Is psychotherapy for functional somatic syndromes harmful? A mixed methods study on negative effects
| Autor: | Mette Trøllund Rask, Andreas Schröder, Heidi Frølund Pedersen, A.F. Holsting, Lisbeth Frostholm |
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| Rok vydání: | 2017 |
| Předmět: |
Stress reduction
Adult Male medicine.medical_specialty Psychotherapist Mixed methods media_common.quotation_subject Context (language use) Pilot Projects Acceptance and commitment therapy 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires medicine Functional somatic syndromes Humans Slightly Agree Everyday life Psychiatry media_common 030227 psychiatry Psychotherapy Psychiatry and Mental health Clinical Psychology Medically Unexplained Symptoms Feeling Negative effects Psychotherapy Group Female Thematic analysis Psychology Mindfulness 030217 neurology & neurosurgery Clinical psychology |
| Zdroj: | Holsting, A F, Pedersen, H F, Rask, M T, Frostholm, L & Schröder, A 2017, ' Is psychotherapy for functional somatic syndromes harmful? A mixed methods study on negative effects ', Journal of Psychosomatic Research, vol. 98, pp. 113-121 . https://doi.org/10.1016/j.jpsychores.2017.05.010 |
| ISSN: | 1879-1360 |
| DOI: | 10.1016/j.jpsychores.2017.05.010 |
| Popis: | Introduction Concern for negative effects of psychotherapy for functional somatic syndromes (FSS) has been expressed by clinicians and some patient associations, which may prevent patients from seeking treatment. Therefore, we sought to explore the occurrence and characteristics of negative effects from group-based psychotherapy as experienced by patients with severe or multiple FSS. Methods An adapted version of the explanatory sequential mixed methods design was applied. We used data from an on-going pilot study on Acceptance and Commitment Therapy and Mindfulness-Based Stress Reduction. Negative effects were measured by Inventory for the assessment of Negative Effects of Psychotherapy (INEP). In addition, telephone interviews were conducted with randomly chosen patients and patients who reported negative effects. The latter were asked to elaborate on their INEP response. Quantitative data were analysed descriptively while interview transcripts were explored by thematic analysis. Results Eighty patients responded to the questionnaire (89%). Negative effects to different extent (from ‘slightly agree’ to ‘fully agree’) were reported by 25 (31%). The most frequent negative effects were dependence on the therapist (12%), feeling down after therapy (6%) and insurance problems (7%). By exploring 27 participants' experiences of negative effects 3 main themes were identified: relations in therapy, outcome and transition from therapy to everyday life. Conclusion Patients with FSS reported a few specific negative effects, all with low frequency. Generally, therapy was well-received. Some patients did however express negative effects both within and outside the therapeutic context. It is important to inform patients about potential negative effects prior to psychotherapy. |
| Databáze: | OpenAIRE |
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