Effects of Behavioral Activation Group Treatment Prior to Individual Therapy for Depression

IF 0.6 4区心理学 Q4 PSYCHOLOGY, CLINICAL

Zeitschrift Fur Klinische Psychologie Und Psychotherapie Pub Date : 2023-05-04 DOI:10.1026/1616-3443/a000707

Cara Limpächer, Max Ziem, Jürgen Hoyer

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Abstract

Abstract: Group therapy has the potential to reach more people seeking treatment at the same time while achieving similar success rates as individual therapy. We examined whether adding group therapy (behavioral activation) before individual therapy shortens the duration of therapy while being no less effective than pure individual therapy. In a cognitive behavioral therapy (CBT) outpatient clinic, we analyzed data from N = 290 patients diagnosed with depression. While comparing group plus individual versus pure individual therapy, we controlled for systematic differences using propensity score matching. Patients receiving group therapy prior to individual therapy waited significantly shorter for treatment and needed fewer individual sessions. Linear mixed model analysis of depression scores revealed a significant interaction between time and condition, indicating that patients in the combination treatment improved faster than patients who received individual therapy only. Prior group treatment with behavioral activation increases the efficiency of outpatient CBT for depression.

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行为激活组治疗对抑郁症个体治疗的影响

摘要：团体治疗有可能让更多的人同时寻求治疗，同时获得与个人治疗相似的成功率。我们研究了在个体治疗之前加入团体治疗（行为激活）是否缩短了治疗的持续时间，同时也不亚于纯粹的个体治疗。在一家认知行为疗法（CBT）门诊诊所，我们分析了290名被诊断为抑郁症的患者的数据。在比较组加个体治疗与纯个体治疗时，我们使用倾向评分匹配来控制系统差异。在个体治疗之前接受团体治疗的患者等待治疗的时间明显缩短，需要的个体疗程更少。抑郁症评分的线性混合模型分析显示，时间和病情之间存在显著的相互作用，表明接受联合治疗的患者比只接受单独治疗的患者改善得更快。先前的行为激活组治疗提高了门诊CBT治疗抑郁症的效率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Zeitschrift Fur Klinische Psychologie Und Psychotherapie PSYCHOLOGY, CLINICAL-

CiteScore

1.60

自引率

0.00%

发文量

期刊介绍： Organ der Deutschen Gesellschaft für Psychologie (DGPs) zugleich Organ der Fachgruppen Klinische Psychologie und Psychotherapie in der Deutschen Gesellschaft für Psychologie (DGPs), der Sektion Klinische Psychologie im Berufsverband Deutscher Psychologinnen und Psychologen (BDP), der Deutschen Gesellschaft für Verhaltenstherapie e.V. (DGVT), der Gesellschaft für wissenschaftliche Gesprächspsychotherapie e.V. (GWG), der Sektion Klinische Psychologie im Berufsverband Österreichischer Psychologinnen und Psychologen (B.Ö.P.) und der Arbeitsgemeinschaft für VerhaltensModifikation e.V. (AVM)