Effectiveness Of Group Cognitive Behavioral Therapy Research Articles

Anxiety Sensitivity and Panic Disorder: Evaluation of the Impact of Cognitive-Behavioral Group Therapy

Anxiety sensitivity (AS) is a multidimensional construct associated with the etiology and maintenance of panic disorder (PD) symptoms. However, only a few studies have evaluated whether cognitive-behavioral group therapy (CBGT) can modify the condition. The objective of this study was to evaluate the impact of CBGT on AS in patients with PD and to analyze AS and its dimensions as predictors of response to CBGT. In the present clinical trial, an intervention group (n = 37) attended 12 CBGT sessions, while a control group (n = 52) did not receive any intervention. The severity of symptoms and of AS were evaluated before and after CBGT in the intervention group and once in the control group. Significant improvement occurred in all specific PD symptoms and in general anxiety and depressive symptoms. Furthermore, AS scores reduced significantly after intervention. This study confirmed that AS is higher in patients with more severe PD. The effectiveness of CBGT for reducing the physical, cognitive, and social dimensions of AS was also observed, supporting the hypothesis of a positive impact of therapy.

Effectiveness of Group Cognitive Behavioral Therapy and Exercise in the Management of Major Depressive Disorder: Protocol for a Pilot Randomized Controlled Trial.

BackgroundDespite evidence in scientific literature indicating the effectiveness of both cognitive behavioral therapy (CBT) and physical exercise in the management of major depressive disorder (MDD), few studies have directly compared them.ObjectiveThis study aims to evaluate and compare the effectiveness of group CBT, physical exercise, and only wait-listing to receive treatment-as-usual (TAU) in the management of MDD. The investigators hypothesize that participants with MDD assigned to the group CBT or exercise arms of the study will achieve superior outcomes compared with participants wait-listed to receive TAU only.MethodsThis prospective rater-blinded randomized controlled trial assesses the benefits of group CBT and exercise for participants with MDD. A total of 120 patients with MDD referred to addiction and mental health clinics in Edmonton, Canada, will be randomly assigned to one of the three equal-sized arms of the study to receive either weekly sessions of group CBT plus TAU, group exercise three times a week plus TAU, or only TAU for 14 weeks. Participants will be assessed at enrollment, 3 and 6 months post enrollment, midtreatment, and upon treatment completion for primary (functional and symptom variables) and secondary outcomes (service variables and health care utilization). In addition, participants in the intervention groups would be evaluated weekly with one functional measure. The data will be analyzed using repeated measures and effect size analyses, and correlational analyses will be completed between measures at each time point.ResultsThe study will be conducted in accordance with the Declaration of Helsinki (Hong Kong amendment) and Good Clinical Practice (Canadian guidelines). Written informed consent will be obtained from each subject. The study received ethical clearance from the Health Ethics Research Board of the University of Alberta on September 7, 2018 (Pro 00080975) and operational approval from the provincial health authority (Alberta Health Services 43638). As of October 13, 2019, we have enrolled 32 participants. The results will be disseminated at several levels, including patients, practitioners, academics, researchers, and health care organizations.ConclusionsThe results of the pilot trial may inform the implementation of a multicenter clinical trial and provide useful information for administrators and clinicians who are interested in incorporating group CBT and group exercise interventions into existing care.Trial RegistrationClinicalTrials.gov NCT03731728; https://clinicaltrials.gov/ct2/show/NCT03731728International Registered Report Identifier (IRRID)PRR1-10.2196/14309

Cognitive behavioural group therapy versus mindfulness-based stress reduction group therapy for intimate partner violence: a randomized controlled trial

BackgroundViolence in close relationships is a global public health problem and there is a need to implement therapeutic programs designed to help individuals who voluntarily seek help to reduce recurrent intimate partner violence. The effectiveness of such interventions in this population remains inconclusive. The aim of the present study was to compare the effectiveness of cognitive-behavioural group therapy (CBGT) vs mindfulness-based stress reduction (MBSR) group therapy in reducing violent behavior amongst individuals who are violent in intimate partnerships and who voluntarily seek help.MethodsOne hundred forty four participants were randomized using an internet-based computer system. Nineteen withdrew after randomization and 125 participants were randomly assigned to the intervention condition (CBGT, n = 67) or the comparator condition (MBSR, n = 58). The intervention condition involved two individual sessions followed by 15 cognitive-behavioural group therapy sessions. The comparator condition included one individual session before and after 8 mindfulness-based group sessions. Participants (N = 125) and their relationship partners (n = 56) completed assessments at baseline, and at three, six, nine and twelve months’ follow-up. The pre-defined primary outcome was reported physical, psychological or sexual violence and physical injury as measured by the revised Conflict Tactics Scale (CTS2).ResultsThe intent-to-treat analyses were based on 125 male participants (intervention group n = 67; comparator group n = 58). Fifty-six female partners provided collateral information. Baseline risk estimate in the CBGT-group was .85 (.74–.92), and .88 (.76–.94) in the MBSR-group for physical violence. At 12-months’ follow-up a substantial reduction was found in both groups (CBGT: .08 (.03–.18); MBSR: .19 (.11–.32)).ConclusionResults provide support for the efficacy of both the cognitive-behavioural group therapy and the mindfulness-based stress reduction group therapy in reducing intimate partner violent behavior in men voluntarily seeking treatment.Trial registrationNCT01653860, registered July 2012.

Effects of group cognitive-behavioral therapy on psychological distress of awaiting-trial prison inmates.

Background/Objectives:The level of psychological distress among awaiting-trial inmates is rapidly increasing in Nigeria. Studies have recommended increasing attention and additional psychological intervention that could improve the psychological wellbeing of prisoners. This study evaluates the effect of cognitive behavioral therapy on psychological distress among awaiting-trial prison inmates in Nigeria.Methods:A total of 34 awaiting-trial prison inmates in Enugu state Nigeria were used as the study participants. Two measures (perceived emotional distress inventory and general health Questionnaire) were used for data collection. Repeated measures with analysis of variance (ANOVA) were used to examine the effects of the intervention. Effect sizes were also reported with partial Eta Squared ().Results:The result showed that there was no significant difference in psychological distress between the treatment and no-intervention groups. The results showed that CBT had a significant effect on psychological distress of awaiting-trial prison inmates when compared to their counterparts in the no-intervention group at Time 2. Additionally, the efficacy of CBT on the psychological distress of awaiting-trial prison inmates was significantly sustained at the follow-up measurements (Time 3).Conclusion:This study suggests that cognitive behavioral therapy is an effective intervention for decreasing psychological distress among awaiting-trial prison inmates. Additionally, the impactful benefit of the intervention can persist in overtime. Therefore, cognitive behavioral therapists can further explore the efficacy of CBT using various cultures.

The Effectiveness of Cognitive-Behavioral Group Therapy on Improving Self-Care Skills among Women with Chronic Schizophrenia

Introduction: Schizophrenia is a chronic, debilitating disease that imposes a great care of burden on families and mental health care providers. Therefore, the issue of self-care is very important in these patients, but few studies have addressed this issue. Objective: This study examines the effectiveness of cognitive-behavioral Group Therapy on improving self-care skills in women with chronic schizophrenia. Method: Women with chronic schizophrenia were studied in two groups of intervention (N=9) and control (N=10) at Hejazi Hospital in Mashhad, Iran. The intervention group received cognitive-behavioral group therapy and the control group received routine care. The researcher-made self-care questionnaire was completed before intervention and six months after the intervention. Findings: The results of the Mann-Whitney test indicated that there were significant difference between two groups. These difference were especially about variation in the mean of total score of self-care skills before and after intervention, (Z=3/56, p=0/001, Cohen’s d= 2/36) as well as before the intervention and six months after the intervention (z=2/01, p=0/04, Cohen’s d= 0/21). Conclusion: Cognitive-behavioral Group Therapy can affect self-care skills in women with chronic schizophrenia

Comparative effectiveness of cognitive-behavioral group therapy and reality therapy on the quality of life of patients with seborrheic dermatitis

Context: Skin diseases contribute to considerable psychological consequences and low quality of life (QOL) in these patients; it is believed that psychological status can be effective in the improvement of the disease. Aims: Therefore, this study aimed to compare the effect of cognitive-behavioral therapy (CBT) with reality therapy (RT) on QOL in patients with seborrheic dermatitis. Setting and Design: This semi-experimental study with pre- and posttest conducted in the private clinics of Sari and Ghayemshahr. Materials and Methods: Forty-eight cases selected by purposive method and randomized in three groups of control, cognitive-behavioral, and RT. Participants in three groups' evaluated pre-posttest and follow-up (3 months after intervention) by skin QOL index Wang (1994). Intervention groups received 10 weeks intervention, whereas the control group did not receive any intervention during this study. Statistical Analysis Used: The data were analyzed using SPSS-20 software through mixed covariance analysis. Results: There was no significant difference found between the two intervention groups (P > 0.05). The comparison of the effect size of two groups showed higher effect size for CBT group 0.81 versus 0.51. Conclusion: According to the findings of the research, it can be concluded that CBT and RT are effective on QOL and severity of skin disease.

The effectiveness of group cognitive-behavioral therapy on general self-efficacy, self-control, and internet addiction prevalence among medical university students

Introduction: Various studies have highlighted the high prevalence of psychological and psychiatric problems among students with Internet addiction (IA). This study aimed to determine the effect of GCBT on self-control, self-efficacy as well as the prevalence of IA amongst students of Qazvin University of Medical Sciences (QUMS). Methods: This randomized controlled trial was performed on 80 students addicted to the Internet. Participants were randomly divided into control (without intervention) and treatment group (GCBT). The experimental group participated in a GCBT program consisted of 10 two2-hour sessions based on psychosocial training, cognitive reconstruction, behavior modification, and improving emotion regulation. Data were collected using demographic information, Yang IA test, brief self-control scale, and compulsive iInternet usage scale before and 3 months after GCBT. Results: The Rfindings demonstrated significant improvements in general self-efficacy (21.90 ± 5.1-–27.31 ± 3.9, F = 46.131, df = 1, P

The Effectiveness of Cognitive-Behavioral Group Therapy on Craving and Relapse in Addicts with HIV

The Effectiveness of Cognitive-Behavioral Group Therapy on Craving and Relapse in Addicts with HIV

Comparison of the Effectiveness of Cognitive-Behavioral Group Therapy and Hope-Based Group Therapy on Pain Perception in Patients with Multiple Sclerosis (MS)

Comparison of the Effectiveness of Cognitive-Behavioral Group Therapy and Hope-Based Group Therapy on Pain Perception in Patients with Multiple Sclerosis (MS)

Comparison of the Effectiveness of Cognitive-behavioral Group Therapy and Acceptance and Commitment Group Therapy on Self-Efficacy in Breast Cancer Patients

Comparison of the Effectiveness of Cognitive-behavioral Group Therapy and Acceptance and Commitment Group Therapy on Self-Efficacy in Breast Cancer Patients

Changes in Empathy Mediate the Effects of Cognitive-Behavioral Group Therapy but Not Mindfulness-Based Stress Reduction for Social Anxiety Disorder

Social anxiety disorder (SAD) has been shown to be associated with difficulty in the ability to vicariously share others’ positive emotions (positive affective empathy). Mixed evidence also suggests potentially impaired recognition of the positive and negative emotions of others (cognitive empathy) and impaired or enhanced sharing of the negative emotions of others (negative affective empathy). Therefore, we examined whether two efficacious treatments for SAD, cognitive-behavioral group therapy (CBGT) and mindfulness-based stress reduction (MBSR), improve empathy in SAD relative to a wait-list condition and whether improvements in empathy mediate improvements in social anxiety. In the context of a randomized controlled trial, participants with SAD completed an empathy task at baseline, posttreatment/wait-list (N = 81), and 1-year follow-up (N = 37). Relative to both MBSR and wait-list, CBGT resulted in significant improvements in positive affective empathy. CBGT-related changes in positive affective empathy also mediated improvements in social anxiety at both posttreatment/wait-list and at 1-year follow-up. Other indices of empathy did not change differentially across the three conditions. Therefore, one way in which CBGT may specifically confer benefits to individuals with SAD is through increasing their ability or willingness to share in the positive emotions of others.

The Effect of Cognitive-Behavioral Group Therapy Using Art as a Medium on Depressive Symptoms and HIV Antiretroviral Medication Adherence

The prevalence of HIV in Thailand continues to increase, especially among men who have sex with other men (MSM). Being stigmatized can result in depression, which can negatively impact antiretroviral medication adherence. This quasi-experimental research study aimed to examine the effects of cognitive-behavioral group therapy using art as a medium on depressive symptoms and medication adherence. Forty-six MSM were assigned (23 × 2) either to a weekly 2-h art-based CBGT group session for a total of 8 weeks or to a no-intervention control group. The experimental group of 23 met in 4 separate small groups. Pre-intervention period analyses indicated no significant differences between the two groups in the key variables examined, together with demographic information including the participants’ ages, education levels, and CD4 (T cells) levels. Measures of depressive symptoms and antiretroviral medication adherence were administered pre- and post-intervention. Using MANOVA, findings suggested that depressive symptom scores among the intervention group were reduced significantly post-treatment (p < .01) and were significantly lower than those of the control group (p < .001). Scores among the experimental group for medication adherence increased significantly pre- to post-treatment (p < .025); however, post-treatment scores were not significantly different between the experimental and control groups. These findings provide initial evidence for the potential effectiveness of art-based CBGT in alleviating depressive symptoms and enhancing antiretroviral medication adherence in MSM with HIV.

The effects of cognitive-behavioral group therapy and peer support/counseling in decreasing psychologic distress and improving quality of life

The effects of cognitive-behavioral group therapy and peer support/counseling in decreasing psychologic distress and improving quality of life

Effectiveness of outpatient-based group cognitive-behavioral therapy in Japanese patients with mood disorders and neurotic disorders

Abstract Background: Although the effectiveness of group cognitive-behavioral therapy (GCBT) has been studied, evidence is still not sufficient. Objective: The aim of the present study is to consider the effectiveness of GCBT with mood disorders and neurotic disorders. Methods: The present study assessed a total of 32 patients who were classified as F3 (mood disorders) or F4 (neurotic disorders) according to the ICD-10, and who attended GCBT sessions offered at The Tokai University Hospital. Depression and mood in these patients were assessed before and after GCBT by using the Center for Epidemiologic Studies Depression Scale (CES-D) and the Profile of Mood States (POMS). Results: A comparison of pre- and post-GCBT CES-D scores among all patients as well as within F3 and F4 groups showed a significant decrease in CES-D scores after GCBT. As for the POMS, a comparison of pre- and post-GCBT scores among all patients showed a significant improvement in “vigor” and “confusion” scores after GCBT. Discussion: The present study demonstrated that GCBT can relieve depression and improve some mood states. Furthermore, the GCBT sessions offered proved to be effective even when administered to a group of participants consisting of both mood disorders and neurotic disorder patients.

The Effectiveness of Cognitive-Behavioral Group Therapy in Reducing Craving among Methamphetamine Abusers Living with HIV/AIDS

Background: This study aimed to determine the efficacy of cognitive-behavioral group therapy in reducing craving among methamphetamine abusers living with HIV/AIDS. Methods: The study design was quasi-experimental with pre-test, post-test, follow-up and control group. Objective: Sixty methamphetamine abusers living with HIV/AIDS were selected by convenience sampling. They were randomly assigned to the experimental and control groups. The experimental group received the cognitive-behavioral group therapy, while the control group did not. The research measurement instrument comprised the Desire for Drug Questionnaire (DDQ). Multivariate analysis of covariance (MANCOVA) models was employed to test the study hypothesis. Results: The results showed that methamphetamine craving reduced among the abusers living with HIV/AIDS. Conclusion: So, the principle and techniques of cognitive-behavioral therapy and the benefits of group therapy have an effect on craving among methamphetamine abusers living with HIV/AIDS.

Comparison of the Effectiveness of Cognitive-Behavioral Group Therapy with Cognitive Hypnosis on Reducing Depression in Students with Premenstrual Syndrome

Comparison of the Effectiveness of Cognitive-Behavioral Group Therapy with Cognitive Hypnosis on Reducing Depression in Students with Premenstrual Syndrome

The effect of group cognitive-behavioral therapy in reducing aggression in patients with thalassemia

The aim of this study was to investigate the effectiveness of cognitive-behavioral therapy (CBT) on aggression in patients with thalassemia. Methods: This is an applied study in terms of objective and it is semi-experimental due to the nature of the subject, pre-test, post-test and follow-up conducted in the control group. The sample consisted of 30 patients with thalassemia city in Bojnourd, they were selected by convenience sampling method and voluntarily participated in the study. The participants were randomly divided into two groups. The first group received cognitive - behavioral therapy and the second group received no therapy. Both groups were assessed by the pre-test, post-test, and one month follow up. The assessment tool in this study were Aggression Questionnaire AGQ. Data were analyzed using SPSS software and variance analysis with repeated measures. Findings: the results showed that there is a significant correlation between the experimental group that received cognitive behavioral therapy and the control group that received no therapy in reducing aggression. These findings have important theoretical and clinical interventions. Conclusion: The results of this study will be to assess and validate detection and more precise controls used in the treatment of aggression in children with thalassemia in clinics. As well as services (CBT) to this group of clinical population as a nonpharmacologic (NMT) are effective.

Effectiveness of Cognitive-Behavioral Group Therapy on Coping Styles in Multiple Sclerosis Patients

Effectiveness of Cognitive-Behavioral Group Therapy on Coping Styles in Multiple Sclerosis Patients

Effects of Group Cognitive-Behavioral Therapy in Young Patients in the Early Stage of Psychosis.

ObjectiveTo develop a model of group cognitive-behavioral therapy (CBT) for Korean patients with early psychosis.MethodsThe group CBT utilized in the present study consisted of metacognitive training, cognitive restructuring, and lifestyle managements. The Subjective Well-being Under Neuroleptics (SWN-K), Ambiguous Intentions Hostility Questionnaire (AIHQ), Drug Attitude Inventory (DAI), Beck Depression Inventory (BDI), Perceived Stress Scale (PSS), and Clinical Global Impression (CGI) were administered prior to and after CBT sessions. The participants were categorized into two groups according to the median duration of untreated psychosis (DUP; 4 months).ResultsA total of 34 patients were included in this analysis. From pre- to post-therapy, there were significant increases in the SWN-K and DAI scores and significant decreases in the hostility subscale of the AIHQ, PSS, and CGI scores. Significant time × DUP interaction effects were observed for the SWN-K, DAI, and BDI scores, such that there were significant changes in patients with a short DUP but not in those with a long DUP.ConclusionThe group CBT program had a positive effect on subjective wellbeing, attitude toward treatment, perceived stress, and suspiciousness of young Korean patients with early psychosis. These effects were particularly significant in patients with a short DUP.

Effectiveness of Cognitive-Behavioral Group Therapy on Coping Strategies and in Reducing Anxiety, Depression, and Physical Complaints in Student Victims of Bullying

Background: Bullying among students is a problem with severe and unpleasant consequences for victims. Objectives: This research studied the effectiveness of cognitive-behavioral group therapy on coping strategies and in reducing anxiety, depression, and physical complaints in student victims. Patients and Methods: This quasi-experimental study was conducted with a pretest-posttest control group. Data was collected using the Olweus Bully/Victim Questionnaire, Achenbach's Youth Self-Report (YSR), and Billings and Mouse's Coping Strategies Scale. In total, 30 participants who achieved high scores on these questionnaires were randomly assigned to the experimental group or to the control group. The subjects of the experimental group were treated with cognitive-behavioral group therapy over 12 sessions of 90 minutes each. The subjects of the control group received no intervention. At the end of the cognitive-behavioral group therapy sessions, a posttest was implemented for both groups. Multivariate analysis of covariance was used to analyze the collected data. Results: The results showed that cognitive-behavioral group therapy reduced anxiety, depression, and physical complaints. In addition, it reduced emotion-focused coping strategies and increased problem-focused coping strategies in the experimental group (P < 0.001). Conclusions: Cognitive-behavioral group therapy along with the use of coping strategies can reduce anxiety, depression, and physical complaints in student victims of bullying. © 2016, Zahedan University of Medical Sciences.