Patient experiences of psychological therapy for depression: a qualitative metasynthesis
Abstract Background Globally, national guidelines for depression have prioritised evidence from randomised controlled trials and quantitative meta-analyses, omitting qualitative research concerning patient experience of treatments. A review of patient experience research can provide a comprehensive...
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| Format: | Article |
| Language: | English |
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BMC
2020-06-01
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| Series: | BMC Psychiatry |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12888-020-02682-1 |
| _version_ | 1818696036013572096 |
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| author | Susan McPherson Claire Wicks Ilaria Tercelli |
| author_facet | Susan McPherson Claire Wicks Ilaria Tercelli |
| author_sort | Susan McPherson |
| collection | DOAJ |
| description | Abstract Background Globally, national guidelines for depression have prioritised evidence from randomised controlled trials and quantitative meta-analyses, omitting qualitative research concerning patient experience of treatments. A review of patient experience research can provide a comprehensive overview of this important form of evidence and thus enable the voices and subjectivities of those affected by depression to have an impact on the treatments and services they are offered. This review aims to seek a comprehensive understanding of patient experiences of psychological therapies for depression using a systematic and rigorous approach to review and synthesis of qualitative research. Method PsychINFO, PsychARTICLES, MEDLINE, and CINAHL were searched for published articles using a qualitative approach to examine experiences of psychological therapies for depression. All types of psychological therapy were included irrespective of model or modes of delivery (e.g. remote or in person; group or individual). Each article was assessed following guidance provided by the Critical Appraisal Skill Programme tool. Articles were entered in full into NVIVO and themes were extracted and synthesized following inductive thematic analysis. Results Thirty-seven studies, representing 671 patients were included. Three main themes are described; the role of therapy features and setting; therapy processes and how they impact on outcomes; and therapy outcomes (benefits and limitations). Subthemes are described within these themes and include discussion of what works and what’s unhelpful; issues integrating therapy with real life; patient preferences and individual difference; challenges of undertaking therapy; influence of the therapist; benefits of therapy; limits of therapy and what happens when therapy ends. Conclusions Findings point to the importance of common factors in psychotherapies; highlight the need to assess negative outcomes; and indicate the need for patients to be more involved in discussions and decisions about therapy, including tailoring therapy to individual needs and taking social and cultural contexts into account. |
| first_indexed | 2024-12-17T13:54:58Z |
| format | Article |
| id | doaj.art-977f484806704fd4a416e56aa5815968 |
| institution | Directory Open Access Journal |
| issn | 1471-244X |
| language | English |
| last_indexed | 2024-12-17T13:54:58Z |
| publishDate | 2020-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychiatry |
| spelling | doaj.art-977f484806704fd4a416e56aa58159682022-12-21T21:45:56ZengBMCBMC Psychiatry1471-244X2020-06-0120111810.1186/s12888-020-02682-1Patient experiences of psychological therapy for depression: a qualitative metasynthesisSusan McPherson0Claire Wicks1Ilaria Tercelli2School of Health and Social Care, University of EssexSchool of Health and Social Care, University of EssexSchool of Health and Social Care, University of EssexAbstract Background Globally, national guidelines for depression have prioritised evidence from randomised controlled trials and quantitative meta-analyses, omitting qualitative research concerning patient experience of treatments. A review of patient experience research can provide a comprehensive overview of this important form of evidence and thus enable the voices and subjectivities of those affected by depression to have an impact on the treatments and services they are offered. This review aims to seek a comprehensive understanding of patient experiences of psychological therapies for depression using a systematic and rigorous approach to review and synthesis of qualitative research. Method PsychINFO, PsychARTICLES, MEDLINE, and CINAHL were searched for published articles using a qualitative approach to examine experiences of psychological therapies for depression. All types of psychological therapy were included irrespective of model or modes of delivery (e.g. remote or in person; group or individual). Each article was assessed following guidance provided by the Critical Appraisal Skill Programme tool. Articles were entered in full into NVIVO and themes were extracted and synthesized following inductive thematic analysis. Results Thirty-seven studies, representing 671 patients were included. Three main themes are described; the role of therapy features and setting; therapy processes and how they impact on outcomes; and therapy outcomes (benefits and limitations). Subthemes are described within these themes and include discussion of what works and what’s unhelpful; issues integrating therapy with real life; patient preferences and individual difference; challenges of undertaking therapy; influence of the therapist; benefits of therapy; limits of therapy and what happens when therapy ends. Conclusions Findings point to the importance of common factors in psychotherapies; highlight the need to assess negative outcomes; and indicate the need for patients to be more involved in discussions and decisions about therapy, including tailoring therapy to individual needs and taking social and cultural contexts into account.http://link.springer.com/article/10.1186/s12888-020-02682-1DepressionPsychological therapiesPatient experiencePatient choiceGuidelines |
| spellingShingle | Susan McPherson Claire Wicks Ilaria Tercelli Patient experiences of psychological therapy for depression: a qualitative metasynthesis BMC Psychiatry Depression Psychological therapies Patient experience Patient choice Guidelines |
| title | Patient experiences of psychological therapy for depression: a qualitative metasynthesis |
| title_full | Patient experiences of psychological therapy for depression: a qualitative metasynthesis |
| title_fullStr | Patient experiences of psychological therapy for depression: a qualitative metasynthesis |
| title_full_unstemmed | Patient experiences of psychological therapy for depression: a qualitative metasynthesis |
| title_short | Patient experiences of psychological therapy for depression: a qualitative metasynthesis |
| title_sort | patient experiences of psychological therapy for depression a qualitative metasynthesis |
| topic | Depression Psychological therapies Patient experience Patient choice Guidelines |
| url | http://link.springer.com/article/10.1186/s12888-020-02682-1 |
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