Drop-out and efficacy of group versus individual cognitive behavioural therapy: What works best for Obsessive-Compulsive Disorder? A systematic review and meta-analysis of direct comparisons

Pozza, Andrea; Dèttore, Davide

doi:10.1016/j.psychres.2017.09.056

Cited by 42 publications

(24 citation statements)

References 30 publications

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“…Individual studies assessing nonpharmacological treatments also differed in terms of other clinically relevant variables, such as the setting of the intervention (i.e., individual or group therapy), percentage of participants under pharmacotherapy, treatment length, or participants’ age or sex, and this might moderate the effect of the intervention on internalizing symptoms (Bramham et al, 2012; Cunill, Castells, Tobias, & Capellà, 2016; Pozza & Dèttore, 2017; Solberg et al, 2018). The impact of these clinically relevant variables on the effect size has not been assessed by previous meta-analyses (Jensen et al, 2016; Lopez et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Nonpharmacological Treatments on Comorbid Internalizing Symptoms of Adults With Attention-Deficit/Hyperactivity Disorder: A Meta-Analytic Review

et al. 2019

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Background: Attention-deficit/hyperactivity disorder (ADHD) is highly comorbid in adulthood. This meta-analysis was aimed at ascertaining the efficacy of different psychotherapies in improving comorbid internalizing symptoms in adults with ADHD. Method: Twenty randomized controlled trials and 12 uncontrolled pretest–posttest studies were included and combined using the inverse variance method. Risk of bias and heterogeneity assessment and moderator analyses were performed. Results: Cognitive-behavioral therapy (CBT) improved quality of life (QoL), emotional dysregulation (ED), depression, and anxiety symptoms, particularly at follow-up, which was predicted by core symptoms reduction. A significant between-group effect was obtained only on QoL, ED, and self-esteem for dialectical behavior therapy (DBT), mindfulness-based therapies (MBTs), and neurofeedback, respectively. Conclusion: Results support CBT efficacy for treating comorbid internalizing symptoms. More research is needed to determine the effectiveness of DBT, MBT, and neurofeedback. The small number of studies evaluating some therapies and the high risk of bias observed might limit these results.

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Section: Introductionmentioning

confidence: 99%

Efficacy of Nonpharmacological Treatments on Comorbid Internalizing Symptoms of Adults With Attention-Deficit/Hyperactivity Disorder: A Meta-Analytic Review

et al. 2019

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“…In several studies directly comparing the efficacy of individual to group CBT for different anxious populations no differences in efficacy were found (e.g., Oie & Boschen, 2009; Pozza & Dèttore, 2017; Sharp et al, 2004; van Ingen & Novicki, 2009; Wergeland et al, 2014). Also, our study's results were somewhat similar to those found in individual ABBT trails on PSWQ and DASS‐stress/anxiety (Hayes‐Skelton et al, 2013; Roemer & Orsillo, 2007; Roemer et al, 2008).…”

Section: Discussionmentioning

confidence: 99%

“…Even though individual therapy may be more efficient in addressing specific needs of each patient, group treatment settings tend to offer more opportunities for universality-by recognizing common experiences among group members-and normalization (Manassis et al, 2002;Wergeland et al, 2014), both of which are acceptance-related processes. Furthermore, some studies indicate that group CBT can be as effective as individual CBT for anxietyrelated disorders (Oie & Boschen, 2009;Pozza & Dèttore, 2017;Sharp, Power, & Swanson, 2004;van Ingen & Novicki, 2009). Other CBT and mindfulness/acceptance-based approaches for GAD have been tested using a group format in several clinical trials (Avdagic, Morrissey, & Boschen, 2014;Craigie, Rees, Marsh, & Nathan, 2008;Dugas et al, 2003;Evans et al, 2008;McEvoy et al, 2015;Stanley, Beck, & Glassco, 1996;Wetherell, Gatz, & Craske, 2003;Wong et al, 2016), most of them showing large effect sizes for the reduction of anxiety and worry.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of an acceptance‐based group behavioral therapy for generalized anxiety disorder

et al. 2020

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Background: Generalized anxiety disorder (GAD) shows the weakest treatment response among anxiety disorders. This study aimed at examining whether an acceptance-based group behavioral therapy (ABBT) for patients in a Brazilian anxiety disorders program, combining mindfulness and exposure strategies, can improve clinical outcome when compared with a standard nondirective supportive group therapy (NDST). Methods: Ninety-two individuals diagnosed with GAD were randomized to receive 10 sessions of either ABBT or NDST. Assessments at pretreatment, midtreatment, posttreatment, and 3-month follow-up comprised the following outcome measures: Hamilton Anxiety Rating Scale (HAM-A), Penn State Worry Questionnaire (PSWQ), Depression Anxiety and Stress Scale (DASS), and the Clinical Global Impressions (CGI). The World Health Organization Quality of Life (WHOQOL) was administered at pretreatment and posttreatment. Results: The mixed-effects regression models for DASS-stress, Hamilton Anxiety Interview, and CGI showed a significant effect for Time and the Time × Treatment effect, but not for the Treatment main effect. Similarly, there was a significant Time × Treatment effect for the PSWQ, but not main effects of Time or Treatment. Altogether, these data indicate that symptoms decreased in both conditions across treatment and follow-up, and that the rate of change was more rapid for those participants in the ABBT condition. We found no differences between groups from pretreatment to posttreatment in DASS-anxiety or any secondary outcome measure, but for the physical health domain of WHOQOL, which was faster in ABBT. Conclusions: Both groups showed good clinical outcomes, but in general, participants of the ABBT group improved faster than those in the NDST group.

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“…30 The experience of obsessive-compulsive brooding and interpersonal detachment (psychoticism) highlights the potential usefulness of group support led by nurses with the objective of normalizing the experience of the person and interrupting isolation by entering into empathy with other persons suffering from infertility. [31][32][33] A further purpose of the study was to explore the association between psychopathological traits, QoL, and infertility-related stress.…”

Section: The Higher Levels Of Psychopathological Distress In Individumentioning

confidence: 99%

Quality of life and infertility stress in homologous and heterologous medically assisted reproduction: The role of common and specific psychopathological traits

Pozza

Dèttore

Coccia

2020

Perspect Psychiatr Care

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Purpose: This study compared the quality of life/stress between individuals undergoing homologous and heterologous medically assisted reproduction (MAR) and explored the role of psychopathological traits.Design and Methods: Two hundred and twenty-six participants in homologous (52.2%) and heterologous MAR (47.8%) completed Symptom Checklist 90-R, Fertility Problem Inventory, and Fertility Quality of Life.Findings: The homologous group showed higher depressive/anxious and obsessivecompulsive traits, hostility and interpersonal detachment, and worse quality of life/ stress than the heterologous one. In the homologous pathway, those with higher interpersonal detachment showed worse quality of life, in the heterologous one those with greater paranoid traits had greater stress.Practice Implications: Psychiatric nursing support should focus on interpersonal detachment in homologous and paranoid traits in heterologous MAR.

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Drop-out and efficacy of group versus individual cognitive behavioural therapy: What works best for Obsessive-Compulsive Disorder? A systematic review and meta-analysis of direct comparisons

Cited by 42 publications

References 30 publications

Efficacy of Nonpharmacological Treatments on Comorbid Internalizing Symptoms of Adults With Attention-Deficit/Hyperactivity Disorder: A Meta-Analytic Review

Efficacy of Nonpharmacological Treatments on Comorbid Internalizing Symptoms of Adults With Attention-Deficit/Hyperactivity Disorder: A Meta-Analytic Review

Efficacy of an acceptance‐based group behavioral therapy for generalized anxiety disorder

Quality of life and infertility stress in homologous and heterologous medically assisted reproduction: The role of common and specific psychopathological traits

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