{"title":"探讨焦虑、不确定性感知、治疗经验与应对策略：解释性现象学分析","authors":"Aysun Parlar-Yazıcı, Alyson Norman, Alison Bacon","doi":"10.1002/capr.12872","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objective</h3>\n \n <p>Stress and anxiety are considered a major causative factor of various behavioural outcomes, such as insomnia, debilitating psychological and psychosomatic symptoms, and certain physiological ill-health. The individual's appraisal process heavily influences a stress response, with the interpretation of the stressful situation being more important than the situation itself. This study aimed to examine the experiences and perceptions of stress and anxiety among individuals with anxiety. This included their coping mechanisms and experiences of treatment for anxiety. The concept of intolerance of uncertainty, a cognitive mechanism influencing anxiety, was also investigated.</p>\n </section>\n \n <section>\n \n <h3> Method</h3>\n \n <p>A qualitative interpretative phenomenological analysis (IPA) was applied as a suitable method to gain a deep understanding of individuals' lived experiences of anxiety. Ten participants were selected to participate in a semi-structured interview.</p>\n </section>\n \n <section>\n \n <h3> Result</h3>\n \n <p>Three main themes were identified from participants' testimonies: (1) anxious narratives, (2) navigating anxiety and (3) healing journeys. The study revealed that participants experienced significant levels of stress and anxiety in their lives, with these conditions being perceived as substantial burdens. The coping mechanisms employed by participants predominantly centred around interpersonal support, particularly through engaging in conversations with loved ones. Common treatments for anxiety included antidepressants, private cognitive behavioural therapy (CBT) sessions and counselling provided by general practitioners. However, accessibility issues and dissatisfaction with outcomes were reported concerning both CBT and antidepressant treatment.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>The findings underscore the need for further research on effective interventions for stress- and anxiety-related disorders and emphasise the importance of personalised treatments based on intolerance of uncertainty and resilience factors.</p>\n </section>\n </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.3000,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12872","citationCount":"0","resultStr":"{\"title\":\"Exploring anxiety, uncertainty perception, treatment experiences and coping strategies: An interpretative phenomenological analysis\",\"authors\":\"Aysun Parlar-Yazıcı, Alyson Norman, Alison Bacon\",\"doi\":\"10.1002/capr.12872\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>Stress and anxiety are considered a major causative factor of various behavioural outcomes, such as insomnia, debilitating psychological and psychosomatic symptoms, and certain physiological ill-health. The individual's appraisal process heavily influences a stress response, with the interpretation of the stressful situation being more important than the situation itself. This study aimed to examine the experiences and perceptions of stress and anxiety among individuals with anxiety. This included their coping mechanisms and experiences of treatment for anxiety. The concept of intolerance of uncertainty, a cognitive mechanism influencing anxiety, was also investigated.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Method</h3>\\n \\n <p>A qualitative interpretative phenomenological analysis (IPA) was applied as a suitable method to gain a deep understanding of individuals' lived experiences of anxiety. Ten participants were selected to participate in a semi-structured interview.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Result</h3>\\n \\n <p>Three main themes were identified from participants' testimonies: (1) anxious narratives, (2) navigating anxiety and (3) healing journeys. The study revealed that participants experienced significant levels of stress and anxiety in their lives, with these conditions being perceived as substantial burdens. The coping mechanisms employed by participants predominantly centred around interpersonal support, particularly through engaging in conversations with loved ones. Common treatments for anxiety included antidepressants, private cognitive behavioural therapy (CBT) sessions and counselling provided by general practitioners. However, accessibility issues and dissatisfaction with outcomes were reported concerning both CBT and antidepressant treatment.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>The findings underscore the need for further research on effective interventions for stress- and anxiety-related disorders and emphasise the importance of personalised treatments based on intolerance of uncertainty and resilience factors.</p>\\n </section>\\n </div>\",\"PeriodicalId\":46997,\"journal\":{\"name\":\"Counselling & Psychotherapy Research\",\"volume\":\"25 1\",\"pages\":\"\"},\"PeriodicalIF\":1.3000,\"publicationDate\":\"2024-12-24\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12872\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Counselling & Psychotherapy Research\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1002/capr.12872\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PSYCHOLOGY, CLINICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Counselling & Psychotherapy Research","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/capr.12872","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
Exploring anxiety, uncertainty perception, treatment experiences and coping strategies: An interpretative phenomenological analysis
Objective
Stress and anxiety are considered a major causative factor of various behavioural outcomes, such as insomnia, debilitating psychological and psychosomatic symptoms, and certain physiological ill-health. The individual's appraisal process heavily influences a stress response, with the interpretation of the stressful situation being more important than the situation itself. This study aimed to examine the experiences and perceptions of stress and anxiety among individuals with anxiety. This included their coping mechanisms and experiences of treatment for anxiety. The concept of intolerance of uncertainty, a cognitive mechanism influencing anxiety, was also investigated.
Method
A qualitative interpretative phenomenological analysis (IPA) was applied as a suitable method to gain a deep understanding of individuals' lived experiences of anxiety. Ten participants were selected to participate in a semi-structured interview.
Result
Three main themes were identified from participants' testimonies: (1) anxious narratives, (2) navigating anxiety and (3) healing journeys. The study revealed that participants experienced significant levels of stress and anxiety in their lives, with these conditions being perceived as substantial burdens. The coping mechanisms employed by participants predominantly centred around interpersonal support, particularly through engaging in conversations with loved ones. Common treatments for anxiety included antidepressants, private cognitive behavioural therapy (CBT) sessions and counselling provided by general practitioners. However, accessibility issues and dissatisfaction with outcomes were reported concerning both CBT and antidepressant treatment.
Conclusion
The findings underscore the need for further research on effective interventions for stress- and anxiety-related disorders and emphasise the importance of personalised treatments based on intolerance of uncertainty and resilience factors.
期刊介绍：
Counselling and Psychotherapy Research is an innovative international peer-reviewed journal dedicated to linking research with practice. Pluralist in orientation, the journal recognises the value of qualitative, quantitative and mixed methods strategies of inquiry and aims to promote high-quality, ethical research that informs and develops counselling and psychotherapy practice. CPR is a journal of the British Association of Counselling and Psychotherapy, promoting reflexive research strongly linked to practice. The journal has its own website: www.cprjournal.com. The aim of this site is to further develop links between counselling and psychotherapy research and practice by offering accessible information about both the specific contents of each issue of CPR, as well as wider developments in counselling and psychotherapy research. The aims are to ensure that research remains relevant to practice, and for practice to continue to inform research development.
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