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A meta-ethnography exploring service users experiences of CBT for anxiety and a grounded theory analysis investigating the impact of the anorexic voice on CBT-E

Collie, Harriet 2020. A meta-ethnography exploring service users experiences of CBT for anxiety and a grounded theory analysis investigating the impact of the anorexic voice on CBT-E. ClinPsy Thesis, Cardiff University.
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Abstract

Purpose: Anxiety disorders are the class of mental health disorders with the highest prevalence rate: 11.6% worldwide. Despite CBT being the recommended treatment within clinical guidelines, remission rates are only 50%, recognising a need for improvement.Consequently, it is important to understand service users’ perceptions of CBT in order to understand how treatments can be enhanced. The purpose of this meta-ethnography is to understand how service users with an anxiety disorder experience the process of CBT. Method: A systemic literature search was conducted of qualitative research looking at service users’ experiences of a mixture of individual CBT based protocols for anxiety disorders. Results from the 12 studies meeting inclusion criteria were analysed using Noblit and Hare’s meta-ethnographic method. Results: A central concept of ‘the role of the therapeutic relationship’ was identified and mediated other themes. Three other factors were considered important by service users: ‘the influence of preconceptions’, ‘perceptions of CBT techniques’ and ‘service user style of engagement’. These were considered helpful as they assisted participants in developing new insights into their anxiety and their relationships with others. These themes were developed into a line-of-argument synthesis, expressed as a model for understanding service users’ experiences of the process of CBT. Conclusion: Findings of this meta-synthesis supplement existing research looking at common factors in psychotherapy, by considering why these factors are important and how they interact during the process of CBT for anxiety. Recommendations for clinical practice are discussed that aim to improve remission rates of CBT for anxiety disorders.

Item Type: Thesis (DClinPsy)
Date Type: Completion
Status: Unpublished
Schools: Psychology
Subjects: B Philosophy. Psychology. Religion > BF Psychology
Date of First Compliant Deposit: 23 September 2020
Last Modified: 22 Sep 2021 01:30
URI: https://orca.cardiff.ac.uk/id/eprint/134991

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