E-mail support as an adjunct to cognitive-behavioral group therapy for social anxiety disorder: Impact on dropout and outcome

Delsignore, Aba; Rufer, Michael; Emmerich, Juliane; Weidt, Steffi; Brühl, Annette Beatrix; Moergeli, Hanspeter

doi:10.1016/j.psychres.2016.07.038

Cited by 9 publications

(8 citation statements)

References 24 publications

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“…Beyond this, seven from 10 service-user participants made positive mention of the clinic phone calls. This fits with findings that between session praise and encouragement improves attendance at group therapy (Blake et al, 1990) and that this may have particular benefits for service-users who have missed some sessions (Delsignore et al, 2016).…”

Section: Discussionsupporting

confidence: 86%

“…Randomized trials have compared engagement between types of group and tested interventions designed to improve engagement. However, these trials all found large variation in engagement within and between groups that was not accounted for by the variables theorized to affect engagement (Bakali, Wilberg, Klungsøyr, & Lorentzen, 2013;Blake, Owens, & Keane, 1990;Delsignore et al, 2016). Therefore, this literature leaves much unknown about engagement processes in any group therapy, let alone mindfulness-based groups for voice hearing.…”

Section: Introductionmentioning

confidence: 99%

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Building a Grounded Theory of Engagement in Mindfulness-Based Group Therapy for Distressing Voices

2018

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Mindfulness based group therapy shows promise as a treatment for distressing voice-hearing.However, fostering engagement in groups can be challenging, and no theory of engagement in group therapy for distressing voices exists to guide practice or research. This study employed Grounded Theory Method to build a theory of engagement in mindfulness based groups for distressing voices. Ten service-users and three therapists were interviewed about their experiences of such groups. The model that emerged involves a recursive process of investing in change and continually evaluating its usefulness and safety. Barriers to engagement were often overcome, but sometimes compromised perceived safety, leading to dropout. For others, group participation led to rewards, some of which were integrated beyond group termination. Group engagement can be encouraged by establishing universality around voice-hearing early, reducing uncertainty, sharing difficulties with mindfulness practices and mapping group progress to create a cohering sense of collaboration on therapy tasks.

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Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Building a Grounded Theory of Engagement in Mindfulness-Based Group Therapy for Distressing Voices

2018

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“…Research evaluating the effectiveness of additional supports has focused on additional support between sessions (e.g. Delsignore et al, 2016;Shingleton et al, 2013) and after treatment discontinuation in the form of aftercare. An aftercare online support group following psychiatric hospitalization was evaluated in an RCT (Ebert et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of cognitive behavioural group therapy for social anxiety disorder: long-term benefits and aftercare

Fogarty

Hevey

McCarthy³

2019

Behav. Cogn. Psychother.

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Background:Empirical research demonstrates the short- to medium-term efficacy and effectiveness of cognitive behavioural group therapy (CBGT) for social anxiety disorder (SAD). Little is known about the durability of gains beyond 1 year following treatment in real-life clinical settings. Literature regarding the impact of aftercare programs as an adjunct to CBGT treatment on SAD is scarce.Aims:To evaluate the long-term effectiveness of CBGT for SAD in a community sample and to explore the relationship between long-term treatment outcomes and aftercare support group attendance.Method:A longitudinal cohort design evaluated changes in standardized psychological measures assessing aspects of SAD, anxiety and depression. Questionnaires were completed before the program (time 1, N = 457), after the program (time 2, n = 369) and at an average of 4.6 years follow-up (time 3, n = 138).Results:Large treatment effect sizes at post-intervention were maintained at long-term follow-up on measures of SAD, anxiety and depression. There was no statistically significant relationship between frequency of attendance at an aftercare support group and degree of improvement from post-treatment severity on any measure.Conclusions:CBGT is an effective intervention in the long-term in a routine clinical setting and should be considered a viable treatment option for SAD. Recommendations for future research, treatment implications and study limitations are considered.

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“…Another option could include maintaining a connection with patients outside of the counseling sessions. A 2016 study suggests the implementation of email support as an adjunct to group CBT . Results of this study showed that patients at high risk of dropping out of therapy achieved better gains in management of psychiatric symptoms when receiving additional e‐mail support.…”

Section: Therapymentioning

confidence: 93%

Therapeutic interventions to lessen the psychosocial effect of vitiligo in children: A review

Cadmus

Lundgren

Ahmed

2018

Pediatric Dermatology

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Vitiligo commonly affects children, with half of affected individuals experiencing disease onset before the age of 20. Because childhood is a time of advancement in social and psychological development, understanding the extent of the effect of the disease and means of alleviation is crucial. Vitiligo has been shown to decrease children's quality of life, with greater distress in children with highly visible lesions and darker skin tones. This article reviews the literature regarding interventions that have been analyzed in children. Studies evaluating the effect of camouflage, cognitive behavioral therapy, psychological self-help tools, and support groups on the psychosocial aspects of vitiligo were included. The review highlights the ongoing need for studies to better understand the modalities described in this article, as well as others, such as skin dyes, bleaching creams, medical tattooing; week-long camps that cater to children with chronic skin disease; and biofeedback, that might have a role in preventing the psychosocial sequelae of childhood vitiligo.

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E-mail support as an adjunct to cognitive-behavioral group therapy for social anxiety disorder: Impact on dropout and outcome

Cited by 9 publications

References 24 publications

Building a Grounded Theory of Engagement in Mindfulness-Based Group Therapy for Distressing Voices

Building a Grounded Theory of Engagement in Mindfulness-Based Group Therapy for Distressing Voices

Effectiveness of cognitive behavioural group therapy for social anxiety disorder: long-term benefits and aftercare

Therapeutic interventions to lessen the psychosocial effect of vitiligo in children: A review

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