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“Good job!”: Therapists' encouragement, affirmation, and personal address in internet-based cognitive behavior therapy for adolescents with depression
Stockholm University, Faculty of Social Sciences, Department of Psychology.
Stockholm University, Faculty of Social Sciences, Department of Psychology.
Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology.ORCID iD: 0000-0002-2172-8813
Stockholm University, Faculty of Social Sciences, Department of Psychology, Work and organizational psychology.ORCID iD: 0000-0002-8683-115X
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2022 (English)In: Internet Interventions, ISSN 2214-7829, Vol. 30, article id 100592Article in journal (Refereed) Published
Abstract [en]

Internet-delivered interventions are generally effective for psychological problems. While the presence of a clinician guiding the client via text messages typically leads to better outcomes, the characteristics of what constitutes high-quality communication are less well investigated. This study aimed to identify how an internet therapist most effectively communicates with clients in internet-delivered cognitive behavioral therapy (ICBT). Using data from a treatment study of depressed adolescents with a focus on participants who had a positive outcome, messages from therapists were analyzed using thematic analysis. The study focused on the therapist's 1) encouragement and 2) affirmation, and how the therapists used 3) personal address. The analysis resulted in a total of twelve themes (Persistence Wins, You Are a Superhero, You Make Your Luck, You Understand, Hard Times, You Are Like Others, My View on the Matter, Time for a Change, Welcome In, Let Me Help You, You Affect Me, and I Am Human). Overall, the themes form patterns where treatment is described as hard work that requires a motivated client who is encouraged by the therapist. The findings are discussed based on the cognitive behavioral theoretical foundation of the treatment, prior research on therapist behaviors, and the fact that the treatment is provided over the internet.

Place, publisher, year, edition, pages
Elsevier, 2022. Vol. 30, article id 100592
Keywords [en]
therapist behavior, internet cognitive behavior therapy, depression, patient adherence, adolescent
National Category
Psychology
Research subject
Psychology
Identifiers
URN: urn:nbn:se:su:diva-212663DOI: 10.1016/j.invent.2022.100592ISI: 000891793900004Scopus ID: 2-s2.0-85142426516OAI: oai:DiVA.org:su-212663DiVA, id: diva2:1717861
Note

This research is supported by the Kavli Trust (grant number 32/18).

Available from: 2022-12-09 Created: 2022-12-09 Last updated: 2023-01-03Bibliographically approved

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Carlbring, PerBernhard-Oettel, ClaudiaOscarsson, MartinMechler, JakobLindqvist, KarinPhilips, Björn
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