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Related Experiment Videos

Patient experiences with internet-based cognitive behavioral therapy for multi-system functional somatic disorder: A

Thomas Tandrup Lamm1,2, Lisbeth Frostholm1,2, Heidi Frølund Pedersen1,2

  • 1Department of Clinical Medicine, Aarhus University, Palle Juul-Jensens Boulevard 11, 8200, Aarhus N, Aarhus, Denmark.

Internet Interventions
|May 27, 2026
PubMed
Summary

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Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
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Modeling in Therapy

Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in situations...

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Internet-based cognitive behavioral therapy (iCBT) is a helpful treatment for functional somatic disorder (FSD). Participants found iCBT acceptable and effective, but future developments should focus on user-centered design to improve engagement.

Area of Science:

  • Mental Health
  • Digital Therapeutics
  • Qualitative Research

Background:

  • Cognitive behavioral therapy (CBT) is effective for functional somatic disorder (FSD).
  • Internet-based CBT (iCBT) may improve accessibility and scalability for FSD treatment.
  • Limited research explores subjective experiences with iCBT for FSD.

Purpose of the Study:

  • To explore participants' experiences with iCBT for FSD.
  • To understand the therapeutic process, online format, therapist role, and treatment outcomes.

Main Methods:

  • 15 semi-structured qualitative interviews were conducted.
  • Interviews occurred post-treatment within a larger randomized controlled trial.
  • Reflexive thematic analysis was used by two researchers.
Keywords:
Cognitive behavioral therapyDigital healthFunctional somatic disorderInternet-based interventionQualitative research

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Main Results:

  • Three themes emerged: 'Helpful - but not Enough,' 'Reversing a History of Overexertion,' and 'Psychotherapy is Hard.'
  • Participants found iCBT relevant, acceptable, and helpful.
  • Factors facilitating and hindering engagement with digital treatment were identified.

Conclusions:

  • iCBT is a relevant, acceptable, and helpful treatment for FSD.
  • Future iCBT development should use user-centered design.
  • Iterative design can mitigate barriers and strengthen facilitators for iCBT engagement.