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Flores-Sandoval C, Teasell R, MacKenzie HM, McIntyre A, Barua U, Mehta S, Bayley M, Bateman EA. Evidence-Based Review of Randomized Controlled Trials of Interventions for Mental Health Management Post-Moderate to Severe Traumatic Brain Injury. J Head Trauma Rehabil 2024; 39:342-358. [PMID: 39256156 DOI: 10.1097/htr.0000000000000984] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/12/2024]
Abstract
OBJECTIVE To present an evidence-based review of randomized controlled trials (RCTs) evaluating interventions for mental health post-moderate to severe traumatic brain injury (post-MSTBI), as part of an extensive database that has been conceptualized as a living systematic review. METHODS Systematic searches were conducted for RCTs published in the English language in MEDLINE, PubMed, Scopus, CINAHL, EMBASE, and PsycINFO, up to and including December 2022, in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The methodological quality of RCTs was assessed using the Physiotherapy Evidence Database scale, and the level of evidence was assigned using a modified Sackett scale. RESULTS Eighty-seven RCTs examining mental health interventions and outcome measures post-MSTBI were included. These studies collectively enrolled 6471 participants. A total of 41 RCTs (47.1%) were conducted in the United States and 56 studies (64.4%) were published after 2010. A total of 62 RCTs (71.3%) examined nonpharmacological interventions and 25 RCTs (28.7%) examined pharmacological interventions. Effective pharmacological treatments included desipramine and cerebrolysin; methylphenidate and rivastigmine showed conflicting evidence. Cognitive behavioral therapy (CBT) was found to be effective for hopelessness, stress, and anxiety, compared to usual care; however, it may be as effective as supportive psychotherapy for depression. CBT combined with motivational interviewing may be as effective as CBT combined with nondirective counseling for depression, stress, and anxiety. Acceptance and commitment therapy was effective for anxiety, stress, and depression. Tai Chi, dance, and walking appeared to be effective for depression and stress, while other nonpharmacological treatments such as peer mentoring showed limited effectiveness. CONCLUSION This evidence-based review provides a comprehensive overview of the research landscape of RCTs addressing mental health post-MSTBI. The findings from these RCTs may be valuable for health care professionals, researchers, and policymakers involved in the field of mental health and neurorehabilitation.
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Affiliation(s)
- Cecilia Flores-Sandoval
- Author Affiliations: Parkwood Institute Research, Lawson Health Research Institute (Drs Flores-Sandoval, Teasell, and MacKenzie, Ms Barua, and Drs Mehta and Bateman); Department of Physical Medicine and Rehabilitation, Schulich School of Medicine and Dentistry, Western University, London, Ontario (Drs Teasell, MacKenzie, Mehta, and Bateman); Parkwood Institute, St. Joseph's Health Care London, London, Ontario (Drs Bateman, Teasell, and MacKenzie); Arthur Family Labatt School of Nursing, Faculty of Health Sciences, Western University, London, Ontario (Dr McIntyre); Division of Physical Medicine and Rehabilitation, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, KITE Research Institute, University Health Network, Toronto, Ontario, and University Health Network, Toronto Rehabilitation Institute, Toronto, Ontario (Dr Bayley)
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Andrews K, Ross D, Maroney TL. Online Group Psychotherapy: A Systematic Review. Community Ment Health J 2024:10.1007/s10597-024-01304-4. [PMID: 38970740 DOI: 10.1007/s10597-024-01304-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/30/2023] [Accepted: 05/23/2024] [Indexed: 07/08/2024]
Abstract
INTRODUCTION There is a need within counselling and psychotherapy to ensure their ability to respond to endemic presences such as the COVID-19 pandemic, by utilising rapid technological advances without compromising effectiveness. To do so, existing research about online group therapy must be built upon to provide a comprehensive understanding of the efficacious delivery of this therapy modality. Thus, a systematic review was conducted to collate what is currently known in the published and grey literature on online group therapy, using the PRISMA framework. Thirty-three articles were identified as including information regarding facilitating group therapy online. After appraising each article using appropriate quality appraisal tools, a thematic analysis was conducted on the papers, arriving at seven main themes summarising the main findings regarding online versus in-person groups, group planning, counselling micro skills, group processes, ethics, technology, and unique online therapy issues. There is a growing but incomplete body of knowledge that informs the group therapist regarding the ethical delivery of groups online. A more comprehensive review can enable group therapists to feel confident they are across best practice guidelines. Limitations and research implications are considered.
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Affiliation(s)
- Katrina Andrews
- School of Law and Society, University of the Sunshine Coast, Sippy Downs, QLD, Australia.
| | - Dyann Ross
- School of Law and Society, University of the Sunshine Coast, Sippy Downs, QLD, Australia
| | - Tenelle L Maroney
- School of Law and Society, University of the Sunshine Coast, Sippy Downs, QLD, Australia
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Südmeier M, Muschalla Prof Dr B. Differential Effectiveness of Open Versus Closed Psychotherapy Groups: A Systematic Review. Am J Psychother 2024; 77:55-70. [PMID: 38741553 DOI: 10.1176/appi.psychotherapy.20230026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/16/2024]
Abstract
OBJECTIVE This systematic review aimed to provide an overview of the state of research on the effectiveness of open versus closed psychotherapy groups, from the beginning of empirical research on these groups to the present. METHODS A literature search in seven databases and a supplementary search of the reference lists of 23 relevant articles were conducted between August 2022 and October 2023. Seventy-two articles were identified and screened for eligibility. RESULTS Twenty-seven articles met the inclusion criteria and were included in the review. Outcomes are reported by study design (randomized controlled trial, quasi-experimental, descriptive). Information on each study's sample, setting, types of groups, process versus outcome measures, and outcome evaluation is provided. Findings suggest that open and closed psychotherapy groups have the same effect on reducing symptoms of mental disorders. Perception of group cohesion was phase dependent in closed group therapies, whereas cohesion was perceived as more constant in open group therapies. CONCLUSIONS The question of how group therapy format may affect therapeutic outcomes and processes has been posed over the past 50 years, but trials are heterogeneous and robust conclusions cannot be made. Systematic research on the differential effectiveness of open versus closed psychotherapy groups is scarce. On the basis of empirical findings to date, no global superiority of either open or closed group therapy exists. Open and closed group therapies are equally effective, presumably because of different effect factors. An indication for open or closed group therapy must be made according to clinical requirements on a case-by-case basis.
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Affiliation(s)
- Meike Südmeier
- Institute of Psychology, Department of Clinical Psychology, Psychotherapy and Diagnostics, Technical University of Braunschweig, Braunschweig, Germany
| | - Beate Muschalla Prof Dr
- Institute of Psychology, Department of Clinical Psychology, Psychotherapy and Diagnostics, Technical University of Braunschweig, Braunschweig, Germany
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Pedro LMR, de Oliveira MF, Pereira MD, da Fonseca AD, Canavarro MC. Factors Associated with Prospective Acceptability and Preferences for Unified Transdiagnostic Cognitive-Behavioral Treatments and Group Therapy in the Portuguese General Population. ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH 2024:10.1007/s10488-024-01391-1. [PMID: 38839662 DOI: 10.1007/s10488-024-01391-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/23/2024] [Indexed: 06/07/2024]
Abstract
Group transdiagnostic cognitive-behavioral therapy (CBT) offers a promising solution for limited mental health access in Portugal. Understanding barriers to patient adherence is crucial for successful implementation. This study aimed to characterize the prospective acceptability and preferences for unified transdiagnostic CBT and group therapy in the Portuguese general population and explore their correlates. A sample of 243 participants (18-88 years old), recruited online, completed an online survey collecting information on sociodemographic and clinical characteristics, acceptability of transdiagnostic CBT treatments, specifically of Unified Protocol (UP), acceptability of group therapy, therapeutic format preferences, beliefs about group therapy and help-seeking attitudes. Most participants were receptive to and perceived as useful both unified transdiagnostic CBT and group therapy. Overall, participants presented significantly more favorable attitudes than unfavorable attitudes toward unified transdiagnostic CBT and group therapy (p < .001). Multivariate analyses revealed that (1) favorable attitudes toward transdiagnostic treatments were negatively associated with being employed and positively associated with living in an urban area, and higher efficacy scores; (2) unfavorable attitudes toward transdiagnostic treatments were positively associated with being married/cohabitating and negatively associated with vulnerability scores; (3) being female, living in an urban area, and higher efficacy and myth scores emerged as positive predictors of favorable attitudes toward group therapy; and (4) efficacy and vulnerability scores and help-seeking propensity emerged as negative predictors of unfavorable attitudes toward group therapy. These findings highlight the importance of delineating strategies to increase knowledge and acceptance of unified transdiagnostic CBT and group therapy in the Portuguese population, addressing specific individual characteristics.
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Affiliation(s)
- Liliana Maria Rodrigues Pedro
- Center for Research in Neuropsychology and Cognitive Behavioral Intervention (CINEICC), Faculty of Psychology and Educational Sciences, University of Coimbra, Rua do Colégio Novo, Coimbra, 3000-115, Portugal.
| | | | - Marco Daniel Pereira
- Center for Research in Neuropsychology and Cognitive Behavioral Intervention (CINEICC), Faculty of Psychology and Educational Sciences, University of Coimbra, Rua do Colégio Novo, Coimbra, 3000-115, Portugal
| | - Ana Dias da Fonseca
- Center for Research in Neuropsychology and Cognitive Behavioral Intervention (CINEICC), Faculty of Psychology and Educational Sciences, University of Coimbra, Rua do Colégio Novo, Coimbra, 3000-115, Portugal
| | - Maria Cristina Canavarro
- Center for Research in Neuropsychology and Cognitive Behavioral Intervention (CINEICC), Faculty of Psychology and Educational Sciences, University of Coimbra, Rua do Colégio Novo, Coimbra, 3000-115, Portugal
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McCarty RJ, Downing ST, Guastello AD, Lazaroe LM, Ordway AR, MirHosseini T, Barthle-Herrera MA, Cooke DL, Mathews CA, McNamara JPH. Implementation and Preliminary Outcomes of an Exposure-Based Summer Camp for Pediatric OCD and Anxiety. Behav Ther 2024; 55:543-557. [PMID: 38670667 DOI: 10.1016/j.beth.2023.08.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/02/2022] [Revised: 08/16/2023] [Accepted: 08/18/2023] [Indexed: 04/28/2024]
Abstract
Despite the high prevalence of anxiety disorders in children and adolescents and the existence of effective evidence-based treatments for them, access to psychological care remains a major public health concern. Summer camps may provide an effective treatment avenue for youth who might not otherwise have access to care. This study describes the design and implementation of Fear Facers, a semistructured, 5-day, daytime exposure-therapy-based summer camp designed for youth with a primary diagnosis of obsessive-compulsive disorder (OCD), social anxiety, separation anxiety, or a specific phobia. Preliminary data regarding feasibility and patient outcomes is also reported. Among 52 children and adolescents aged 7 to 16 who attended one of six camp sessions between 2018 and 2021, significant reductions in anxiety (d = 0.54) and OCD symptoms (d = 0.57) were observed from pre-camp to immediately post-camp. A subset of campers who were followed for an additional 3 months post-camp (n = 22) showed maintenance of treatment gains. Retention rates for the intervention were high. Our investigation provides further support for the use of a camp-based design for cognitive-behavioral approaches, and may provide a unique setting to maximize elements of inhibitory learning in exposures. We also discuss a number of elements regarding feasibility that need consideration for those hoping to develop similar interventions.
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Affiliation(s)
- Ryan J McCarty
- College of Medicine, University of Florida; College of Public Health and Health Professions, University of Florida; University of Florida Center for OCD, Anxiety and Related Disorders.
| | - Seth T Downing
- College of Medicine, University of Florida; College of Public Health and Health Professions, University of Florida; University of Florida Center for OCD, Anxiety and Related Disorders
| | - Andrea D Guastello
- College of Medicine, University of Florida; University of Florida Center for OCD, Anxiety and Related Disorders
| | - Lacie M Lazaroe
- College of Medicine, University of Florida; College of Public Health and Health Professions, University of Florida; University of Florida Center for OCD, Anxiety and Related Disorders
| | - Ashley R Ordway
- College of Medicine, University of Florida; University of Florida Center for OCD, Anxiety and Related Disorders
| | - Tannaz MirHosseini
- College of Medicine, University of Florida; College of Public Health and Health Professions, University of Florida; University of Florida Center for OCD, Anxiety and Related Disorders
| | - Megan A Barthle-Herrera
- College of Medicine, University of Florida; University of Florida Center for OCD, Anxiety and Related Disorders
| | - Danielle L Cooke
- College of Medicine, University of Florida; College of Public Health and Health Professions, University of Florida; University of Florida Center for OCD, Anxiety and Related Disorders
| | - Carol A Mathews
- College of Medicine, University of Florida; University of Florida Center for OCD, Anxiety and Related Disorders
| | - Joseph P H McNamara
- College of Medicine, University of Florida; University of Florida Center for OCD, Anxiety and Related Disorders
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Ski CF, Taylor RS, McGuigan K, Long L, Lambert JD, Richards SH, Thompson DR. Psychological interventions for depression and anxiety in patients with coronary heart disease, heart failure or atrial fibrillation. Cochrane Database Syst Rev 2024; 4:CD013508. [PMID: 38577875 PMCID: PMC10996021 DOI: 10.1002/14651858.cd013508.pub3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/06/2024]
Abstract
BACKGROUND Depression and anxiety occur frequently (with reported prevalence rates of around 40%) in individuals with coronary heart disease (CHD), heart failure (HF) or atrial fibrillation (AF) and are associated with a poor prognosis, such as decreased health-related quality of life (HRQoL), and increased morbidity and mortality. Psychological interventions are developed and delivered by psychologists or specifically trained healthcare workers and commonly include cognitive behavioural therapies and mindfulness-based stress reduction. They have been shown to reduce depression and anxiety in the general population, though the exact mechanism of action is not well understood. Further, their effects on psychological and clinical outcomes in patients with CHD, HF or AF are unclear. OBJECTIVES To assess the effects of psychological interventions (alone, or with cardiac rehabilitation or pharmacotherapy, or both) in adults who have a diagnosis of CHD, HF or AF, compared to no psychological intervention, on psychological and clinical outcomes. SEARCH METHODS We searched the CENTRAL, MEDLINE, Embase, PsycINFO and CINAHL databases from 2009 to July 2022. We also searched three clinical trials registers in September 2020, and checked the reference lists of included studies. No language restrictions were applied. SELECTION CRITERIA We included randomised controlled trials (RCTs) comparing psychological interventions with no psychological intervention for a minimum of six months follow-up in adults aged over 18 years with a clinical diagnosis of CHD, HF or AF, with or without depression or anxiety. Studies had to report on either depression or anxiety or both. DATA COLLECTION AND ANALYSIS We used standard Cochrane methods. Our primary outcomes were depression and anxiety, and our secondary outcomes of interest were HRQoL mental and physical components, all-cause mortality and major adverse cardiovascular events (MACE). We used GRADE to assess the certainty of evidence for each outcome. MAIN RESULTS Twenty-one studies (2591 participants) met our inclusion criteria. Sixteen studies included people with CHD, five with HF and none with AF. Study sample sizes ranged from 29 to 430. Twenty and 17 studies reported the primary outcomes of depression and anxiety, respectively. Despite the high heterogeneity and variation, we decided to pool the studies using a random-effects model, recognising that the model does not eliminate heterogeneity and findings should be interpreted cautiously. We found that psychological interventions probably have a moderate effect on reducing depression (standardised mean difference (SMD) -0.36, 95% confidence interval (CI) -0.65 to -0.06; 20 studies, 2531 participants; moderate-certainty evidence) and anxiety (SMD -0.57, 95% CI -0.96 to -0.18; 17 studies, 2235 participants; moderate-certainty evidence), compared to no psychological intervention. Psychological interventions may have little to no effect on HRQoL physical component summary scores (PCS) (SMD 0.48, 95% CI -0.02 to 0.98; 12 studies, 1454 participants; low-certainty evidence), but may have a moderate effect on improving HRQoL mental component summary scores (MCS) (SMD 0.63, 95% CI 0.01 to 1.26; 12 studies, 1454 participants; low-certainty evidence), compared to no psychological intervention. Psychological interventions probably have little to no effect on all-cause mortality (risk ratio (RR) 0.81, 95% CI 0.39 to 1.69; 3 studies, 615 participants; moderate-certainty evidence) and may have little to no effect on MACE (RR 1.22, 95% CI 0.77 to 1.92; 4 studies, 450 participants; low-certainty evidence), compared to no psychological intervention. AUTHORS' CONCLUSIONS Current evidence suggests that psychological interventions for depression and anxiety probably result in a moderate reduction in depression and anxiety and may result in a moderate improvement in HRQoL MCS, compared to no intervention. However, they may have little to no effect on HRQoL PCS and MACE, and probably do not reduce mortality (all-cause) in adults who have a diagnosis of CHD or HF, compared with no psychological intervention. There was moderate to substantial heterogeneity identified across studies. Thus, evidence of treatment effects on these outcomes warrants careful interpretation. As there were no studies of psychological interventions for patients with AF included in our review, this is a gap that needs to be addressed in future studies, particularly in view of the rapid growth of research on management of AF. Studies investigating cost-effectiveness, return to work and cardiovascular morbidity (revascularisation) are also needed to better understand the benefits of psychological interventions in populations with heart disease.
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Affiliation(s)
- Chantal F Ski
- School of Nursing and Midwifery, Queen's University Belfast, Belfast, UK
- Australian Centre for Heart Health, Deakin University, Melbourne, Australia
| | - Rod S Taylor
- MRC/CSO Social and Public Health Sciences Unit & Robertson Centre for Biostatistics, Institute of Health and Well Being, University of Glasgow, Glasgow, UK
| | - Karen McGuigan
- Queen's Communities and Place, Queen's University Belfast, Belfast, UK
| | - Linda Long
- MRC/CSO Social and Public Health Sciences Unit, School of Health and Wellbeing, University of Glasgow, Glasgow, UK
| | | | | | - David R Thompson
- School of Nursing and Midwifery, Queen's University Belfast, Belfast, UK
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Scharbert J, Humberg S, Kroencke L, Reiter T, Sakel S, Ter Horst J, Utesch K, Gosling SD, Harari G, Matz SC, Schoedel R, Stachl C, Aguilar NMA, Amante D, Aquino SD, Bastias F, Bornamanesh A, Bracegirdle C, Campos LAM, Chauvin B, Coetzee N, Dorfman A, Dos Santos M, El-Haddad RW, Fajkowska M, Göncü-Köse A, Gnisci A, Hadjisolomou S, Hale WW, Katzir M, Khechuashvili L, Kirchner-Häusler A, Kotzur PF, Kritzler S, Lu JG, Machado GDS, Martskvishvili K, Mottola F, Obschonka M, Paolini S, Perugini M, Rohmer O, Saeedian Y, Sergi I, Shani M, Skimina E, Smillie LD, Talaifar S, Talhelm T, Tokat T, Torres A, Torres CV, Van Assche J, Wei L, Yalçın A, van Zalk M, Bühner M, Back MD. Psychological well-being in Europe after the outbreak of war in Ukraine. Nat Commun 2024; 15:1202. [PMID: 38378761 PMCID: PMC10879508 DOI: 10.1038/s41467-024-44693-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2023] [Accepted: 12/21/2023] [Indexed: 02/22/2024] Open
Abstract
The Russian invasion of Ukraine on February 24, 2022, has had devastating effects on the Ukrainian population and the global economy, environment, and political order. However, little is known about the psychological states surrounding the outbreak of war, particularly the mental well-being of individuals outside Ukraine. Here, we present a longitudinal experience-sampling study of a convenience sample from 17 European countries (total participants = 1,341, total assessments = 44,894, countries with >100 participants = 5) that allows us to track well-being levels across countries during the weeks surrounding the outbreak of war. Our data show a significant decline in well-being on the day of the Russian invasion. Recovery over the following weeks was associated with an individual's personality but was not statistically significantly associated with their age, gender, subjective social status, and political orientation. In general, well-being was lower on days when the war was more salient on social media. Our results demonstrate the need to consider the psychological implications of the Russo-Ukrainian war next to its humanitarian, economic, and ecological consequences.
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Affiliation(s)
- Julian Scharbert
- Department of Psychology, University of Münster, Münster, Germany.
| | - Sarah Humberg
- Department of Psychology, University of Münster, Münster, Germany
| | - Lara Kroencke
- Department of Psychology, University of Münster, Münster, Germany
| | - Thomas Reiter
- Department of Psychology, University of Munich, Munich, Germany
| | - Sophia Sakel
- Department of Psychology, University of Munich, Munich, Germany
| | - Julian Ter Horst
- Department of Psychology, Osnabrück University, Osnabrück, Germany
| | - Katharina Utesch
- Department of Psychology, University of Münster, Münster, Germany
| | - Samuel D Gosling
- Department of Psychology, University of Texas at Austin, Austin, USA
- School of Psychological Sciences, The University of Melbourne, Melbourne, Australia
| | | | | | - Ramona Schoedel
- Department of Psychology, University of Munich, Munich, Germany
| | - Clemens Stachl
- Institute of Behavioral Science and Technology, University of St. Gallen, St. Gallen, Switzerland
| | - Natalia M A Aguilar
- Faculty of Veterinary Sciences, National University of the Northeast, Corrientes, Argentina
| | - Dayana Amante
- Research Institute in Basic and Applied Psychology, Catholic University of Cuyo, San Juan, Argentina
| | - Sibele D Aquino
- Department of Psychology, Pontifical Catholic University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Franco Bastias
- Cluster of Excellence "The Politics of Inequality", University of Konstanz, Konstanz, Germany
| | - Alireza Bornamanesh
- Psychiatry Department, Isfahan University of Medical Sciences, Isfahan, Iran
| | | | - Luís A M Campos
- Department of Psychology, Pontifical Catholic University of Rio de Janeiro, Rio de Janeiro, Brazil
- Department of Psychology, Catholic University of Petrópolis, Petrópolis, Brazil
| | - Bruno Chauvin
- Department of Psychology, University of Strasbourg, Strasbourg, France
| | - Nicoleen Coetzee
- Department of Psychology, University of Pretoria, Pretoria, South Africa
| | - Anna Dorfman
- Department of Psychology, Bar Ilan University, Ramat Gan, Israel
| | - Monika Dos Santos
- Department of Psychology, University of South Africa, Pretoria, South Africa
| | - Rita W El-Haddad
- Department of Social and Behavioral Sciences, American University of Kuwait, Safat, Kuwait
| | | | - Asli Göncü-Köse
- Department of Psychology, Çankaya University, Ankara, Turkey
| | - Augusto Gnisci
- Department of Psychology, University of Campania Luigi Vanvitelli, Caserta, Italy
| | - Stavros Hadjisolomou
- Department of Social and Behavioral Sciences, American University of Kuwait, Safat, Kuwait
| | - William W Hale
- Department of Youth and Family, Utrecht University, Utrecht, Netherlands
| | - Maayan Katzir
- Conflict Resolution, Management, and Negotiation Graduate Program, Bar Ilan University, Ramat Gan, Israel
| | - Lili Khechuashvili
- Department of Psychology, Ivane Javakhishvili Tbilisi State University, Tbilisi, Georgia
| | | | | | - Sarah Kritzler
- Department of Psychology, Ruhr University Bochum, Bochum, Germany
| | - Jackson G Lu
- Sloan School of Management, Massachusetts Institute of Technology, Cambridge, USA
| | - Gustavo D S Machado
- Department of Psychology, Federal University of Santa Catarina, Florianópolis, Brazil
| | - Khatuna Martskvishvili
- Department of Psychology, Ivane Javakhishvili Tbilisi State University, Tbilisi, Georgia
| | - Francesca Mottola
- Department of Psychology, University of Campania Luigi Vanvitelli, Caserta, Italy
| | - Martin Obschonka
- Amsterdam Business School, University of Amsterdam, Amsterdam, the Netherlands
| | | | - Marco Perugini
- Department of Psychology, University of Milan-Bicocca, Milan, Italy
| | - Odile Rohmer
- Department of Psychology, University of Strasbourg, Strasbourg, France
| | - Yasser Saeedian
- Institute for Physical Activity and Nutrition, Deakin University, Burwood, Australia
| | - Ida Sergi
- Department of Psychology, University of Campania Luigi Vanvitelli, Caserta, Italy
| | - Maor Shani
- Department of Psychology, Osnabrück University, Osnabrück, Germany
| | - Ewa Skimina
- Institute of Psychology, SWPS University, Warsaw, Poland
| | - Luke D Smillie
- School of Psychological Sciences, The University of Melbourne, Melbourne, Australia
| | - Sanaz Talaifar
- Department of Management & Entrepreneurship, Imperial College London, London, England
| | - Thomas Talhelm
- Booth School of Business, The University of Chicago, Chicago, USA
| | - Tülüce Tokat
- Human Sciences Department, Verona University, Verona, Italy
| | - Ana Torres
- Department of Psychology, Federal University of Paraíba, João Pessoa, Brazil
| | - Claudio V Torres
- Department of Basic Psychological Processes, University of Brasilia, Brasilia, Brazil
| | - Jasper Van Assche
- Department of Developmental, Personality and Social Psychology, Ghent University, Ghent, Belgium
- Center for Social and Cultural Psychology (CESCUP), Université Libre de Bruxelles, Brussels, Belgium
| | - Liuqing Wei
- Department of Psychology, Hubei University, Wuhan, China
| | - Aslı Yalçın
- Department of Psychology, Çankaya University, Ankara, Turkey
| | - Maarten van Zalk
- Department of Psychology, Osnabrück University, Osnabrück, Germany
| | - Markus Bühner
- Department of Psychology, University of Munich, Munich, Germany
| | - Mitja D Back
- Department of Psychology, University of Münster, Münster, Germany
- Joint Institute for Individualisation in a Changing Environment (JICE), University of Münster and Bielefeld University, Münster, Germany
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Melicherova U, Schott T, Brucker M, Hoyer J, Köllner V. Originalbeiträge (Originals). Psychotherapeutic inpatient depression treatment in open versus closed group format. ZEITSCHRIFT FUR PSYCHOSOMATISCHE MEDIZIN UND PSYCHOTHERAPIE 2024; 70:6-23. [PMID: 37830880 DOI: 10.13109/zptm.2023.69.oa6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/14/2023]
Abstract
OBJECTIVE Controversy exists about the comparative efficacy of different group formats, e. g., open versus closed. Most of the findings come from outpatient, closed group research. In practice, the open format is more widely used. This monocentric study aims to compare the efficacy as well as group cohesion during inpatient group psychotherapy for depression delivered in an open versus closed format. METHODS 291 depressed inpatients (ageM= 55.7, SD = 11) of a psychosomatic-rehabilitation clinic were consecutively assigned to either open (n = 117) or closed (n = 174) cognitive-behavioral groups, further subdivided into groups based on length of the stay. Using multilevel models, we examined depression and group cohesion concerning changes in patients' random effects over time. RESULTS Both group formats showed a reduction in symptomatology (d = 1.8). A significant group format x time interaction in favor of the closed format was found regarding group cohesion. CONCLUSION While group cohesion improved in the closed format only, we did not find any significant difference between group formats regarding their efficacy. Further research should focus on randomized controlled trials comparing both formats directly.
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Belanger HG, Long LJ, Winsberg M, Sullivan S, Farchione TJ, O'Callaghan E. The utility of completing adjuvant video lessons based on the unified protocol during psychotherapy: A retrospective study using a telehealth platform in routine clinical care. Psychother Res 2024; 34:228-240. [PMID: 36878224 DOI: 10.1080/10503307.2023.2174460] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/14/2022] [Revised: 01/19/2023] [Accepted: 01/23/2023] [Indexed: 03/08/2023] Open
Abstract
Digital supplements to tele-psychotherapy are increasingly needed. The purpose of this retrospective study was to investigate the association between outcomes and the use of supplemental video lessons based on the Unified Protocol (UP), an empirically supported transdiagnostic treatment. Participants included 7,326 adults in psychotherapy for depression and/or anxiety. Partial correlations were calculated between number of UP video lessons completed and change in outcomes after 10 weeks, controlling for number of therapy sessions and baseline scores. Then, participants were divided into those who did not complete any UP video lessons (n = 2355) and those who completed at least 7/10 video lessons (n = 549), and propensity-matched on 14 covariates. Repeated measures analysis of variance compared these groups (n = 401 in each group) on outcomes. Among the entire sample, symptom severity decreased as the number of UP video lessons completed increased, with the exception of lessons on avoidance and exposure. Those watching at least 7 lessons showed significantly greater reduction in both depression and anxiety symptoms than those who did not watch any. Viewing supplemental UP video lessons in addition to tele-psychotherapy had a positive and significant association with symptom improvement and may provide an additional tool for clinicians to implement UP components virtually.
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Affiliation(s)
- Heather G Belanger
- Brightside Health Inc., Oakland, CA, USA
- Department of Psychiatry and Behavioral Neurosciences, University of South Florida, Tampa, FL, USA
| | - Laura J Long
- Center for Anxiety and Related Disorders, Department of Psychology & Brain Sciences, Boston University, Boston, MA, USA
| | | | | | - Todd J Farchione
- Center for Anxiety and Related Disorders, Department of Psychology & Brain Sciences, Boston University, Boston, MA, USA
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10
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Miller ML, McGuire JF. Targeting intolerance of uncertainty in treatment: A meta-analysis of therapeutic effects, treatment moderators, and underlying mechanisms. J Affect Disord 2023; 341:283-295. [PMID: 37657623 DOI: 10.1016/j.jad.2023.08.132] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/22/2023] [Revised: 08/21/2023] [Accepted: 08/29/2023] [Indexed: 09/03/2023]
Abstract
OBJECTIVE Anxiety-related disorders are among the most prevalent psychiatric conditions and cause significant impairment. Intolerance of uncertainty (IU) contributes to the emergence, maintenance, and symptom severity of anxiety-related disorders, yet information regarding treatment-related changes in IU is limited. This systematic review and meta-analysis examined the efficacy of evidence-based treatments for anxiety-related disorders on IU, explored factors moderating treatment effects of IU, and examined whether therapeutic improvement in IU corresponded with improvements in anxiety symptom severity. METHODS PubMED and PsycINFO were searched for randomized controlled trials (RCTs) using the terms "intolerance of uncertainty" AND "treatment" OR "therapy." Data for pre and post-treatment measures and patient, intervention, and trial-level characteristics were extracted from 28 RCTs. Separate random effects models examined the treatment efficacy of interventions on IU and symptom severity. Moderators of therapeutic effects were analyzed via method-of-moments meta-regression or an analog to the analysis of variance. RESULTS Across RCTs, interventions exhibited a large therapeutic effect on IU compared to control conditions (g = 0.89). Treatment effects on IU positively corresponded with improved symptom severity and accounted for 36 % of the variance. Interestingly, comorbid depression and certain treatment approaches were associated with larger improvements in IU. CONCLUSION Evidence-based treatments are effective in improving IU, highlighting the importance of IU in the treatment of anxiety-related disorders. Moderator analyses identified patient and intervention-level factors to inform approaches to improve therapeutic effects on IU. Future research is needed to optimize interventions targeting IU and evaluate long-term efficacy of interventions on IU for anxiety-related disorders.
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Affiliation(s)
- Michelle L Miller
- Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, United States of America
| | - Joseph F McGuire
- Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, United States of America.
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11
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Riedl D, Labek K, Gstrein I, Rothmund MS, Sperner-Unterweger B, Kantner-Rumplmair W. Large improvement of mental health during in outpatient short-term group psychotherapy treatment-a naturalistic pre-/post-observational study. NEUROPSYCHIATRIE : KLINIK, DIAGNOSTIK, THERAPIE UND REHABILITATION : ORGAN DER GESELLSCHAFT OSTERREICHISCHER NERVENARZTE UND PSYCHIATER 2023; 37:57-64. [PMID: 36480103 DOI: 10.1007/s40211-022-00449-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/19/2022] [Accepted: 11/05/2022] [Indexed: 06/03/2023]
Abstract
BACKGROUND Group psychotherapy is an effective treatment for patients with mental health issues. This study aims to evaluate data on the effectiveness of a cost-free short-term outpatient group psychotherapy project for patients with mixed mental health issues in Tyrol, Austria. METHODS In this naturalistic observational study, outpatients taking part in the psychotherapeutic group treatment between spring 2018 and spring 2020 were included. Patients completed the patient health questionnaire (PHQ-D), an item of the working ability index (WAI) and single items on symptom burden, treatment expectation and perceived benefit before the first (T0) and/or last group session (T1). Mean changes were investigated using repeated measure analyses of variance (rANOVA). RESULTS A total of 98 patients were included in the study. Statistically significant improvements with medium to large effect sizes were observed for depression (η2 = 0.22, p < 0.001), somatization (η2 = 0.10, p = 0.008), anxiety (η2 = 0.18, p < 0.001), and subjective working ability (η2 = 0.22, p < 0.001). Neither age (p = 0.85), sex (p = 0.34), baseline symptoms (p = 0.29-0.77), nor previous experience with individual (p = 0.15) or group psychotherapy (p = 0.29) were associated with treatment outcome. However, treatment expectation at baseline was significantly associated with the patients' perception of the treatment benefit (r = 0.39, p < 0.001). CONCLUSION Our study highlights the benefit of outpatient short-term group psychotherapy for individuals with mental health issues. Group psychotherapy should be offered free of charge to individuals with mental health issues by social health providers.
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Affiliation(s)
- David Riedl
- University Clinic of Psychiatry II, Department of Psychiatry, Psychotherapy Psychosomatics and Medical Psychology, Medical University of Innsbruck, Anichstr. 35, 6020, Innsbruck, Austria.
- Ludwig Boltzmann Institute for Rehabilitation Research, Vienna, Austria.
| | - Karin Labek
- Institute of Psychology, University of Innsbruck, Innsbruck, Austria
| | - Ines Gstrein
- Tyrolean Regional Association of Psychotherapy, Innsbruck, Austria
| | - Maria-Sophie Rothmund
- University Clinic of Psychiatry II, Department of Psychiatry, Psychotherapy Psychosomatics and Medical Psychology, Medical University of Innsbruck, Anichstr. 35, 6020, Innsbruck, Austria
- Institute of Psychology, University of Innsbruck, Innsbruck, Austria
| | - Barbara Sperner-Unterweger
- University Clinic of Psychiatry II, Department of Psychiatry, Psychotherapy Psychosomatics and Medical Psychology, Medical University of Innsbruck, Anichstr. 35, 6020, Innsbruck, Austria
| | - Wilhelm Kantner-Rumplmair
- University Clinic of Psychiatry II, Department of Psychiatry, Psychotherapy Psychosomatics and Medical Psychology, Medical University of Innsbruck, Anichstr. 35, 6020, Innsbruck, Austria
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12
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Newcombe BC, Olthuis JV, MacLean M, Hamilton R, McAulay T. CBT + Exercise vs Treatment as Usual in Treating Anxiety and Depression in University Students: A Pilot Study. JOURNAL OF COLLEGE STUDENT PSYCHOTHERAPY 2023. [DOI: 10.1080/87568225.2023.2181255] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/22/2023]
Affiliation(s)
- Breagh C. Newcombe
- Psychology, University of New Brunswick, Fredericton, New Brunswick, Canada
| | - Janine V. Olthuis
- Psychology, University of New Brunswick, Fredericton, New Brunswick, Canada
| | - Matthew MacLean
- Counselling Centre, University of New Brunswick, Fredericton, New Brunswick, Canada
| | - Ryan Hamilton
- Psychology, University of New Brunswick, Fredericton, New Brunswick, Canada
| | - Taylor McAulay
- Psychology, University of New Brunswick, Fredericton, New Brunswick, Canada
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13
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Esposito G, Schultz-Venrath U. Introduction. RESEARCH IN PSYCHOTHERAPY: PSYCHOPATHOLOGY, PROCESS AND OUTCOME 2022. [DOI: 10.4081/ripppo.2022.683] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
It is well known that in past decades group psychotherapies encountered many difficulties of application and demonstration of its effectiveness and efficacy. This was mainly due to the complexity of the group therapies and the problems in measuring outcome and process of change (Kivlinghan, 2021). Despite the many obstacles and problems that group psychotherapies face conceptually and scientifically, ....
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14
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Forster M, Bertolucci J, James S. The journey towards active self‐care and empowerment: Insights from a thematic analysis of a women's therapeutic expressive writing group (
UK
). COUNSELLING & PSYCHOTHERAPY RESEARCH 2022. [DOI: 10.1002/capr.12605] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
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15
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Dalgaard NT, Flensborg Jensen MC, Bengtsen E, Krassel KF, Vembye MH. PROTOCOL: Group-based community interventions to support the social reintegration of marginalised adults with mental illness. CAMPBELL SYSTEMATIC REVIEWS 2022; 18:e1254. [PMID: 36909877 PMCID: PMC9283853 DOI: 10.1002/cl2.1254] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
This is the protocol for a Campbell systematic review. The main objective is to explore the general efficacy of group-based community interventions aimed at supporting marginalised adults with mental illness and related problems on outcomes such as problem behaviour, subjective well-being, homelessness, poverty and employment. Furthermore, the objective is to explore the potential advantages/disadvantages of using a group-based versus an individual intervention when targeting specific problems or when using specific types of interventions.
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Affiliation(s)
- Nina T. Dalgaard
- VIVE—The Danish Centre for Social Science ResearchCopenhagenDenmark
| | | | | | - Karl F. Krassel
- VIVE—The Danish Centre for Social Science ResearchCopenhagenDenmark
| | - Mikkel H. Vembye
- VIVE—The Danish Centre for Social Science ResearchCopenhagenDenmark
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16
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Kealy D, Kongerslev MT. Structured group psychotherapies: Advantages, challenges, and possibilities. J Clin Psychol 2022; 78:1559-1566. [PMID: 35818761 DOI: 10.1002/jclp.23377] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2022] [Revised: 04/13/2022] [Accepted: 04/16/2022] [Indexed: 11/06/2022]
Abstract
OBJECTIVE Structured group therapies offer the delivery of theory-specific interventions combined with beneficial group processes. Usually time-limited, such treatments present several advantages for both clinicians and patients. METHODS Several different models of structured group therapy are highlighted, with a brief description of their intended populations and treatment mechanisms. RESULTS Possibilities and challenges in the advancement of structured group psychotherapy are discussed. CONCLUSION Further research and training efforts are needed to support the expansion of structured group treatments, which in turn may help to increase patient access to effective psychotherapy.
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Affiliation(s)
- David Kealy
- Department of Psychiatry, University of British Columbia, Vancouver, Canada
| | - Mickey T Kongerslev
- District Psychiatric Services, Region Zealand East Mental Health Services, Roskilde, Denmark.,Department of Psychology, University of Southern Denmark, Odense, Denmark
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17
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Wajda Z, Kapinos-Gorczyca A, Lizińczyk S, Sitnik-Warchulska K, Izydorczyk B. Online group psychodynamic psychotherapy-The effectiveness and role of attachment-The results of a short study. Front Psychiatry 2022; 13:798991. [PMID: 35966467 PMCID: PMC9366464 DOI: 10.3389/fpsyt.2022.798991] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/20/2021] [Accepted: 06/28/2022] [Indexed: 11/21/2022] Open
Abstract
The role of remote treatment, including psychotherapy, has increased during the COVID-19 pandemic. The results of research in this area are promising, initially pointing to similar effectiveness for online psychotherapy as that of face-to-face psychotherapy. A significantly smaller amount of research has been conducted on online group psychotherapy, in particular, in the psychodynamic paradigm. Many authors have drawn attention to the need to conduct further research, considering specific patient features, for example, personality traits, attachment style, age, and other demographic variables. This study conducted pre- and post-treatment (10 weeks) and a 6-week follow-up, on the effectiveness of online synchronous group psychodynamic psychotherapy (via Zoom) taking into account patients' attachment styles. Four main hypotheses were tested: H1: Patients will obtain a lower score in the attachment's dimensions of anxiety and avoidance; H2: Patients will get a lower level of symptoms and sense of loneliness; H3: Patients will have increased self-esteem; and H4: The anxiety and avoidance dimensions of the attachment will be predictors for the effectiveness of online psychodynamic group psychotherapy. Twenty-two outpatients participated in the study, out of which 18 suffered from neurotic, stress-related, and somatoform disorders (F40-F48), and four suffered from a depressive episode (F32.0, F32.1) according to ICD-10. The results of the pre-treatment test showed a reduction in the global severity of psychiatric symptoms (d = -0.526) and depressive symptoms (d = -0.5), as well as an increase in self-esteem (d = 0.444) and feelings of loneliness (d = 0.46). A change in the attachment dimension, anxiety (d = -0.557) and avoidance (d = -0.526), was also observed. The above results were maintained in the follow-up test conducted after 6 weeks. Additionally, a reduction in the symptoms of social phobia was observed. Attachment dimensions were not a predictor of the effectiveness of psychotherapy, but a decrease in avoidance during therapy was a predictor of increased symptoms of pain. The results of the research are promising in terms of psychiatric symptoms and increased self-esteem. During therapy, there may be a favorable change in attachment dimensions, but this variable was not shown to be a predictor of results. These results suggest that more controlled research is required.
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Affiliation(s)
- Zbigniew Wajda
- Faculty of Management and Social Communication, Institute of Applied Psychology, Jagiellonian University, Krakow, Poland
| | | | - Sebastian Lizińczyk
- Faculty of Psychology, SWPS University of Social Sciences and Humanities, Katowice, Poland
| | - Katarzyna Sitnik-Warchulska
- Faculty of Management and Social Communication, Institute of Applied Psychology, Jagiellonian University, Krakow, Poland
| | - Bernadetta Izydorczyk
- Faculty of Philosophy, Institute of Psychology, Jagiellonian University, Krakow, Poland
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18
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Milosevic I, Cameron DH, Milanovic M, McCabe RE, Rowa K. Face-to-face versus Video Teleconference Group Cognitive Behavioural Therapy for Anxiety and Related Disorders: A Preliminary Comparison. CANADIAN JOURNAL OF PSYCHIATRY. REVUE CANADIENNE DE PSYCHIATRIE 2022; 67:391-402. [PMID: 34159838 PMCID: PMC9065489 DOI: 10.1177/07067437211027319] [Citation(s) in RCA: 14] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
OBJECTIVE Telehealth is being increasingly incorporated into the delivery of mental health care and has received widespread attention during the COVID-19 pandemic for its ability to facilitate care during physical distancing restrictions. Videoconferencing is a common telehealth modality for delivering psychotherapy and has demonstrated similar outcomes to those of face-to-face therapy. Cognitive behavioural therapy (CBT) is the most common psychotherapy evaluated across various telehealth modalities; however, studies on CBT delivered via videoconference, particularly in a group therapy format, are lacking. Further, little research exists on videoconference group CBT for anxiety disorders. Accordingly, the present study compared the outcomes of group CBT for anxiety and related disorders delivered via videoconference versus face-to-face. METHOD Using a non-randomized design, data on attendance, dropout, clinical outcomes, and functional impairment were collected from 413 adult outpatients of a tertiary care anxiety disorders clinic who attended a CBT group for panic disorder/agoraphobia, social anxiety disorder, generalized anxiety disorder (GAD), or obsessive-compulsive disorder delivered either face-to-face (pre-COVID-19 pandemic) or via videoconference (since the onset of COVID-19 pandemic). Outcomes were assessed using well-validated self-report measures. Data were collected pre-treatment, across 12 weekly sessions, and post-treatment. Intent-to-treat analyses were applied to symptom outcome measures. RESULTS Face-to-face CBT conferred only a slight benefit over videoconference CBT for symptom outcomes across all groups, but when assessed individually, only the GAD group showed greater symptom improvement in the face-to-face format. Effect sizes for significant differences between the delivery formats were small. Participants in videoconference groups tended to have slightly higher attendance rates in some instances, whereas functional improvement and treatment dropout were comparable across the delivery formats. CONCLUSIONS Results provide preliminary evidence that videoconference group CBT for anxiety and related disorders may be a promising and effective alternative to face-to-face CBT. Additional research is needed to establish equivalence between these delivery formats.
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Affiliation(s)
- Irena Milosevic
- Anxiety Treatment and Research Clinic, 25479St. Joseph's Healthcare, Hamilton, Ontario, Canada.,Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada
| | - Duncan H Cameron
- Anxiety Treatment and Research Clinic, 25479St. Joseph's Healthcare, Hamilton, Ontario, Canada
| | - Melissa Milanovic
- Anxiety Treatment and Research Clinic, 25479St. Joseph's Healthcare, Hamilton, Ontario, Canada.,Department of Psychology, Queen's University, Kingston, Ontario, Canada
| | - Randi E McCabe
- Anxiety Treatment and Research Clinic, 25479St. Joseph's Healthcare, Hamilton, Ontario, Canada.,Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada
| | - Karen Rowa
- Anxiety Treatment and Research Clinic, 25479St. Joseph's Healthcare, Hamilton, Ontario, Canada.,Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada
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19
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Hussain-Shamsy N, McMillan I, Cook S, Furfaro-Argier A, Sadler A, Delos-Reyes F, Wasserman L, Bhatia S, Martin D, Seto E, Vigod SN, Zaheer J, Agarwal P, Mukerji G. Operationalizing and Evaluating Synchronous Virtual Group Health Interventions: Wide-Scale Implementation at a Tertiary Care Academic Hospital. J Med Internet Res 2022; 24:e29841. [PMID: 35389350 PMCID: PMC9030913 DOI: 10.2196/29841] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2021] [Revised: 06/24/2021] [Accepted: 12/17/2021] [Indexed: 12/03/2022] Open
Abstract
Group-based health interventions are an important component of health promotion and management. To provide continuity of care throughout the COVID-19 pandemic, our institution undertook a rapid pivot to delivering group-based health interventions via a videoconferencing service which was securely embedded into both the electronic medical record and the patient portal to sustainably address immediate health service delivery needs during the pandemic and beyond. In this paper, we (1) describe the institutionally driven operationalization of a system to provide integrated synchronous video group visits across our hospital and (2) present a proposed strategy to comprehensively evaluate outcomes regarding their implementation, quality, and impact. Lessons for other institutions and the potential future role of synchronous video group visits to enhance how care can be scaled for delivery are discussed.
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Affiliation(s)
- Neesha Hussain-Shamsy
- Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada
- Centre for Global eHealth Innovation, Techna Institute, University Health Network, Toronto, ON, Canada
- Institute for Health System Solutions and Virtual Care, Women's College Hospital, Toronto, ON, Canada
| | - Ian McMillan
- Women's Virtual, Women's College Hospital, Toronto, ON, Canada
| | | | - Alyssa Furfaro-Argier
- Department of Information Management and Technology, Women's College Hospital, Toronto, ON, Canada
| | - Andrea Sadler
- Department of Psychiatry, Women's College Hospital, Toronto, ON, Canada
| | - Faith Delos-Reyes
- Department of Cardiology, Women's College Hospital, Toronto, ON, Canada
| | - Lori Wasserman
- Reproductive Life Stages Program, Women's College Hospital, Toronto, ON, Canada
| | - Sacha Bhatia
- Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada
- Institute for Health System Solutions and Virtual Care, Women's College Hospital, Toronto, ON, Canada
- Institute for Clinical Evaluative Sciences, Toronto, ON, Canada
| | - Danielle Martin
- Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada
- Institute for Health System Solutions and Virtual Care, Women's College Hospital, Toronto, ON, Canada
- Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada
| | - Emily Seto
- Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada
- Centre for Global eHealth Innovation, Techna Institute, University Health Network, Toronto, ON, Canada
| | - Simone N Vigod
- Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada
- Institute for Health System Solutions and Virtual Care, Women's College Hospital, Toronto, ON, Canada
- Institute for Clinical Evaluative Sciences, Toronto, ON, Canada
- Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada
| | - Juveria Zaheer
- Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada
- Centre for Addiction and Mental Health, Toronto, ON, Canada
| | - Payal Agarwal
- Institute for Health System Solutions and Virtual Care, Women's College Hospital, Toronto, ON, Canada
- Family Practice Health Centre, Women's College Hospital, Toronto, ON, Canada
| | - Geetha Mukerji
- Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada
- Institute for Health System Solutions and Virtual Care, Women's College Hospital, Toronto, ON, Canada
- Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada
- Department of Medicine, Women's College Hospital, Toronto, ON, Canada
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20
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Stiwi K, Rosendahl J. Efficacy of laughter-inducing interventions in patients with somatic or mental health problems: A systematic review and meta-analysis of randomized-controlled trials. Complement Ther Clin Pract 2022; 47:101552. [DOI: 10.1016/j.ctcp.2022.101552] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2021] [Revised: 01/12/2022] [Accepted: 02/10/2022] [Indexed: 11/17/2022]
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Abstract
Gatherings in groups are a ubiquitous phenomenon throughout human history. This is true for everyday social tasks as well as for healing and spiritual purposes. In psychotherapy, group treatment started soon after developing psychoanalytic treatment procedures. For psychedelic therapy however, individual treatment guided by one or sometimes even two therapists is the most common and widespread treatment model for clinical research and therapy thus far. Since the foundation of the Swiss Medical Society for Psycholytic Therapy (Schweizerische Ärztegesellschaft für psycholytische Therapie, SÄPT) in 1985 in Switzerland, we however had the opportunity to conduct psychedelic group treatment in specific settings, which the following article describes.
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22
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Smith-MacDonald L, Lusk J, Lee-Baggley D, Bright K, Laidlaw A, Voth M, Spencer S, Cruikshank E, Pike A, Jones C, Bremault-Phillips S. Companions in the Abyss: A Feasibility and Acceptability Study of an Online Therapy Group for Healthcare Providers Working During the COVID-19 Pandemic. Front Psychiatry 2022; 12:801680. [PMID: 35115972 PMCID: PMC8805113 DOI: 10.3389/fpsyt.2021.801680] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/25/2021] [Accepted: 12/10/2021] [Indexed: 01/14/2023] Open
Abstract
INTRODUCTION In the context of the global pandemic of the SARS-CoV-2 coronavirus (COVID-19), healthcare providers (HCPs) have experienced difficult moral and ethical dilemmas. Research is highlighting the importance of moral injury (MI)-a trauma syndrome related to transgressing personal morals and values-in understanding the psychological harm and occupational impairment experienced by HCPs. To date, MI treatments have largely been developed for military personnel and veterans and rely on in-person one-on-one psychotherapy. PURPOSE This project aims to explore the feasibility and acceptability of an evidence-informed online Acceptance and Commitment Therapy-based group therapy for MI in HCPs called "Accepting Moral Pain and Suffering for Healthcare Providers" (AMPS-HCP). METHOD This feasibility and acceptability study included three separate phases with the first two phases focused on the development of the psychotherapeutic intervention and the third phase focused on the evaluation of the psychotherapeutic intervention. Eight participants (including registered nurses, practical nurses and respiratory therapists) completed seven 90-min sessions in an online group format. The focus of these sessions included ACT and MI psychoeducation and experientials. Qualitative semi-structured interview data was thematically analyzed while demographic and quantitative self-reported outcome data underwent descriptive analysis and non-parametric testing. RESULTS Results show that the intervention was highly feasible and acceptable to healthcare providers who worked on the frontline during COVID-19. Feasibility (referrals, eligibility, retention, participation engagement) was strong (8 out of 10 participants; 80% vs. desired >70% eligibility) and overall, 80% of participants completed 71% of the intervention. Data further supported the applicability and acceptability of the intervention. Preliminary data suggests that AMPS-HCP may supports HCPs to address MI. DISCUSSION This study is the first to report on the development and evaluation of an online MI group intervention for registered nurses, registered practical nurses, and respiratory therapists working during COVID-19. Results showed the use of both the online and group components of the intervention were acceptable and feasible during the third wave of COVID-19.
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Affiliation(s)
| | - Jaimie Lusk
- Department of Veterans Affairs, Portland Medical Center, Portland, OR, United States
| | - Dayna Lee-Baggley
- Department of Family Medicine, Dalhousie University, Halifax, NS, Canada
| | - Katherine Bright
- Department of Occupational Therapy, University of Alberta, Edmonton, AB, Canada
| | - Alexa Laidlaw
- Department of Occupational Therapy, University of Alberta, Edmonton, AB, Canada
| | - Melissa Voth
- Department of Occupational Therapy, University of Alberta, Edmonton, AB, Canada
| | - Shaylee Spencer
- Department of Occupational Therapy, University of Alberta, Edmonton, AB, Canada
| | - Emily Cruikshank
- Department of Occupational Therapy, University of Alberta, Edmonton, AB, Canada
| | - Ashley Pike
- Department of Occupational Therapy, University of Alberta, Edmonton, AB, Canada
| | - Chelsea Jones
- Department of Occupational Therapy, University of Alberta, Edmonton, AB, Canada
- Medical Centre, Department of Psychiatry, Leiden University, Leiden, Netherlands
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23
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Keating N. A Survey of Group Coordinators in College and University Counseling Centers: Findings and Recommendations. Int J Group Psychother 2021; 71:564-593. [PMID: 38449243 DOI: 10.1080/00207284.2021.1971088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
In an era of increasing demands on college counseling centers (CCs), many CCs appoint a group coordinator (GC) to oversee the implementation of a group therapy program. It is common knowledge in the field that this role is essential to develop and maintain a thriving group program, yet little information is available to understand best practices. An exploratory survey of GCs in CCs was conducted to understand the descriptive features of those occupying the role as well as typical responsibilities, resources, and job satisfaction. We analyzed responses from 53 GCs in the US and Canada. Generally, GCs reported managing a wide range of responsibilities and having limited resources (administrative time, reduced caseload) and inconsistent CC staff practices (group training, weekly group meeting). On average, GCs reported moderate satisfaction with their role and resources and high satisfaction with CC leadership. Correlations were found between positive CC culture toward group and staff involvement, groups per semester, GC responsibilities, group program structures, and GC role satisfaction. Rates of group utilization were significantly higher for GCs with two or more administrative hours and for CCs that held a weekly meeting about groups. Staff group involvement, representing strength of CC culture toward group, was significantly higher if the GC held an administrative role. The article concludes with recommendations for best practices for the GC role and directions for future research.
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24
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Requirements of a Group Intervention for Adolescents with Internet Gaming Disorder in a Clinical Setting: A Qualitative Interview Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18157813. [PMID: 34360106 PMCID: PMC8345715 DOI: 10.3390/ijerph18157813] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/28/2021] [Revised: 07/15/2021] [Accepted: 07/21/2021] [Indexed: 12/21/2022]
Abstract
Internet gaming disorder (IGD) has become an important health concern in a significant proportion of adolescents. Intervention studies in this age group are scarce, mostly follow quantitative designs, and rarely consider adolescents' experiences. This study aimed to evaluate the requirements for a group therapy program for adolescents with IGD. A qualitative interview study was conducted in a German clinic for addictive disorders in childhood and adolescence with nine participants (seven IGD patients (12-18 years, M = 15.86, SD = 1.95) and two psychotherapists). The semi-structured interviews addressed helpful contents, general conditions, and suggestions for alterations for an effective group intervention. Data were analyzed using content structuring qualitative analysis. Patient interview data resulted in 234 codings with eight main categories. Expert interview data yielded 151 codings with six main categories. The following treatment components were described as effective by the participants and experts: psychoeducation, emotion management, behavior analysis and modification, social skills training, parent participation, and relapse prevention. Additionally, adolescents emphasized the importance of group functionality for coherence, feedback and rewards, content presentation, physical activity and fun. The results are a valuable addition to findings from quantitative studies on IGD interventions and an interesting starting point for further representative studies.
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Abstract
Group psychology and group psychotherapy (GPGP) are distinctive, effective practices that meet an important need. In 2018, the American Psychological Association recognized GPGP as a specialty, thus setting standards for education and training in the field. Although there is a need for high-quality group psychotherapy, practitioners often lack standardized training, thus posing a risk to patients. Adoption of these standards by practice settings and training programs is essential for expanding the availability of quality group therapy. An understanding of how the specialty became recognized and of the specific criteria for its practice (i.e., public need, diversity, distinctiveness, advanced scientific and theoretical preparation, structures and models of education and training, effectiveness, quality improvement, guidelines for delivery, and provider identification and evaluation) are essential for expanding the availability of high-quality group psychotherapy. Such understanding also informs how training programs can align with standards. This article provides a foundation of understanding and details implications of group psychotherapy's establishment as a specialty. The benefits of high-quality group psychotherapy are far-reaching, whereas the risks of inadequate practice loom large.
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Affiliation(s)
- Martyn Whittingham
- Chicago School of Professional Psychology, Washington, D.C. (Whittingham); Graduate School of Professional Psychology, University of Denver, Denver (Lefforge); Professional Psychology Program, George Washington University, Washington, D.C. (Marmarosh)
| | - Noelle L Lefforge
- Chicago School of Professional Psychology, Washington, D.C. (Whittingham); Graduate School of Professional Psychology, University of Denver, Denver (Lefforge); Professional Psychology Program, George Washington University, Washington, D.C. (Marmarosh)
| | - Cheri Marmarosh
- Chicago School of Professional Psychology, Washington, D.C. (Whittingham); Graduate School of Professional Psychology, University of Denver, Denver (Lefforge); Professional Psychology Program, George Washington University, Washington, D.C. (Marmarosh)
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Rosendahl J, Alldredge CT, Burlingame GM, Strauss B. Recent Developments in Group Psychotherapy Research. Am J Psychother 2021; 74:52-59. [PMID: 33745284 DOI: 10.1176/appi.psychotherapy.20200031] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
This article reviews group psychotherapy research published within the past 30 years, predominantly focusing on outcomes of group treatments for patients with various mental disorders. Additionally, meta-analyses on the efficacy of group treatments for patients with cancer or chronic pain are summarized. Results strongly support the use of group therapy and demonstrate outcomes equivalent to those of individual psychotherapy. The research also appears to emphasize the effect of feedback on outcomes in group treatments and an association between treatment outcomes and group cohesion and alliance. Other promising developments in the field of group therapy are discussed.
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Affiliation(s)
- Jenny Rosendahl
- Institute of Psychosocial Medicine, Psychotherapy and Psychooncology, Friedrich Schiller University Jena, Jena University Hospital, Jena, Germany (Rosendahl, Strauss); Department of Psychology, Brigham Young University, Provo, Utah (Alldredge, Burlingame)
| | - Cameron T Alldredge
- Institute of Psychosocial Medicine, Psychotherapy and Psychooncology, Friedrich Schiller University Jena, Jena University Hospital, Jena, Germany (Rosendahl, Strauss); Department of Psychology, Brigham Young University, Provo, Utah (Alldredge, Burlingame)
| | - Gary M Burlingame
- Institute of Psychosocial Medicine, Psychotherapy and Psychooncology, Friedrich Schiller University Jena, Jena University Hospital, Jena, Germany (Rosendahl, Strauss); Department of Psychology, Brigham Young University, Provo, Utah (Alldredge, Burlingame)
| | - Bernhard Strauss
- Institute of Psychosocial Medicine, Psychotherapy and Psychooncology, Friedrich Schiller University Jena, Jena University Hospital, Jena, Germany (Rosendahl, Strauss); Department of Psychology, Brigham Young University, Provo, Utah (Alldredge, Burlingame)
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Bantjes J, Kazdin AE, Cuijpers P, Breet E, Dunn-Coetzee M, Davids C, Stein DJ, Kessler RC. A Web-Based Group Cognitive Behavioral Therapy Intervention for Symptoms of Anxiety and Depression Among University Students: Open-Label, Pragmatic Trial. JMIR Ment Health 2021; 8:e27400. [PMID: 34042598 PMCID: PMC8193479 DOI: 10.2196/27400] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/23/2021] [Revised: 03/02/2021] [Accepted: 03/15/2021] [Indexed: 01/26/2023] Open
Abstract
BACKGROUND Anxiety and depression are common among university students, and university counseling centers are under pressure to develop effective, novel, and sustainable interventions that engage and retain students. Group interventions delivered via the internet could be a novel and effective way to promote student mental health. OBJECTIVE We conducted a pragmatic open trial to investigate the uptake, retention, treatment response, and level of satisfaction with a remote group cognitive behavioral therapy intervention designed to reduce symptoms of anxiety and depression delivered on the web to university students during the COVID-19 pandemic. METHODS Preintervention and postintervention self-reported data on anxiety and depression were collected using the Generalized Anxiety Disorder-7 and Patient Health Questionnaire-9. Satisfaction was assessed postintervention using the Client Satisfaction with Treatment Questionnaire. RESULTS A total of 175 students were enrolled, 158 (90.3%) of whom initiated treatment. Among those initiating treatment, 86.1% (135/158) identified as female, and the mean age was 22.4 (SD 4.9) years. The mean number of sessions attended was 6.4 (SD 2.8) out of 10. Among participants with clinically significant symptoms at baseline, mean symptom scores decreased significantly for anxiety (t56=11.6; P<.001), depression (t61=7.8; P<.001), and composite anxiety and depression (t60=10.7; P<.001), with large effect sizes (d=1-1.5). Remission rates among participants with clinically significant baseline symptoms were 67.7%-78.9% and were not associated with baseline symptom severity. High overall levels of satisfaction with treatment were reported. CONCLUSIONS The results of this study serve as a proof of concept for the use of web-based group cognitive behavioral therapy to promote the mental health of university students.
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Affiliation(s)
- Jason Bantjes
- Institute for Life Course Health Research, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Stellenbosch, South Africa
| | - Alan E Kazdin
- Department of Psychology, Yale University, New Haven, CT, United States
| | - Pim Cuijpers
- Department of Clinical, Neuro and Developmental Psychology, Faculty of Behavioural and Movement Sciences, Vrije Universiteit, Amsterdam, Netherlands
| | - Elsie Breet
- Institute for Life Course Health Research, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Stellenbosch, South Africa
| | - Munita Dunn-Coetzee
- Centre for Student Counselling and Development, Student Affairs, Stellenbosch University, Stellenbosch, South Africa
| | - Charl Davids
- Centre for Student Counselling and Development, Student Affairs, Stellenbosch University, Stellenbosch, South Africa
| | - Dan J Stein
- Department of Psychiatry and Mental Health, University of Cape Town, South African Medical Research Council Unit on Risk & Resilience in Mental Disorders, Cape Town, South Africa
| | - Ronald C Kessler
- Department of Health Care Policy, Harvard Medical School, Boston, MA, United States
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Kuo JR, Zeifman RJ, Morrison AS, Heimberg RG, Goldin PR, Gross JJ. The moderating effects of anger suppression and anger expression on cognitive behavioral group therapy and mindfulness-based stress reduction among individuals with social anxiety disorder. J Affect Disord 2021; 285:127-135. [PMID: 33647580 DOI: 10.1016/j.jad.2021.02.022] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/08/2020] [Revised: 01/17/2021] [Accepted: 02/03/2021] [Indexed: 10/22/2022]
Abstract
BACKGROUND . Cognitive-behavioral therapy and mindfulness-based stress reduction (MBSR) are two prominent evidence-based treatments for social anxiety disorder (SAD). It is not clear, however, whether outcomes of these two treatments are moderated by similar factors. For example, whereas anger suppression and anger expression each predict outcomes in cognitive- behavioral group therapy (CBGT), it is unknown whether they differentially influence outcomes in CBGT versus MBSR. METHODS . One hundred eight participants with SAD were randomized to CBGT, MBSR or Waitlist (WL). WL participants were later randomized to CBGT or MBSR, and their data were combined with data from those originally randomized to CBGT or MBSR. Anger suppression and anger expression were assessed at pre-treatment, and social anxiety was assessed at pre-treatment, post-treatment, and every 3 months throughout a 12-month follow-up period. RESULTS . From pre- to post-treatment, higher anger suppression was associated with significantly greater reduction in social anxiety in CBGT compared with MBSR. From post-treatment through follow-up, higher anger expression was associated lesser reduction in social anxiety in MBSR but not in CBGT. LIMITATIONS . Data are limited by sole reliance on self-report and it is unclear whether these findings generalize beyond group-based interventions. CONCLUSIONS . Individuals with SAD who are higher in anger suppression and/or expression might be better suited to CBGT than MBSR.
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Affiliation(s)
- Janice R Kuo
- Department of Psychology, Palo Alto University, 1791 Arastradero Rd., Palo Alto, CA 94304, United States.
| | - Richard J Zeifman
- Department of Psychology, Ryerson University, 350 Victoria Street, Toronto, ON M5B 2K3, Canada
| | - Amanda S Morrison
- Department of Psychology, California State University, East Bay, 25800 Carlos Bee Boulevard, Hayward, CA 94542, United States
| | - Richard G Heimberg
- Department of Psychology, Temple University, Weiss Hall 1701 N. 13t St., Philadelphia, PA 19122, United States
| | - Philippe R Goldin
- Betty Irene Moore School of Nursing, UC Davis Health System, Sacramento, CA 98517, United States
| | - James J Gross
- Department of Psychology, Stanford University, Stanford, CA 94305, United States
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The Effects of the Five-Session Cognitive Behavior Group Therapy for Panic Disorders: Ultra-Brief Treatment. Int J Cogn Ther 2021. [DOI: 10.1007/s41811-021-00099-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Samaan M, Diefenbacher A, Schade C, Dambacher C, Pontow IM, Pakenham K, Fydrich T. A clinical effectiveness trial comparing ACT and CBT for inpatients with depressive and mixed mental disorders. Psychother Res 2020; 31:355-368. [PMID: 32762513 DOI: 10.1080/10503307.2020.1802080] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
Abstract
Abstract Objective: Meta-analyses show that Acceptance and Commitment Therapy (ACT) is an efficacious treatment for a wide range of mental health problems. However, few studies have examined the effectiveness of ACT in naturalistic inpatient settings and in direct comparison to Cognitive Behavior Therapy (CBT). The aim of this study was to investigate the effectiveness of ACT and CBT with regard to depression, general symptom strain and life satisfaction. Method: 177 inpatients in a psychiatric ward were included in the study and assigned to either ACT or CBT group intervention. All patients were assessed with the SCID-I interview and disorder-specific questionnaires as well as with a satisfaction with life scale. To control for confounding variables, amongst others, treatment integrity was evaluated. Results: Both the ACT and CBT intervention showed a large, statistically significant and stable symptom reduction over six months across all outcomes. Both approaches led to small improvement in life satisfaction. With regards to depressive symptoms, more than half of the patients reliably recovered due to therapy. Conclusion: ACT and CBT were similarly effective in treating patients with depressive and other mental disorders in a routine clinical setting. ACT is a viable alternative to CBT for treating inpatients.
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Affiliation(s)
- Mareike Samaan
- Humboldt University Berlin, Berlin, Germany.,Evangelisches Krankenhaus Königin Elisabeth Herzberge (KEH), Berlin, Germany
| | | | - Christoph Schade
- Evangelisches Krankenhaus Königin Elisabeth Herzberge (KEH), Berlin, Germany
| | - Claudia Dambacher
- Evangelisches Krankenhaus Königin Elisabeth Herzberge (KEH), Berlin, Germany
| | - Inga-Marlen Pontow
- Evangelisches Krankenhaus Königin Elisabeth Herzberge (KEH), Berlin, Germany
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