Adolescent Group Therapy Research Articles

The Effect of Adolescent Therapeutic Group Therapy and Cognitive Behavioral Therapy in the Occurrence of Depression

Adolescents are tasked with developing identity vs. role confusion, where the search for identity will shape the individual's character. There has been an increase in the use of social media among adolescents, causing an increase in the number of depression in adolescents. The need for promotive and preventive efforts to prevent depression in adolescents. This study aims to determine the effect of therapeutic group therapy and cognitive behavioral therapy in preventing depression in adolescent social media users. This study was conducted on 70 students aged 15-18 years old using a purposive sampling technique according to inclusion and exclusion criteria. This study uses a quasi-experimental pre-post-test design with intervention and control groups. The intervention group was given therapeutic and cognitive behavioral therapy, and the control group was given therapeutic group therapy without cognitive behavioral therapy. The results of this study indicate a significant effect on the control group. The combination of therapeutic group therapy therapy and cognitive behavioral therapy can be recommended as a therapy for reducing depression in adolescent social media users.

Evaluation of a codesigned group cognitive–behavioural therapy intervention for trans young people (TAG TEAM): protocol for a feasibility trial and a subsequent pilot RCT

IntroductionTrans young people are at a higher risk of mental health difficulties such as depression, anxiety and suicidality than their cisgender peers, due in part to their experiences of minority...

Efforts to improve self-concept with adolescent therapeutic group therapy (TKT) and assertive training (AT) for 7th grade students at SMP Negeri 20 Pekanbaru City

Adolescents frequently experience social changes that lead to issues, when they start building relationships with people of the same sex as well as those of the opposite sex in order to gain recognition, self-identity and social behavior. Lack of self-confidence, low self-esteem, shyness, anxiety, and hesitancy in expressing opinions are symptoms that appear in adolescents. They also only being silent when given the opportunity to ask questions during the learning process in class or outside of it, and difficulty saying no to things they don't like. One could say that these students have poor or negative self-concept. Through the application of Adolescent Therapeutic Group Therapy (TKT) and Assertive Training (AT), this community service seeks to enhance students' self-concept in the 7th grade at SMPN 20 Pekanbaru. This program is in the form of applying the Therapeutic Group Therapy (TKT) for adolescents and Assertive Training (AT) which is carried out through describing, modeling, role playing, feedback, and transferring. Pre-test and post-test procedures were used before and after the application of Adolescent Therapeutic Group Therapy and Assertive Training (AT). It was known that 26 students were categorized as having a high self-concept at pre-test, and that number rose to 32 at the post-test.

The Effect of Adolescent Therapeutic Group Therapy (TKT) on the Development of Adolescent of Islamic Boarding School in Tasikmalaya

The stage of adolescent development is a unique stage of development, adolescents must face changes both physically, cognitively, and emotionally that can cause stress and trigger a unique behaviour in adolescents. Today's Muslim youth are many who follow the Islamic boarding school program. This causes the development of adolescents that are less than optimal, if they cannot adapt to the life of the Islamic boarding school, so that it can interfere with the learning process in the Islamic boarding school. And furthermore, their mental health will be disturbed in their adolescent development, such as being less independent, unable to make decisions and having difficulty interacting with peers. One of the efforts to deal with developmental problems faced by adolescents is the therapeutic group therapy (TKT) approach. The purpose of this study was to determine the effect of therapeutic group therapy on the ability of adolescents to stimulate identity development in high school students at the Ibadurrahman Islamic Boarding School, Tasikmalaya City. The design used is "Quasi experimental pre and post-test without control group". The population in this study were all students at the Ibadurrahman Islamic Boarding School, Tasikmalaya City, amounting to 374 respondents with a sample size of 80 students. Analysis using paired-t test (T-test paired). Respondents were divided into 6 groups, with each group totaling 13-14 students. The implementation of TKT for each group is carried out every week with a time of 60 minutes. The results showed a significance value of = 0.001, there is a significant difference in the average ability to stimulate identity development scores between before and after TKT treatment. This TKT can be done as a therapy to improve adolescent development.

GLOBALIZATION AND NATION: PSYCHOTHERAPEUTIC VIEW AT THE CONTEMPORARY’S SELF-CONCEPT (BASED ON ANALYSIS OF PSYCHOTHERAPEUTIC CASES)

The article states that the analysis of cases of psychodynamically oriented group psychotherapy for adolescents and young people, which we have been conducting for more than 20 years, made it possible to trace interpersonal group and projective social tendencies. These tendencies are dynamically unfolding in space and time, forming “false” strategic individual and social circles (developing on a spiral model while retaining patterns) and in turn affect the structure of a modern system for the upbringing of a child, a teenager or a young person. They make a fashion for the formation and strengthening of a decompensated narcissistic radical, which is compensatory for the search for fictitious success. This leads to the formation of a distorted image of the numerous representatives of the modern young generation, which in the future forms the system of narcissistic defense strategies that encourage the deployment of a syndrome of emotional burnout, depression, suicidal attempts and other disorders. Our analysis made it possible to conduct a multidimensional scientific longitudinal analysis of intrapsychic neurotic reactions of modern adolescents and youth and their interpersonal social interactions. It is a kind of analysis of the content of the values of modern postmodern civilization (a means of analyzing the cases of adolescent psychotherapeutic groups) characterized by the manifestation of individualism and rivalry, and focuses on the role of individual and collective introjections in situations of domination of projections.

3.8 Feasibility of Children in Disaster: Evolution and Recovery (CIDER) Protocol Intervention for Traumatized Adolescents in South Korea: A Pilot Study

This study aimed to evaluate the feasibility and preliminary efficacy of trauma-focused group psychotherapy for adolescents who had experienced traumatic events in Korea.

Turning the Tides: Coping with Trauma and Addiction through Residential Adolescent Group Therapy.

Evidence-based group therapy in an inpatient setting that provides an integrated treatment approach for both trauma and addiction in female adolescents. The purpose of this evidence-based practice (EBP) project was to implement and assess the impact of an integrated group therapy approach for both posttraumatic stress disorder (PTSD) and substance use disorder (SUD) in adolescent females as part of a residential treatment program. The Iowa Model of EBP guided this EBP project. Judith Herman's three-stage model of trauma recovery and the Skills Training in Affective and Interpersonal Regulation (STAIR) model served as the theoretical framework for the group therapy curriculum. Two programs, Seeking Safety, by Lisa Najavits and VOICES, by Stephanie Covington, provided a guide for group topics and activities. Patients that participated in Turning the Tides© group therapy curriculum reported a decrease in overall PTSD symptoms and decreased functional impairment scores, based on the Child PTSD Symptoms Scale. However, there was a statistically significant increase in the use of as needed medications following the completion of group therapy. Postgroup evaluations from patients indicated a genuine desire to engage in the group therapy as well as an increased sense of trust with facilitators. Implications for psychiatric nursing include the delivery of safe, quality patient care as evidenced by positive improvement in patient outcomes.

A randomized clinical trial of family therapy in juvenile drug court.

Clinical Trials.gov, Identified NCT01668303.

Multidimensional Family Therapy (MDFT) for Young People in Treatment for Non‐opioid Drug Abuse: A Systematic Review

This is a Campbell Systematic Review of the effect of Multidimensional Family Therapy (MDFT) for treating abuse of cannabis, amphetamine, ecstasy or cocaine (referred to here as non-opioid drugs) among young people aged 11-21 years. The misuse of prescription drugs and the use of ketamine, nitrous oxide and inhalants such as glue and petrol are not considered in this review. Youth drug abuse is a severe problem worldwide and recent reports describe ominous trends of youth drug abuse and a lack of effective treatment. This review is concerned with drug abuse that is severe enough to warrant treatment. It focuses on young people who are receiving MDFT specifically for non-opioid drug abuse. MDFT is a manual-based, family-oriented treatment, designed to eliminate drug abuse and associated problems in young peopleâ?Ts lives. MDFT takes a number of risk and protective factors into account; the approach acknowledges that young peopleâ?Ts drug abuse is linked to dimensions such as home life, friends, school and community (Liddle et al., 2004). MDFT aims to modify multiple domains of functioning by intervening with the young person, family members, and other members of the young personâ?Ts support network (Austin et al., 2005). MDFT is thus based on a number of therapeutic alliances, with the young drug abuser, his or her parents and other family members, and sometimes with school and juvenile justice officials. After a rigorous search of the literature, five randomized controlled studies with samples of 83-450 participants were identified. Three studies were conducted by MDFT program developers, one study was conducted by an independent investigator with the program developer as a co-author, and one study was conducted by independent investigators. Four studies were performed in the US, while the other was performed across five European countries. We used meta-analytic procedures to summarise the available evidence on the effects of MDFT in comparison with other interventions on drug abuse, education, family functioning, risk behavior and retention in treatment. In this review, we interpret a value of the standardised mean difference, SMD=0.20 as a small effect size, in line with the general practice (Cohen, 1988). We note, however, the possibility that such a value might actually represent a larger effect if it is equivalent to a large reduction in the percentage of days a youth uses drugs, but we cannot comment further as we were unable to analyse the absolute effect of MDFT given that no studies comparing MDFT to no other treatment were available. The findings are as follows: - On drug abuse: Based on the available evidence we conclude that MDFT has an effect on drug abuse reduction compared to other treatments, although the difference is small. - On education: There is insufficient evidence to conclude whether MDFT has an effect on education compared to other treatments. - On family functioning: There is no available evidence to conclude whether MDFT has an effect on family functioning compared to other treatments. - On risk behavior and other adverse effects: There is no available evidence to conclude whether MDFT has an effect on risk behavior and other adverse effects compared to other treatments. - On treatment retention: MDFT may result in improved treatment retention in young drug abusers compared to other interventions The evidence found was limited as only five studies were included, and two studies had significant amounts of missing data. The evidence was very limited in terms of the outcomes reported on education, family functioning and risk behavior, and was insufficient for firm conclusions to be drawn on the effectiveness of the treatment with regard to such outcomes. There is evidence that MDFT is slightly more effective in treating young peopleâ?Ts drug abuse than other treatments; however, the difference is small. Furthermore, none of the five included studies could be characterised as a robust RCT with a low risk of bias on all assessed domains. One study provided insufficient information on core issues for the risk of bias to be assessed and therefore we find reason to question the validity of this study. Well-designed, randomized controlled trials within this population are needed. More research is also required to identify factors which modify the effect of MDFT and to identify which particular youth subgroups may be most likely to respond.

School-Based Group Psychotherapy for At-Risk Adolescents

(2011). School-Based Group Psychotherapy for At-Risk Adolescents. International Journal of Group Psychotherapy: Vol. 61, The Village Well Revisited: Honoring Anne Alonso, pp. 311-317.

Group counseling and psychotherapy with children and adolescents: theory, research, and practice

Part I: The Rationale for Child and Adolescent Group Counseling and Psychotherapy. Introduction to Part I. Who Needs Group Counseling and Psychotherapy? The Theory of Group Counseling With Children. Therapeutic Factors in Children's Groups. Part II: The Practice of Child and Adolescent Group Psychotherapy. Introduction to Part II. Leadership in Counseling Groups With Children. Activities in the Group: Methods and Techniques. Pre-group Planning and Forming a Group. The Initial Stage. The Transition Stage. The Working Stage: How to Enhance Emotional Experiencing and Group Support. Termination. Part III: Accountability and Processes With Various Groups. Introduction to Part III. Group Counseling for Lonely Children and Adolescents. Group Counseling for Students With LD. Group Counseling for Children of Divorce. Group Counseling for Aggressive Children and Adolescents. Group Counseling for Adolescents of a Different Culture: The Case of Arabs. Part IV: Summary and Conclusion. Introduction to Part IV. What Does the Data Tell Us About Group Counseling With Children? Future Directions. Appendices.

Absence of Iatrogenic or Contagion Effects in Adolescent Group Therapy: Findings from the Cannabis Youth Treatment (CYT) Study

Though widely used and presumed effective in practice, some scholars (Dishion et al., 1999) have raised the concern that group therapy for adolescents with substance use disorder and a range of deviancy has the potential for causing iatrogenic effects (e.g., increased substance use, behavior and legal problems) for those with low deviancy. Using data from 400 youth in the largest adolescent treatment experiment conducted to date (Dennis et al., 2004), this study shows that group composition in terms of conduct disorder symptoms is not associated with worse substance use, psychological, environmental or legal treatment outcomes. The results actually indicated that there was a slight advantage for youth with high conduct disorder to be included in the groups with less symptoms. The results appear consistent with recent meta-analyses of delinquency studies (Lipsey, 2006) which have found no evidence of iatrogenic effects. These results support the common clinical belief that group therapy for youths with substance use disorders is a safe and effective treatment modality.

An integrated model for adolescent inpatient group therapy.

This paper proposes an integrated group therapy model to be utilized by psychiatric and mental health nurses; one innovatively designed to meet the therapeutic needs of adolescents admitted to inpatient psychiatric programs. The writers suggest a model of group therapy primarily comprised of interpersonal approaches within a feminist perspective. The proposed group focus is on active therapeutic engagement with adolescents to further interpersonal learning and to critically examine their contextualized lived experiences. Specific client and setting factors relevant to the selection of therapeutic techniques are reviewed. Selected theoretical models of group therapy are critiqued in relation to group therapy with adolescents. This integrated model of group therapy provides a safe and therapeutic forum that enriches clients' personal and interpersonal experiences as well as promotes healthy exploration, change, and empowerment.

MULTIDIMENSIONAL FAMILY THERAPY FOR ADOLESCENT DRUG ABUSE: RESULTS OF A RANDOMIZED CLINICAL TRIAL

Random assignment was made of 182 clinically referred marijuana- and alcohol-abusing adolescents to one of three treatments: multidimensional family therapy (MDFT), adolescent group therapy (AGT), and multifamily educational intervention (MEI). Each treatment represented a different theory base and treatment format. All treatments were based on a manual and were delivered on a once-a-week outpatient basis. The therapists were experienced community clinicians trained to model-specific competence prior to the study and then supervised throughout the clinical trial. A theory-based multimodal assessment strategy measured symptom changes and prosocial functioning at intake, termination, and 6 and 12 months following termination. Results indicate improvement among youths in all three treatments, with MDFT showing superior improvement overall. MDFT participants also demonstrated change at the 1-year follow-up period in the important prosocial factors of school/academic performance and family functioning as measured by behavioral ratings. Results support the efficacy of MDFT, a relatively short-term, multicomponent, multitarget, family-based intervention in significantly reducing adolescent drug abuse and facilitating adaptive and protective developmental processes.

Group Psychotherapy for Adolescents Comorbid for Substance Abuse and Psychiatric Problems: A Relational Constructionist Approach

The group psychotherapy of adolescents comorbid for psychiatric and substance abuse problems is fraught with inconsistent attendance, frequent verbal and physical disruptions by the adolescents, and intense countertransference toward patients and their parents on the part of treating staff. A relational constructionist approach assists staff and patients in overcoming these obstacles and in focusing on the adolescents’ search for personal meaning. Multiple group psychotherapy conducted in a combined day treatment and high school program is described and illustrated by case examples during the course of a year of treatment. These examples illustrate the importance of a relational non-hierarchical approach to adolescent patients by treating staff.

The Future of Adolescent Group Therapy

This paper describes the various forces that influence the field of adolescent group psychotherapy; some of which include theoretical ideas and trends, scientific findings from neurosciences, political and economical factors and data from clinical research on adolescent groups. These factors, interacting with current social changes, have been influencing the development, training, and clinical practice of adolescent groups. A better understanding of these forces will enable group therapists to forsee and influence the future development of adolescent groups.

Trauma group psychotherapy for the adolescent female client.

Therapeutic uses of adolescent trauma group psychotherapy for the treatment of post-traumatic stress disorder. To demonstrate the role of the psychiatric nurse/group facilitator to prevent and treat adolescent emotional distress resulting from trauma. Published literature, author's clinical experience. Adolescent trauma group therapy is useful to deal with emotional, behavioral, maturational/developmental, physiological, cognitive, and solution-focused issues.

McLean Hospital's Child and Adolescent Program and The Children's Group Therapy Association: Certificate Training Program in Child and Adolescent Group Therapy

The Child and Adolescent Group Certificate Training Program offered by McLean Hospital's Child and Adolescent Program in Belmont, Massachusetts and The Children's Group Therapy Association of Watertown, Massachusetts, was first discussed in 1994 and then conceived in the Spring of 1995. Two years later, in September 1997, the first training class began. The Training Program represents the collaboration of a nationally recognized psychiatric hospital's Child and Adolescent program, a teaching hospital of Harvard Medical School, and a twenty year old, grassroots organization devoted to the field of children's group therapy. CGTA functions as a network for group practitioners predominately in the New England area and provides training, information, and collegial support through an annual conference, periodic seminars, and newsletters. The establishment of a comprehensive training program responds to a long standing and acute need to provide specific and relevant training to those who work with a range of child and adolescent groups in a variety of settings. Anyone who leads child and adolescent groups appreciates that the process requires considerable skill, knowledge, and artistry, not only in terms of method, but of childhood development, group dynamics, and group psychology. Yet, despite the abundance of high quality postgraduate training programs in the New England

Adolescent Group Psychotherapy Supervision in a Group Format: An Emerging Model

A qualitative analysis of the supervision of adolescent group therapy sessions was accomplished using group supervision journals. Two clinical psychology interns and three supervising clinical psychologists participated in the study. Two separate adolescent inpatient process groups were conducted biweekly over a 5-month period with each intern co-leading a group with a supervising psychologist. Following each weekly group supervision session, interns and psychologists completed a questionnaire as part of their group supervision journal. Results showed that the interns perceived the group therapy supervision process as helping them develop a strong knowledge base and important competencies essential for conducting adolescent group therapy. The interns also characterized their group therapy supervision experience as being instrumental in transitioning them from a graduate student and intern identity to that of an autonomous professional psychologist. Our emerging training model of adolescent group psychotherapy supervision may be refined based on future research and adapted for use in other settings.

Child and adolescent group psychotherapy: A narrative review of effectiveness and the case for meta-analysis

A summary of existing reviews addressing the effectiveness of psychotherapy with children and adolescents is provided, emphasizing three facets: 1) the effectiveness of psychotherapy in general with children and adolescents, 2) narrative reviews addressing the effectiveness of group psychotherapy with this population, and 3) meta-analyses of individual and group psychotherapy with children and adolescents. While narrative reviews point out methodological flaws and shortcomings in the literature making it difficult to arrive at effectiveness conclusion, meta-analyses indicate that group psychotherapy with children and adolescents is effective. The implications of these findings for managed mental health care and future research are considered.