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Group CBT for Social Anxiety Disorder: A Meta-Analysis

OBJECTIVE: A few meta-analyses have examined psychological treatments for a social anxiety disorder (SAD). This is the first meta-analysis that examines the effects of cognitive behavioural group therapies (CBGT) for SAD compared to control on symptoms of anxiety.

METHOD: After a systematic literature search in PubMed, Cochrane, PsychINFO and Embase was conducted; eleven studies were identified that met the inclusion criteria. The studies had to be randomized controlled studies in which individuals with a diagnosed SAD were treated with cognitive-behavioural group therapy (CBGT) and compared with a control group. The overall quality of the studies was moderate.

RESULTS: The pooled effect size indicated that the difference between intervention and control conditions was 0.53 (96% CI: 0.33-0.73), in favour of the intervention. This corresponds to a NNT 3.24. Heterogeneity was low to moderately high in all analyses. There was some indication of publication bias.

CONCLUSIONS: It was found that psychological group-treatments CBGT are more effective than control conditions in patients with SAD. Since heterogeneity between studies was high, more research comparing group psychotherapies for SAD to control is needed.

Wersebe, H., Sijbrandij, M., & Cuijpers, P. (January 01, 2013). Psychological group-treatments of social anxiety disorder: a meta-analysis. Plos One, 8, 11.)

Group CBT is Effective for Generalized Social Anxiety Disorder in Japan

According to a recent study published in Neuropsychiatric Disease and Treatment, cognitive behavior therapy (CBT) effectively reduces symptoms of generalized social anxiety disorder (SAD) and improves quality of life among Japanese patients for up to a year post-treatment. The present study aimed to identify the long-term efficacy and predictors of group CBT among patients diagnosed with SAD in a naturalistic setting in Japan. From July 2003 to August 2010, outpatient participants (n=113) received 12-20 group-based CBT sessions and were assessed at 1-year follow up points. The researchers then compared treatment completers to those who had dropped out. According to results, group-based CBT significantly reduced symptoms of SAD among patients, and these improvements were maintained for up to one year post-treatment.

Kawaguchi, A, Watanabe, N, Nakano, Y, et al. (2013). Group cognitive behavioral therapy for patients with generalized social anxiety disorder in japan: Outcomes at 1-year follow up and outcome predictors. Neuropsychiatric Disease and Treatment, 9, 267-275.

Group Cognitive Behavior Therapy

In this video from a recent CBT workshop at the Beck Institute, Dr. Aaron Beck explains how CBT techniques used during individual therapy can be effectively applied in the group setting. Dr. Beck discusses the “the 3 C’s”, a CBT technique in which patients are taught how to “catch”, “check”, and “correct” their automatic thoughts. In group-based cognitive behavior therapy, patients can use the “the 3 C’s” to help each other recognize and modify automatic thoughts they experience.

To learn more about cognitive behavior therapy training and workshops, visit www.beckinstitute.org.

Long-Term Study on Family Group Cognitive-Behavioral Preventative Intervention Shows Promising Results in Children Whose Parents Have Major Depressive Disorder

A recent study published in the Journal of Consulting and Clinical Psychology found that a family group cognitive-behavioral (FGCB) preventative intervention for children (9-15 years old) whose parents have suffered from Major Depressive Disorder (MDD) significantly lowered the rates of MDD onset in children during a 2-year intervention period. The rates of MDD in children in the FGCB preventative intervention were reduced by half compared to a written information group in which families were mailed educational materials on depression. These findings suggest a need for effective preventive interventions for children of depressed parents.

Compas, B. E., Forehand, R., Thigpen, J. C., Keller, G., Hardcastle, E. J., Cole, D. A., & … Roberts, L. (2011). Family group cognitive–behavioral preventive intervention for families of depressed parents: 18- and 24-month outcomes. Journal Of Consulting And Clinical Psychology, 79(4), 488-499. doi:10.1037/a0024254

Adult ADHD: The Effects of Group CBT

NewStudy-Graphic-72x72_edited-3 A recent study in the Journal of Attention Disorders showed that brief Cognitive Behavioral Therapy (CBT) group sessions help to significantly decrease the psychological consequences of ADHD.

Adults diagnosed with ADHD are more likely than other adults to suffer from a range of social and emotional consequences, including co-morbid disorders. These comorbid disorders include anxiety, depression, personality disorder, substance abuse, academic underachievement, occupational problems, social interaction and relationship difficulties, low self-esteem, and poor self-identity. These additional symptoms are in large part due to adult patients’ late diagnosis and the adverse reactions their behavior prior to diagnosis aroused from others. Read more