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) |