A Qualitative Study of Factors Affecting Motivation to Continue Treatment in Patients with Chronic Depression

Abstract

This study aimed to identify and analyze the factors that influence motivation to continue treatment in patients with chronic depression. Using a qualitative approach and inductive content analysis, data were collected through semi-structured interviews with 13 patients diagnosed with chronic depression in Tehran. Participants were selected purposively, and interviews continued until theoretical saturation was achieved. Data were coded and analyzed using NVivo software. The findings were categorized into three main themes: "internal factors," "interpersonal and social factors," and "treatment-related structural factors." Subthemes such as hope for recovery, fear of symptom recurrence, effective therapeutic alliance, family support, accessibility of services, and negative experiences with the healthcare system were identified as key influences on treatment motivation. The study revealed that motivation to continue treatment in chronic depression is shaped by a complex interplay of psychological, social, and systemic factors. Incorporating these elements into therapeutic interventions and mental health policy can enhance patient engagement and treatment continuity.