP perceive to be the facilitators and barriers to positive outcomes.

Methods

A systematic literature search was conducted in June 2021 using six online databases. Studies were included if qualitative data were collected from participants who were aged up to 25, had internalizing mental health difficulties, and had received in-person CBT from trained practitioners.

Results

Nineteen studies were included. The Gough Weight of Evidence framework was used to assess methodological and topical quality and relevance. A thematic synthesis identified 34 conceptualizations of positive outcomes, 57 facilitators, and 49 barriers. Descriptive and analytical themes were identified. In line with the review's pragmatic perspective, the latter were worded as practice recommendations: acknowledge YP's perspectives on outcomes, teach tangible CBT techniques, balance autonomy and support, frame CBT as “upskilling,” explore nuanced barriers to engagement, and consider the power of group dynamics.

Conclusions

This review established the range of YP's views about positive outcomes from CBT, as well as facilitators and barriers to achieving these. Findings should prompt CBT practitioners to reflect and consider how their practice might be shaped through reports from YP as experts by experience.

Abstract Image

查看原文本刊更多论文

年轻人认为认知行为疗法取得 "积极成果 "的促进因素和障碍：专题综述。

目的：本定性综述旨在探讨年轻人（YP）如何看待认知行为疗法（CBT）的积极成果，以及年轻人认为积极成果的促进因素和障碍是什么：2021 年 6 月，我们使用六个在线数据库进行了系统的文献检索。如果研究收集的定性数据来自年龄不超过 25 岁、有内化性心理健康问题并接受过训练有素的从业人员亲自提供的 CBT 的参与者，则该研究将被纳入其中：结果：共纳入 19 项研究。采用高夫证据权重框架来评估研究方法、专题质量和相关性。专题综合确定了 34 个积极成果概念、57 个促进因素和 49 个障碍。确定了描述性和分析性主题。根据综述的实用性视角，后者被表述为实践建议：承认青少年对结果的看法、教授切实的 CBT 技术、平衡自主和支持、将 CBT 定义为 "提高技能"、探索参与的细微障碍以及考虑群体动力的力量：本综述确定了青少年对 CBT 积极成果的看法范围，以及实现这些成果的促进因素和障碍。研究结果应促使 CBT 从业人员进行反思，并考虑如何通过作为经验专家的青少年的报告来塑造他们的实践。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Clinical Psychology PSYCHOLOGY, CLINICAL-

CiteScore

5.40

自引率

3.30%

发文量

177

期刊介绍： Founded in 1945, the Journal of Clinical Psychology is a peer-reviewed forum devoted to research, assessment, and practice. Published eight times a year, the Journal includes research studies; articles on contemporary professional issues, single case research; brief reports (including dissertations in brief); notes from the field; and news and notes. In addition to papers on psychopathology, psychodiagnostics, and the psychotherapeutic process, the journal welcomes articles focusing on psychotherapy effectiveness research, psychological assessment and treatment matching, clinical outcomes, clinical health psychology, and behavioral medicine.