Preliminary Evaluation of an Observational Measure of Group Cohesion for Group Psychotherapy

Lerner, Matthew D.; McLeod, Bryce D.; Mikami, Amori Yee

doi:10.1002/jclp.21933

Cited by 14 publications

(17 citation statements)

References 54 publications

(114 reference statements)

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“…Interestingly, though, the effect was broadly similar to that found across all child and adolescent group treatment ( d = 0.61; Hoag & Burlingame, 1997), indicating that grouping youth with common concerns and providing a venue to directly, collaboratively, and strategically address them may yield a generalized benefit, perhaps via a common, nonspecific factor such as group cohesion (Lerner et al, 2013). …”

Section: Discussionmentioning

confidence: 60%

Efficacy of group social skills interventions for youth with autism spectrum disorder: A systematic review and meta-analysis

Gates

Kang

Lerner

2017

Clinical Psychology Review

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Group-based social skills interventions (GSSIs) are widely used for treating social competence among youth with autism spectrum disorder (ASD), but their efficacy is unclear. Previous meta-analysis of the literature on well-designed trials of GSSIs is limited in size and scope, collapsing across highly heterogeneous sources (parents; youths; teachers; observers; behavioral tasks). The current meta-analysis of randomized control trials (RCTs) was conducted to ascertain overall effectiveness of GSSIs and differences by reporting sources. Nineteen RCTs met inclusion criteria. Results show that overall positive aggregate effects were medium (g = 0.51, p < 0.001). Effects were large for self-report (g = 0.92, p < 0.001), medium for task-based measures (g = 0.58, p < 0.001), small for parent- and observer-report (g = 0.47 and 0.40, respectively, p < 0.001), and nonsignificant for teacher-report (p = 0.11). Moderation analyses of self-report revealed the effect was wholly attributable to youth reporting that they learned about skilled social behaviors (social knowledge; g = 1.15, p < 0.01), but not that they enacted them (social performance; g = 0.28, p = 0.31). Social skills interventions presently appear modestly effective for youth with ASD, but may not generalize to school settings or self-reported social behavior.

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Section: Discussionmentioning

confidence: 60%

Efficacy of group social skills interventions for youth with autism spectrum disorder: A systematic review and meta-analysis

Gates

Kang

Lerner

2017

Clinical Psychology Review

Self Cite

304

239

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“…Is cohesion as a whole (vertical and horizontal) or member to member (e.g., bonding) most important? To address these concerns, an externally scored observational measure was developed that does not rely upon individual group members filling out a scale or inventory (Lerner, McLeod, & Mikami, 2013).…”

Section: Review Of Literaturementioning

confidence: 99%

An Exploration of Cohesion and Recovery Outcomes in Addiction Treatment Groups

Pooler

Qualls

Rogers

et al. 2014

Social Work with Groups

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This article explores the relationship between group cohesion and recovery outcome variables in inpatient addiction treatment groups. We surveyed 104 people in group therapy using measures of cohesion, self-efficacy, social support, and coping. Length of stay in treatment has a relationship with cohesion. Significant higher order interactions were found with group cohesion (length of stay by type of addiction and length of stay by type of referral). The interaction of gender by addiction on measures of social support and self-efficacy were also significant. The latent construct of collective efficacy was confirmed using factor analysis, and we discuss collective efficacy and implications for group work with addictions.

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“…It is possible that non-specific factors, such as the quality of the alliance could be investigated, but these factors have not consistently predicted effects in previous studies (Chiu et al, 2009;Liber et al, 2010;Southam-Gerow et al, 2021). Group cohesion, defined as a client's sense of belonging and bonding toward other members in group therapy, may also play an important role in predicting outcomes in group CBT (Lerner et al, 2013;see Luong et al, 2021), but this has not been investigated in group CBT for youth anxiety. More research is needed to identify the factors that account for improvement within CBT for youth anxiety.…”

Section: Discussionmentioning

confidence: 99%

Treatment Fidelity in Brief Versus Standard-Length School-Based Interventions for Youth with Anxiety

Husabø

Haugland

McLeod

et al. 2021

School Mental Health

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To examine treatment fidelity in a randomized controlled trial of indicated school-based cognitive-behavioral therapy (CBT) delivered in groups to youth with anxiety. We investigated whether adherence and competence (a) differed across brief and standard-length CBT, and (b) if adherence and competence predicted change in anxiety symptoms and impairment. Method: Sessions were observationally coded with the Competence and Adherence Scale for CBT for Anxiety Disorders in Youth. Coders (N = 7) rated 104 sessions from 52 groups delivered by 32 facilitators (M age = 43.2 years, SD = 8.1) to 295 youth (M age = 14.0 years, SD = 0.8). Outcomes were youth- and parent-reported anxiety symptoms and impairment at post-intervention and 1-year follow-up. Linear mixed effect models were used to analyze whether fidelity predicted clinical outcomes. Results: Levels of adherence and competence were adequate in both programs, but higher in brief compared to standard-length CBT p < .001 and p = .010, respectively). Neither adherence nor competence predicted clinical outcomes at any timepoints. Conclusion: Higher levels of adherence and competence in brief CBT suggest that it may be easier for novice CBT providers to achieve fidelity in simplified and less flexible interventions. Contrary to expectation, adherence and competence did not predict clinical outcomes.

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Preliminary Evaluation of an Observational Measure of Group Cohesion for Group Psychotherapy

Abstract: This preliminary study suggests that the TPOCS-GC is a reliable instrument that may help fill an instrumentation gap in the field.

Cited by 14 publications

References 54 publications

Efficacy of group social skills interventions for youth with autism spectrum disorder: A systematic review and meta-analysis

Efficacy of group social skills interventions for youth with autism spectrum disorder: A systematic review and meta-analysis

An Exploration of Cohesion and Recovery Outcomes in Addiction Treatment Groups

Treatment Fidelity in Brief Versus Standard-Length School-Based Interventions for Youth with Anxiety

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