Current Issues on Group Psychotherapy Research: An Overview

Coco, Gianluca Lo; Gullo, Salvatore; Prestano, Claudia; Burlingame, Gary M.

doi:10.1007/978-3-7091-1382-0_14

Cited by 9 publications

(8 citation statements)

References 55 publications

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“…A promising avenue for research is to study complex associations between multiple factors within the same study, and examine differences in their relationships with subsequent symptoms at multiple time-points over the course of treatment. Although important findings have previously been obtained regarding the alliance-outcome and cohesion-outcome associations, these have generally been estimated based on a single assessment or mean value, thereby ignoring fluctuations during the course of therapy (Lo Coco, Gullo, Prestano, & Burlingame, 2015, see exception in Marmarosh et al, 2014). In the current study, the dynamic relationships between both therapeutic alliance and group cohesion were examined in relation to subsequent anxiety symptoms in tCBT for anxiety disorders.…”

Section: Discussionmentioning

confidence: 99%

Dynamic relationships of therapist alliance and group cohesion in transdiagnostic group CBT for anxiety disorders.

Norton¹,

Kazantzis²

2016

Journal of Consulting and Clinical Psychology

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Objective Little is known about the temporal variability of the alliance-symptom change and cohesion-symptom change relationships over the course of group therapy. These questions were examined in a sample of 373 clients receiving a transdiagnostic cognitive behavior therapy (tCBT), which culled the principle research-supported mechanisms of change for anxiety disorders. Method We examined relationships between the client versions of the Working Alliance Inventory and Group Cohesion Scale in predicting subsequent symptom change, as assessed by the state scale of the State-Trait Anxiety Inventory. Results Alliance and cohesion were significant predictors of next session anxiety scores. The alliance was consistently associated with anxiety symptoms (rs = −.152 to −.198, ps < .05), but cohesion only showed significant relationships with anxiety symptoms at sessions 8 and 10 (Session 8, r = −.233, p = .020, and 10, r = −.236, p = .027). Alliance-anxiety relations remained constant, whereas cohesion-anxiety relations substantially increased from earlier to later sessions. Discussion Differences that were obtained in the relation of alliance and cohesion with anxiety symptoms suggests that these processes have different roles within group tCBT. If replicated, the present findings would suggest that the dynamic relationships between alliance and cohesion and symptoms within group CBT for anxiety disorders have been an important omission in process-outcome studies.

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Section: Discussionmentioning

confidence: 99%

Dynamic relationships of therapist alliance and group cohesion in transdiagnostic group CBT for anxiety disorders.

Norton¹,

Kazantzis²

2016

Journal of Consulting and Clinical Psychology

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“…Yet UP, DBT, and related interventions were designed to target either a single disorder or a subset of related disorders. Second, community mental health centers are facing dwindling resources and increasing demand for services, resulting in a shift to the more economical group treatment modality (Coco, Gullo, Prestano, & Burlingame, 2015). Yet there are relatively few empirically supported treatments that utilize a group format.…”

Section: Clinical Implications Of the P Factor: A Fully Transdiagnost...mentioning

confidence: 99%

Clinical implications of a general psychopathology factor: A cognitive–behavioral transdiagnostic group treatment for community mental health.

Meier

2018

Journal of Psychotherapy Integration

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Research on the underlying structure of psychopathology has found that a single general psychopathology factor may underlie all mental disorders. This finding is consistent with decades of research showing that the same risk factors are associated with many different disorders. We review these findings and discuss a primary implication: that clinicians could potentially use the same treatment for individuals with different and comorbid mental disorders. Such a transdiagnostic approach is not a new concept, but these treatments are receiving renewed interest. Recently developed transdiagnostic treatments have been shown to be effective in research settings, but these treatments do not meet several community mental health needs. Consequently, we provide an evidence-based rationale for a continuous-enrollment, fully transdiagnostic cognitive-behavioral group treatment that is informed by research on the structure of psychopathology. We conclude with suggestions for future research that integrate basic science research, treatment research, and clinical practice.

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“…Although research has demonstrated the effectiveness of group psychotherapy and researchers have begun to study its mechanisms of change, there is still plenty of room to understand the underlying complex mechanisms of change in group therapy (Lo Coco et al, 2015), such as targeting different developmental stages (e.g., children and adolescents) or using different theoretical frameworks. For example, as we know, children and adolescents are in a critical period to experience physical, psychological, and social changes, which can provoke emotion regulation concerns (Gilbert, 2012).…”

mentioning

confidence: 99%

Group counseling change process: An adaptive spiral among positive emotions, positive relations, and emotional cultivation/regulation.

Wei¹,

Wang²,

Kivlighan³

2021

Journal of Counseling Psychology

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Research has provided empirical support for the effectiveness of group psychotherapy. However, we have little understanding of mechanisms that account for the effectiveness. Thus, there is a need for complex theory-driven hypotheses and analytical models to understand the complexities of change in group counseling. We used Fredrickson's broaden-and-build theory as well as Yalom and Leszcz's proposition about adaptive spirals as guiding frameworks. We then examined the process of how positive emotions or positive relations and emotional cultivation (regulation) reciprocally influence one another to create an upward or adaptive spiral toward greater well-being over the course of group interventions. A total of 196 Taiwanese children and adolescent clients across 33 groups participated in an 8-session emotional cultivation/regulation group intervention. The random intercepts cross-lagged panel model (RI-CLPM) was used for the data analyses in Mplus. Overall, our results supported the broaden-and-build theory and its broaden-, build-, and upward-spiral effects, with the exception of positive affect. Specifically, positive emotions (i.e., gratitude and psychological need satisfaction) and positive relations (i.e., teacher-student relationship and perceived social support) predicted future improvements on emotional cultivation (i.e., the broaden effects). Additionally, improved emotional cultivation was a long-lasting characteristic that could be drawn upon at later moments to drive greater positive emotions and relations (i.e., the build effects). Together, the results supported a reciprocal model with positive emotions and relationships being associated with greater future emotional cultivation and subsequently emotional cultivation being associated with greater future positive emotions and relationships (i.e., the upward spiral or adaptive spiral effects). Public Significance StatementThe results show how a group psychotherapy intervention influences positive changes for children and adolescent clients from elementary and middle schools. Results indicated that positive emotions (i.e., gratitude and basic psychological need satisfaction) and position relations (i.e., teacher-student relationship and perceived social support) had reciprocal effects with emotional cultivation (regulation) to mutually influence one another over the course of the group intervention.

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Current Issues on Group Psychotherapy Research: An Overview

Cited by 9 publications

References 55 publications

Dynamic relationships of therapist alliance and group cohesion in transdiagnostic group CBT for anxiety disorders.

Dynamic relationships of therapist alliance and group cohesion in transdiagnostic group CBT for anxiety disorders.

Clinical implications of a general psychopathology factor: A cognitive–behavioral transdiagnostic group treatment for community mental health.

Group counseling change process: An adaptive spiral among positive emotions, positive relations, and emotional cultivation/regulation.

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