Small Group Process and Outcome Research Highlights: A 25-Year Perspective

Burlingame, Gary M.; Jensen, Jennifer

doi:10.1080/00207284.2016.1218287

Cited by 44 publications

(38 citation statements)

References 104 publications

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“…Participants described both peers and theories from the intervention to be important for their increased ability to reflect, which in turn led to increased insight and self-reflection. In line with other findings within this field, our results show how these new abilities can be seen as the possible effect of an interaction between the theoretical base of the intervention, group psychological processes, and structural processes (Burlingame & Jensen, 2017). Furthermore, our study emphasizes the importance of the group for the participants.…”

Section: Discussionsupporting

confidence: 91%

Not Just Tools to Handle It: A Qualitative Study of Nursing Students’ Experiences From Participating in a Cognitive Behavioral Stress Management Intervention

2019

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Background. Stress-related problems are an increasing challenge within nurse education since it affects learning, professional development, and mental health negatively. Despite this, knowledge is scarce regarding nursing students’ experiences of being in stress management interventions. Aim. This study aimed to describe how nursing students experienced a preventive cognitive behavioral therapy–based stress management intervention. Method. Data were collected through 14 semistructured interviews with nursing students who had participated in a stress management intervention, and analyzed using inductive qualitative content analysis. Results. The analysis yielded one theme, Turning points, which consisted of four categories: (1) more in touch with reality, (2) increased self-confidence, (3) improved communication skills, and (4) a new way of reflecting. Discussion. Findings emphasize the importance of both theoretical and structural aspects when planning a stress management training intervention. A group format delivery in combination with a multicomponent cognitive behavioral intervention can be interrelated elements for positive stress–related changes. Conclusion. Our findings indicate that participants developed new and more adaptive coping strategies, which were attributed to the intervention. The participants expressed that they had increased their ability to reflect, which led to increased insight and self-reflection. The intervention constitutes an example of a contribution to stress management research and provides information for stress management training initiatives in nurse education.

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Section: Discussionsupporting

confidence: 91%

Not Just Tools to Handle It: A Qualitative Study of Nursing Students’ Experiences From Participating in a Cognitive Behavioral Stress Management Intervention

2019

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“…Results further support findings that gCBT is as effective as individual CBT at reducing measures of anxiety and depression in adults with other disorders, such as social anxiety (Sharp et al, 2004). The current study also compliments finding from a 25-year meta-analysis of controlled studies that have directly compared individual CBT with gCBT across a range of disorders, finding no differences between formats for rates of treatment acceptance, recovery, attrition and improvement (Burlingame and Jensen, 2017).…”

Section: Discussionsupporting

confidence: 86%

“…It is purported that routine practitioner therapists digress from CBT protocols, to instead rely more on experience than experimental research due to the large gap in conditions between RCTs and daily practice (Becker et al, 2004). Considering that some disorders, like GAD, are under-represented in the anxiety field (Burlingame and Jensen, 2017) this is unsurprising. Chorpita (2003) suggests that in order to increase the utility of the research evidence-base, RCTs should be used in combination with transportability studies that are representative of clinical settings.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

“…Although between-studies comparisons should be interpreted with caution, it is one of the only controlled studies with adults that demonstrates group efficacy in GAD patients using the same protocol and patient factors. Indeed, in a recent review of 25 years of group therapy literature, Schwartze et al (2017) argue that the evidence base is too small to draw meaningful conclusions in support of gCBT, and Burlingame and Jensen (2017) comment that convincing evidence specific to GAD is lacking, as group data on GAD is missing from literature (Burlingame and Jensen, 2017). This warrants further exploration into the effectiveness of gCBT for GAD.…”

Section: Introductionmentioning

confidence: 99%

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What are the recovery and attrition outcomes for group CBT and individual CBT for generalised anxiety disorder in an IAPT service? An exploratory study

Fanous

Daniels

2020

tCBT

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Group cognitive behavioural therapy (gCBT) is commonly used in Increasing Access to Psychological Therapies (IAPT) services. However, there is limited knowledge of the efficacy of gCBT as a delivery format for generalised anxiety disorder (GAD). To address gaps in literature, this study aims to explore the efficacy and attrition of individual and group CBT interventions, respectively, at Step 3 for GAD using data from a routine IAPT service over a 24-month period. Data were retrospectively derived from a routine serviceʼs IAPTus database, separating those eligible for comparison into group (n = 44) and individual (n = 55) CBT for GAD. Outcomes were differences in pre–post self-reported anxiety (GAD-7) and depression (PHQ-9) scores, clinical recovery and attrition for gCBT and individual CBT. Both gCBT and individual CBT yielded significant reductions in self-reported anxiety and depression scores over time. Results indicate that 53% of patients attending individual CBT achieved clinical recovery, with similar but less competitive rates of 41% in gCBT. Attrition rates were similar between gCBT (29.5%) and individual CBT (27.3%), respectively. Preliminary results suggest that both individual and gCBT are effective interventions for GAD patients in IAPT, offering symptom alleviation and comparable recovery and attrition rates post-intervention. This observational design offers credibility and insight into a pragmatic evaluative and explorative comparison. gCBT may offer an acceptable and potentially economical alternative. Key learning aims (1) To explore whether gCBT and individual CBT yield significant symptom reduction in self-reported anxiety and depression in GAD patients from a routine IAPT service. (2) To explore gCBT and individual CBT clinical recovery rates in non-optimum routine conditions. (3) To explore whether gCBT for GAD produces unacceptable attrition rates and if this differs from attrition rates in individual CBT for GAD in a routine IAPT service.

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“…Especially because research suggests that group therapy is similarly effective as individual therapy. Several meta‐analyses have found no difference between effectiveness of the two modalities for several theoretical orientations and across various disorders such as anxiety and mood disorders and PDs (mostly borderline PD; Burlingame & Jensen, 2017). After a systematic literature review (PsycINFO and Medline) on CL‐C PDs and RCT we concluded that a meta‐analysis on group therapy for Cl‐C PDs could not be performed due to a lack of adequately powered RCTs on group therapy for Cl‐C.…”

Section: Introductionmentioning

confidence: 99%

Group schema therapy for patients with cluster‐C personality disorders: A case study on avoidant personality disorder

Bachrach

Arntz

2021

J Clin Psychol

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This article presents a clinical illustration of group schema therapy (GST) for cluster-C personality disorders (CL-C PDs) to provide therapists an example on how one can perform GST for CL-C PDs and break through persistent avoidance and control mechanisms. A summary of evidence supporting the effectiveness of GST for CL-C PD's is given followed by an overview of basic principles of schema therapy and GST. A case presentation next illustrates the application of GST principles and interventions in the GST CL-C protocol, which improve clients understanding of emotional core needs and development of adaptive ways of getting needs better met, instead of avoiding life. Implications of the case for future applications of GST for CL-C PDs are discussed.

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Small Group Process and Outcome Research Highlights: A 25-Year Perspective

Cited by 44 publications

References 104 publications

Not Just Tools to Handle It: A Qualitative Study of Nursing Students’ Experiences From Participating in a Cognitive Behavioral Stress Management Intervention

Not Just Tools to Handle It: A Qualitative Study of Nursing Students’ Experiences From Participating in a Cognitive Behavioral Stress Management Intervention

What are the recovery and attrition outcomes for group CBT and individual CBT for generalised anxiety disorder in an IAPT service? An exploratory study

Group schema therapy for patients with cluster‐C personality disorders: A case study on avoidant personality disorder

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