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Table 2 Themes and Subthemes

From: Secondary psychiatric care patients’ experiences of internet CBT for insomnia – a qualitative study

Themes

Subthemes

Examples of quotations

Finding my place in the treatment

Engaging with computerized treatment

“I mean it was all very clear.” (3)

Relating to the treatment content

“Some of it I could definitely relate to, but not all.” (9)

Therapist support makes a difference

“And maybe because of her I started to tackle things (laughter) I don’t know. But sometimes you need more push.” (7)

Avoiding and adjusting the difficult parts

“So the sleep restriction in particular I felt wasn’t really working for me. But I think it works very well for other people.” (6)

Adhering to the overall treatment plan

“It probably would have worked better if I hadn’t had so much else on my mind.” (9)

Dealing with sleep problems

Experiences of sleep problems

“I think this is very big, that you can sleep. That says it all I think.” (7)

Gaining new perspectives on sleep

“The body works after all, it feels important to know those things because then it’s like I’m giving it another chance.” (2)

Difficulties counteracting fatigue

“It is not easy when the whole body is dog-tired but you still cannot go to sleep.“ (1)

Starting new habits and routines

“It has done me good - structure maybe, that I got some sort of schedule to go by.“ (8)

Striving towards what might be a possible solution

Reasons for trying

“So you don’t lose it and forget about it and so on, I guess that might be the only thing. But otherwise it was all really positive.” (10)

Coping with self-responsibility

“If you have an appointment booked at a clinic, you know about it and plan for it and go there. Here it is more free. But it suited me very well.” (7)

Building up energy for the day

Emotional changes

“It made me calmer knowing that I sleep better, I get rest. Gave me confidence in the other parts as well.” (11)

Getting on with everyday life

“I ended up having energy to do stuff during the day.” (2)

Increased energy in relating to others

“Before I was so tired that I did not hear, I heard nothing, I saw the people, that people were talking but I did not hear their voices sometimes … Today I can manage a little more.” (7)