scholarly journals Experiences of change in Emotion Regulation Group Therapy. A mixed-methods study of six patients

2018 ◽  
Vol 4 (1) ◽  
pp. 15-28
Author(s):  
Anna Dahlberg ◽  
Elin Wetterberg ◽  
Lars-Gunnar Lundh ◽  
Hanna Sahlin
10.2196/11860 ◽  
2019 ◽  
Vol 21 (5) ◽  
pp. e11860 ◽  
Author(s):  
Raphael Schuster ◽  
Inanna Kalthoff ◽  
Alexandra Walther ◽  
Lena Köhldorfer ◽  
Edith Partinger ◽  
...  

2018 ◽  
Author(s):  
Raphael Schuster ◽  
Thomas Berger ◽  
Anton-Rupert Laireiter

BACKGROUND Internet and mobile devices can help to improve psychological treatments. Blended group therapy (bGT) has been investigated a several times for anxiety and depression. This mixed methods study is the first to evaluate bGT with a focus on the therapist’s perspective. OBJECTIVE To investigate the therapist-related feasibility of bGT. METHODS Twenty-seven patients, diagnosed with major depression (48% male, compulsory education= 29.6%), entered treatment at a university outpatient clinic. A computer- and mobile-based system supported the treatment during and between group sessions. Eight novice therapists participated in semi-structured interviews, a subsequent cross-validation survey, and logs on online guidance time and content. RESULTS Large to very large pre- to post-treatment effects were found for depression (CES-D; d= 1.51) and general health (d= 1.31). Effects for the secondary outcomes were in the medium range (d= 0.38 – d= 0.71). Tracked completion of online- and mobile tasks (67 – 76%) was comparable to group attendance. The therapists described the support system as helpful in terms of treatment intensification, treatment engagement, and the establishment of the therapeutic relationship. Weekly online guidance took 10.3 minutes per patient, including guidance on exercises (67%) and intimate communication (33%). CONCLUSIONS Results suggest a high feasibility of bGT in a gender-balanced, moderately educated sample. bGT provides group therapists with tools for individual care, resulting in an optimization of the therapy process, and high completion rates of the implemented app- and online elements. CLINICALTRIAL German trial register (DRKS-No.: DRKS00010888)


2019 ◽  
Vol 28 (3) ◽  
pp. 660-672
Author(s):  
Suzanne H. Kimball ◽  
Toby Hamilton ◽  
Erin Benear ◽  
Jonathan Baldwin

Purpose The purpose of this study was to evaluate the emotional tone and verbal behavior of social media users who self-identified as having tinnitus and/or hyperacusis that caused self-described negative consequences on daily life or health. Research Design and Method An explanatory mixed-methods design was utilized. Two hundred “initial” and 200 “reply” Facebook posts were collected from members of a tinnitus group and a hyperacusis group. Data were analyzed via the LIWC 2015 software program and compared to typical bloggers. As this was an explanatory mixed-methods study, we used qualitative thematic analyses to explain, interpret, and illustrate the quantitative results. Results Overall, quantitative results indicated lower overall emotional tone for all categories (tinnitus and hyperacusis, initial and reply), which was mostly influenced by higher negative emotion. Higher levels of authenticity or truth were found in the hyperacusis sample but not in the tinnitus sample. Lower levels of clout (social standing) were indicated in all groups, and a lower level of analytical thinking style (concepts and complex categories rather than narratives) was found in the hyperacusis sample. Additional analysis of the language indicated higher levels of sadness and anxiety in all groups and lower levels of anger, particularly for initial replies. These data support prior findings indicating higher levels of anxiety and depression in this patient population based on the actual words in blog posts and not from self-report questionnaires. Qualitative results identified 3 major themes from both the tinnitus and hyperacusis texts: suffering, negative emotional tone, and coping strategies. Conclusions Results from this study suggest support for the predominant clinical view that patients with tinnitus and hyperacusis have higher levels of anxiety and depression than the general population. The extent of the suffering described and patterns of coping strategies suggest clinical practice patterns and the need for research in implementing improved practice plans.


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