scholarly journals Effectiveness of a Cognitive-behavioral Group Therapy for Complicated Grief in Family Members of Patients With Cancer

2022 ◽  
Author(s):  
Maria Antonia Lacasta-Reverte ◽  
Juan Antonio Cruzado
Keyword(s):  
Group Therapy ◽  
Complicated Grief ◽  
Cognitive Behavioral ◽  
Patients With Cancer ◽  
Cognitive Behavioral Group Therapy ◽  
High Effect ◽  
Behavioral Group ◽  
Pre Treatment ◽  
Number Of Individuals

Abstract Introduction: complicated grief can affect a large number of individuals who have lost a relative due to cancer. Objective: to assess the efficacy of a cognitive-behavioral group therapy (CBGT) for complicated grief in those who have lost a relative due to cancer in comparison with a psychoducational and emotional expression intervention (PSDEEI).Method: 249 relatives of deceased cancer patients with complicated grief were randomly assigned to treatment with CBGT or PSDEEI. Complicated Grief (ICG), depression (BDI-II), hopelessness (BHS), anxiety (BAI) symptoms and general health (GHQ28) were assessed at pre-treatment, post-treatment, and follow-up at 6 and 12 months. Results: the CBGT group improved significantly (p<0.001), with the scores in ICG, BDI-II, BAI, BSH, and GHQ28 (p<0.001) being higher than those for the PSDEEI group in each of the assessed moments, with high effect sizes: ICG (η2=0.16), BDI (η2=0.10), BAI (η2=0.06), BSH (η2=0.21) and GHQ28 (η2=0.21). At the 12-month follow-up, the number of cases of complicated grief decreased by 81.1% for the CBGT group vs. 31.7% in the PSDEEI group. Conclusions: The CBGT treatment is effective for complicated grief, for depression, anxiety, and hopelessness symptoms and for mental health, and is superior to PSDEEI treatment.

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

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.

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

2010 ◽  
Vol 38 (3) ◽  
pp. 319-336 ◽  
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.

Predictors of Treatment Change and Engagement in Cognitive-Behavioral Group Therapy for Depression

2002 ◽  
Vol 16 (2) ◽  
pp. 227-241 ◽  
Author(s):  
Henny A. Westra ◽  
David J. A. Dozois ◽  
Christine Boardman
Keyword(s):  
Group Therapy ◽  
Treatment Response ◽  
Depressive Symptomatology ◽  
Symptom Control ◽  
Dysfunctional Attitudes ◽  
Cognitive Behavioral ◽  
Future Research ◽  
Cognitive Behavioral Group Therapy ◽  
Behavioral Group ◽  
Pre Treatment

This study examined predictors of treatment response in 48 individuals who presented for participation in a 10-session cognitive-behavioral group therapy (CBGT) program for depression. The majority of participants carried a diagnosis of major depression and all were concurrently on at least 1 antidepressant medication. The therapeutic approach involved an integration of 2 empirically supported therapies: Beck’s cognitive therapy (Beck, Rush, Shaw, & Emery, 1979) and Lewinsohn’s Coping With Depression course (Lewinsohn, Antonuccio, Breckenridge, & Teri, 1984). Participants completed the Burns Depression Checklist, the Dysfunctional Attitudes Scale (DAS), and the Burns Hopelessness Scale, a 5-item questionnaire which assesses the degree of optimism/pessimism an individual has regarding mood and symptom control. No significant differences were found on pre-treatment dysfunctional attitudes or depressive symptomatology between individuals who dropped out of treatment (n = 9) and treatment completers (n = 39). However, pre-treatment hopelessness scores were significantly higher in dropouts than in individuals who completed treatment. Increased pessimism about symptom control was also related to fewer reductions in DAS scores throughout treatment among completers and to poorer overall treatment response. These findings suggest that negative expectations about treatment outcome may be associated with reduced treatment benefit in CBGT, and may place individuals at significantly greater risk of premature treatment termination. The theoretical and clinical significance of these findings are discussed and suggestions for future research and practice are detailed.

scholarly journals Full remission and relapse of obsessive-compulsive symptoms after cognitive-behavioral group therapy: a two-year follow-up

2010 ◽  
Vol 32 (2) ◽  
pp. 164-168 ◽  
Author(s):  
Daniela Tusi Braga ◽  
Gisele Gus Manfro ◽  
Kátia Niederauer ◽  
Aristides Volpato Cordioli
Keyword(s):  
Group Therapy ◽  
Partial Remission ◽  
Protective Factor ◽  
Cognitive Behavioral ◽  
Obsessive Compulsive ◽  
Obsessive Compulsive Symptoms ◽  
Cognitive Behavioral Group Therapy ◽  
Full Remission ◽  
Behavioral Group

OBJECTIVE: The aim of this study was to assess whether the results obtained with 12 sessions of cognitive-behavioral group therapy with obsessive-compulsive patients were maintained after two years, and whether the degree of symptom remission was associated with relapse. METHOD: Forty-two patients were followed. The severity of symptoms was measured at the end of cognitive-behavioral group therapy and at 18 and 24 months of follow-up. The assessment scales used were the Yale-Brown Obsessive-Compulsive Scale, Clinical Global Impression, Beck Depression Inventory, and Beck Anxiety Inventory. RESULTS: The reduction in symptom severity observed at the end of treatment was maintained during the two-year follow-up period (F = 57.881; p < 0.001). At the end of the treatment, 9 (21.4%) patients presented full remission, 22 (52.4%) presented partial remission, and 11 (26.2%) had unchanged scores in the Yale-Brown Obsessive-Compulsive Scale. After two years, 13 patients (31.0%) presented full remission, 20 (47.6%) had partial remission, and 9 (21.4%) had unchanged Yale-Brown Obsessive-Compulsive Scalescores. The full remission of symptoms at the end of the treatment was a protective factor against relapse (χ2 = 4,962; df = 1; p = 0.026). CONCLUSION: Our findings underscore the importance of attaining full remission of obsessive-compulsive symptoms during treatment and the need for new therapeutic strategies to achieve this.

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