Perceived Group Climate as a Predictor of Long-Term Outcome in a Randomized Controlled Trial of Cognitive-Behavioural Group Therapy for Patients with Comorbid Psychiatric Disorders

Abstract

The results provide partial support for the use of the GCQ-S as a predictor of long-term follow-up in CBGT, and highlights perceived engagement as the most important dimension. Clinical implications are discussed.

Clima de grupo na terapia vocal de pacientes com Doença de Parkinson

“…The complementary treatment that was proposed in this research -with group dynamics and coaching strategiesreduced the feelings of anxiety (21) , of distress (22) and gave more self-confidence (25) , which favored the aspects that were evaluated in the group climate. Taking into account that the voice is shaped by individual aspects and by the environment where the communication takes place (26) , it is possible that these conditions promoted a better self-evaluation of the voice.…”

“…The EG patients were stimulated -by the group dynamics and coaching strategies -to face and deal with any conflicts, searching for alternatives to face them, to solve them and to overcome them. Therefore, the EG patients had less distress and anxiety to deal with adverse situations (21,22) .…”

“…It also interacts with the engagement, avoidance and conflict that are responsible for changes in the group climate (6,9) . It has been proven that during the therapeutic process, the engagement aspect increases (6,9) and assist for the reduction of psychiatric symptoms, such as mood disorders and interpersonal problems (21,22) . In addition, it establishes bonds of trust among the group members and promotes a collaborative environment (22) .…”

“…In addition, it establishes bonds of trust among the group members and promotes a collaborative environment (22) . Also, the group helps to decrease avoidance and conflict (9) by reducing the anxiety (21) and the feelings of distress (22) , what guarantees a better therapeutic result.…”

“…This tendency can be due to the small sample size and/or due to the limited time offer of group dynamics and coaching strategies. The avoidance and conflict aspects are directly proportional, therefore, there are no great distinctions among its results (9,21,22,25) . However, it is related to therapeutic limitations and to the group size, that is, there will be more conflict if the group has more members (27) .…”