Cognitive behavioral group therapy for panic disorder in a general clinical setting: a prospective cohort study with 12 to 31-years follow-up

AbstractBackgroundData about quality of life (QoL) are important to estimate the impact of diseases on functioning and well-being. The present study was designed to assess the association of different aspects of panic disorder (PD) with QoL and to examine the relationship between QoL and symptomatic outcome following brief cognitive-behavioral group therapy (CBGT).MethodsThe sample consisted of 55 consecutively recruited outpatients suffering from PD who underwent CBGT. QoL was assessed by the Medical Outcomes Study 36-item Short-Form Health Survey (SF-36) at baseline, post-treatment and six months follow-up. SF-36 baseline scores were compared with normative data obtained from a large German population sample.ResultsAgoraphobia, disability, and worries about health were significantly associated with decreased QoL, whereas frequency, severity and duration of panic attacks were not. Treatment responders showed significantly better QoL than non-responders. PD symptom reduction following CBGT was associated with considerable improvement in emotional and physical aspects of QoL. However, the vitality subscale of the SF-36 remained largely unchanged over time.ConclusionsOur results are encouraging for cognitive-behavior therapists who treat patients suffering from PD in groups, since decrease of PD symptoms appears to be associated with considerable improvements in QoL. Nevertheless, additional interventions designed to target specific aspects of QoL, in particular vitality, may be useful to enhance patients’ well-being.

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Effectiveness of Text Messaging for the Management of Psychological and Somatic Distress in Depressed and Anxious Outpatients

The Open Psychology Journal ◽

10.2174/1874350101912010012 ◽

2019 ◽

Vol 12 (1) ◽

pp. 12-19

Author(s):

Roberto Truzoli ◽

Cecilia Rovetta ◽

Eliana Nola ◽

Luca Matteucci ◽

Caterina Viganò

Keyword(s):

Group Therapy ◽

Patient Compliance ◽

Text Messaging ◽

Post Treatment ◽

Cognitive Behavioral ◽

Depression And Anxiety ◽

Cognitive Behavioral Group Therapy ◽

Treatment Of Depression ◽

Behavioral Group

Background:Cognitive behavioral group therapy has developed several techniques in order to make the treatment of depressive and anxiety disorders more effective. Particularly, the “homework” is a tool in order to practice therapeutic skills in ecological settings. When working with this aim, it is often necessary to support patient compliance.Researches have shown the efficacy of sending a text to the patients in order to support the patient compliance, but only a few data are available on the effectiveness of sending text in the treatment of depression and anxiety.Objective:Verify the effectiveness of sending text in the treatment of depression and anxiety in order to support patient compliance.Methods:Participants were enrolled for cognitive behavioral group therapy. Once completed the treatment, a sub-group of participants (Yes SMS group) was reached by a weekly text message for the whole 3 months time between the end of the intervention and the scheduled follow-up session.All the participants were assessed for the overall psychopathological symptoms, depression, and anxiety before and after the group intervention, and at the 3 months follow up.Results:Both groups improved from pre to post-treatment in all the assessed dimensions; the enhancement endures up to the 3 months follow up.Comparing the two groups regardless of the diagnosis, the Yes SMS group shows significant better outcomes in depression at follow-up and in anxiety both at post-treatment and at follow-up.Conclusion:The weekly SMS as prompt seems to enhance the patient’s compliance.

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Effect of Structured Cognitive-Behavioral Group Therapy on Body Weight, Mental Status and the Quality of Life in Obese and Overweight Individuals: A 16-Week Follow Up Study

Turkish Journal of Psychiatry ◽

10.5080/u25606 ◽

2021 ◽

Author(s):

Bahadır Geniş ◽

Aycan Kayalar ◽

Aslıhan Dönmez ◽

Behcet Coşar

Keyword(s):

Quality Of Life ◽

Body Weight ◽

Group Therapy ◽

Mental Status ◽

Cognitive Behavioral ◽

Cognitive Behavioral Group Therapy ◽

Follow Up Study ◽

Behavioral Group

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A Randomized Clinical Trial to Examine Enhancing Cognitive-Behavioral Group Therapy for Obsessive-Compulsive Disorder with Motivational Interviewing and Thought Mapping

Behavioural and Cognitive Psychotherapy ◽

10.1017/s1352465810000111 ◽

2010 ◽

Vol 38 (3) ◽

pp. 319-336 ◽

Cited By ~ 23

Author(s):

Elisabeth Meyer ◽

Fernanda Souza ◽

Elizeth Heldt ◽

Paulo Knapp ◽

Aristides Cordioli ◽

...

Keyword(s):

Group Therapy ◽

Motivational Interviewing ◽

Obsessive Compulsive Disorder ◽

Cognitive Behavioral ◽

Symptom Reduction ◽

Obsessive Compulsive ◽

Compulsive Disorder ◽

Cognitive Behavioral Group Therapy ◽

Behavioral Group

Background: Obsessive-compulsive disorder (OCD) is characterized by repeated and persistent attempts to control thoughts and actions with rituals. These rituals are used in order to prevent feared or personally distressing outcomes. Cognitive behavioral group therapy (CBGT) has been reported to be effective for treating OCD patients. However, about one-third (30%) of patients do not benefit from CBGT. Some of these patients do not show significant improvement and continue to use rituals following CBGT, partially because they fail to complete the exposure and ritual prevention (ERP) exercises. Consequently, it is important to motivate patients to fully engage in CBGT treatment and complete the ERP exercises. Aims: A randomized behavioral trial examined 12 weeks of manual directed CBGT, with the addition of individual sessions of Motivational Interviewing (MI) and Thought Mapping (TM), and compared treatment outcome to the effectiveness of CBGT group alone. Method: Subjects were randomized (n = 93) into a CBGT group or a CBGT group with MI+TM. Results: When the two groups were compared, both groups reduced OCD symptoms. However, symptom reduction and remission were significantly higher in the MI+TM CBGT group. Positive outcomes were also maintained, with additional symptom reduction at the 3-month follow-up for the MI+TM CBGT group. Conclusions: Adding two individual sessions of MI and TM before CBGT successfully reduced OCD symptoms and was more effective than using CBGT group alone.

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