Treating Anxiety in a Managed Care Setting: A Controlled Comparison of Medication Alone Versus Medication Plus Cognitive-Behavioral Group Therapy

Mitchell, C G B

doi:10.1177/104973159900900204

Cited by 7 publications

(4 citation statements)

References 12 publications

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“…Of 25 reviewed studies, 16 reported on interventions that utilized a group modality, and two reported on classroom-based interventions. Numerous outcome studies of interventions delivered to groups of participants were published in the past several years (see, e.g., Auslander, Haire-Joshu, Houston, Williams, & Krebill, 2000;McKay, Gonzales, Quintana, Kim, & Abdul-Adil, 1999;Mitchell, 1999;Pomeroy, Kiam, & Abel, 1999;Rice, 2001;Rotherman-Borus, Murphy, Fernandez, & Srinivasan, 1998). Children who are research participants are often clustered into schools or classrooms (Abbott et al, 1998;Spoth et al, 1998).…”

Section: Outcome Studiesmentioning

confidence: 99%

Using Multilevel Statistical Models in Social Work Intervention Research

Nash

Kupper²,

Fraser³

2004

Journal of Social Service Research

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ABSTRACT. Statistical analyses of data from a classroom-based study illustrate the need to account for intra-class clustering in studies involving schools, classrooms, and other higher order units of analysis. Students were clustered in homerooms that were assigned to intervention and comparison conditions. Standard multiple linear regression analysis yielded a significant group effect but incorrectly ignored intra-cluster response correlations. A multilevel model appropriately accounting for the dependency among responses in the same cluster yielded a nonsignificant group effect. Implications for the analysis of intervention research data are discussed.

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Section: Outcome Studiesmentioning

confidence: 99%

Using Multilevel Statistical Models in Social Work Intervention Research

Nash

Kupper²,

Fraser³

2004

Journal of Social Service Research

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“…Therefore, this approach is well suited for addressing the anxiety of practicum students. More recent research also showed that cognitive interventions were highly effective in relieving anxiety (Borkovec & Costello, 1995;Mitchell, 1999). For example, Mitchell studied the effects of medication alone versus medication combined with cognitive-behavioral group therapy in the treatment of panic disorder.…”

Section: Cognitive Interventionsmentioning

confidence: 99%

Using Cognitive Interventions With Counseling Practicum Students During Group Supervision

Fitch

Marshall

2002

Couns Edu & Supervision

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The authors argue that students in counseling practicum courses experience many self‐defeating thoughts and anxieties. These worries can impede their performance as new counselors and can have a negative impact on the supervision process. The authors outline innovative methods used by cognitive therapists to address this anxiety. In addition, a model is presented for counselor educators to use cognitive restructuring techniques as a supervision tool. Summary Throughout their studies, counseling graduate students face many possible fears and anxieties that arise from their classroom experiences. The greatest fears and anxieties seem to be related to the counseling practicum experience. This experience is one in which students may feel incompetent, vulnerable, and unskilled as they begin to put their classroom knowledge and experiences into practice. If these fears and anxieties persist, students have a hard time making progress in the area of the counseling relationship and skill building. We have examined how practicum students' fears and anxieties might be addressed, using cognitive interventions. Such interventions allow students to take irrational thoughts and change them to rational thought patterns. This is accomplished by asking students to state their fears verbally, to think about the effects of the fears and the consequences, to think about intervening beliefs and thoughts, and to restate the fears in a rational manner. Our experience suggests that cognitive interventions are useful strategies to help practicum students combat fears and anxieties. Further research might examine the use of other behavioral interventions to address these fears. For example, does role‐playing a counseling technique in supervision make a student less anxious about applying it in a real counseling session? In summary, fear and anxiety can impede the preparation of counselors during their practicum experiences. Understanding the underlying thoughts that cause these fears can help students overcome self‐defeating thought patterns. Cognitive restructuring techniques have been shown to reduce tension and can be used with counseling practicum students to help relieve performance and supervision anxiety.

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“…Sin embargo, con población adulta, el tema está muy poco desarrollado. Algunas aproximaciones al respecto son las contribucio-nes de Keen (1991) y Mitchell (1999) o los programas de autoayuda mediante computador de Marks et al (2003).…”

Section: Introductionunclassified

Protocolo de tratamiento psicológico grupal para abordar sintomatología deansiedad

Monleón¹,

Rodríguez²,

Valle³

et al. 2004

RPPC

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El presente trabajo propone un protocolo de terapia grupal para el tratamiento de los síntomas en lugar de los trastornos como estrategia para reducir la presión asistencial existente en las Unidades de Salud Mental. En concreto, se ofrece un protocolo para tratar sintomatología de ansiedad a nivel grupal desde la perspectiva cognitivo-conductual. Se incluye la descripción del contenido de cada sesión, un modelo explicativo de la ansiedad y un sistema de registro que contempla la psicopatología y las estrategias de afrontamiento de la ansiedad.Palabras clave: Estudio teórico, protocolo de tratamiento, síntomas de ansiedad, terapia de grupo. Psychological group therapy to manage anxiety symptomatologyThis work present a psychological group therapy protocol to manage symptoms instead of mental disorders aimed at reducing assistance demand in Mental Health Units. The protocol consists of a group therapy program to manage anxiety symptoms from a cognitive-behavioural perspective. It includes a detailed description of the content of each session, as well as an explanatory model of anxiety and a complete checklist that considers the psychopathology and the anxiety coping strategies.

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Treating Anxiety in a Managed Care Setting: A Controlled Comparison of Medication Alone Versus Medication Plus Cognitive-Behavioral Group Therapy

Cited by 7 publications

References 12 publications

Using Multilevel Statistical Models in Social Work Intervention Research

Using Multilevel Statistical Models in Social Work Intervention Research

Using Cognitive Interventions With Counseling Practicum Students During Group Supervision

Protocolo de tratamiento psicológico grupal para abordar sintomatología deansiedad

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