Exploring mechanisms of change: The relationships between cognitions, symptoms, and quality of life over the course of group cognitive-behaviour therapy

Oei, Tian P. S.; McAlinden, Niamh M.; Cruwys, Tegan

doi:10.1016/j.jad.2014.06.040

Cited by 11 publications

(4 citation statements)

References 50 publications

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“…In contrast, depressive symptoms were negatively and strongly associated with worse global QOL. This is a finding that has been observed in many varied contexts (28)(29)(30). The prevalence of a depressive disorder tends to decrease with age but is generally higher among women (31).…”

Section: Discussionsupporting

confidence: 63%

Global Quality of Life Among WHI Women Aged 80 Years and Older

Naughton

Brunner

Hogan

et al. 2016

GERONA

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Section: Discussionsupporting

confidence: 63%

Global Quality of Life Among WHI Women Aged 80 Years and Older

Naughton

Brunner

Hogan

et al. 2016

GERONA

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“…Results of prior studies on the benefits of psychotherapy for AD and DD, results have been mixed ( 24 , 25 ). One study comparing patients with DD or AD undergoing group psychotherapy with or without booster sessions ( 26 ), found that symptoms improved in both groups, whereas a significant increase in the social relations domain was only reported for patients in the booster session group.…”

Section: Introductionmentioning

confidence: 99%

Determinants of quality of life improvements in anxiety and depressive disorders—A longitudinal study of inpatient psychotherapy

et al. 2022

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BackgroundQuality of life (QoL) is substantially impaired in patients with anxiety disorders (AD) and depressive disorders (DD) and improvements in symptom burden after psychotherapy are not always paralleled by similar improvements in QoL. So far, little is known about treatment outcome in terms of QoL and predictors of QoL improvements following inpatient psychotherapy with a focus on cognitive behavior therapy (CBT). The current study aimed at investigating the relationship between changes in symptoms and QoL across different life domains. Additionally, predictors of a positive treatment outcome were evaluated.Methods122 patients with AD and/or DD undergoing an 8-weeks inpatient CBT program completed self-report measures of psychopathological symptoms and QoL at pre- and post-treatment. Mixed effects models were used to investigate changes, a confirmatory factor analysis was applied to analyze the latent factor structure of the anxiety sensitivity index and binary logistic regression analyses were performed for predictors of QoL improvements.ResultsPatients showed moderate to strong decreases in anxious and depressive symptoms and moderate to strong improvements in general QoL, particularly in the psychological and physical QoL subdomains. Changes in symptom burden correlated most strongly with psychological and physical QoL. In addition, poor QoL before treatment and low levels of specific anxiety sensitivity symptoms (items 1 and 5) significantly predicted improvement in QoL.ConclusionPatients with poor QoL who are not as inhibited to openly express their anxious feelings particularly benefit from inpatient psychotherapy (individual and group) to improve their QoL. In contrast, our research suggests that patients who are too anxious to openly express their nervousness should receive additional social skills training, more focused treatment to build sufficient self-confidence to better engage in the treatment program.

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“…CBT focuses on unhelpful cognition and behaviors and improves QOL or social functioning as mentioned. In the previous research of anxiety disorder including panic disorder, generalized anxiety disorder, and posttraumatic stress disorder, QOL may change as a result of, or simultaneously with, anxiety symptom changes, not cognitive changes [ 12 ]. For the purpose of improving QOL or social functioning in CBT for these disorders, it may be useful to focus on achieving symptom improvements in preference to cognitive changes.…”

Section: Introductionmentioning

confidence: 99%

The Relationship between Symptoms and Social Functioning over the Course of Cognitive Behavioral Therapy for Social Anxiety Disorder

et al. 2020

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Background. The present study is aimed at investigating the relationship between changes in symptoms and changes in social functioning during cognitive behavioral therapy (CBT) for social anxiety disorder (SAD). Methods. Ninety-six patients with SAD were treated with manualized group CBT. Measures of social anxiety symptoms, depression symptoms, cognition, and social functioning were administered at baseline and endpoint. Using multiple regression analysis, we examined the associations between the changes in four aspects (work, home management, social leisure activities, and private leisure activities) of social functioning as dependent variables and the changes in four factors (social interaction, public speaking, observation by others, and eating and drinking in public) in social anxiety symptoms, depression symptoms, and cognition as independent variables. Results. The changes in work functioning were predicted by the changes in the public speaking factor in social anxiety symptoms. The changes in depression symptoms predicted the changes in home management. The significant predictors of changes in social leisure activities were the changes in the social interaction factor and depression symptoms. The changes in private leisure activities were predicted by the changes in the observation by others factor. The changes in cognition predicted nothing. Conclusion. The present study suggested that the changes in social anxiety or depression symptoms may predict several aspects of social functioning changes in patients with SAD over the course of CBT. In order to improve social functioning, our results may be useful for selecting the fear or feared situation in CBT for SAD. Trial Registration. The clinical study registration number in the Japanese trials registry is UMIN CTR 000031147.

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Exploring mechanisms of change: The relationships between cognitions, symptoms, and quality of life over the course of group cognitive-behaviour therapy

Abstract: Background: This study aimed to explain how quality of life changes during psychotherapy,

Cited by 11 publications

References 50 publications

Global Quality of Life Among WHI Women Aged 80 Years and Older

Global Quality of Life Among WHI Women Aged 80 Years and Older

Determinants of quality of life improvements in anxiety and depressive disorders—A longitudinal study of inpatient psychotherapy

The Relationship between Symptoms and Social Functioning over the Course of Cognitive Behavioral Therapy for Social Anxiety Disorder

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