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Group therapy for mood disorders: A meta-analysis
Psychotherapy Research ( IF 4.117 ) Pub Date : 2020-09-15 , DOI: 10.1080/10503307.2020.1817603
Rebecca A Janis 1 , Gary M Burlingame 2 , Hal Svien 2 , Jennifer Jensen 2 , Rachel Lundgreen 2
Affiliation  

Abstract

The addition of group psychotherapy as a specialty by the APA in 2018 creates a need for rigorous empirical reviews of group treatments for specific disorders. We conducted a meta-analysis of randomized controlled trials (RCTs) that tested the effect of group psychotherapy for mood disorders, including depression and bipolar disorder, at posttreatment and follow-up time-points, as well as rates of recovery and attrition. Major databases were searched for RCTs of group treatment for depression and bipolar disorder published from 1990 to 2018, which identified 42 studies across both disorders. Random effects meta-analyses indicated that group therapy for depression produced superior outcomes compared to waitlist control (WLC) and treatment as usual (TAU) and equivalent outcomes to medication. Similarly, group therapy for bipolar disorder produced superior outcomes to TAU. Analyses of recovery rates were conducted for depression, producing similar results to the main outcome analyses. Rates of attrition did not differ between group and comparison conditions for either disorder. These findings support group therapy for treating depression and bipolar disorder, although further research is needed comparing group treatment for bipolar disorder to medication.



中文翻译:

情绪障碍的团体治疗:荟萃分析

摘要

APA 于 2018 年将团体心理治疗增加为专业,因此需要对特定疾病的团体治疗进行严格的实证审查。我们对随机对照试验(RCT)进行了荟萃分析,测试了团体心理治疗对情绪障碍(包括抑郁症和躁郁症)在治疗后和随访时间点的效果,以及恢复率和自然减员率。检索了主要数据库中 1990 年至 2018 年发表的针对抑郁症和双相情感障碍团体治疗的随机对照试验,其中确定了 42 项针对这两种疾病的研究。随机效应荟萃分析表明,与等待名单对照(WLC)和照常治疗(TAU)相比,抑郁症的团体治疗产生了更好的结果,并且与药物治疗的结果相当。同样,双相情感障碍的团体治疗效果优于 TAU。对抑郁症的康复率进行了分析,得到了与主要结果分析相似的结果。对于这两种疾病,各组和比较条件之间的自然减员率没有差异。这些发现支持治疗抑郁症和双相情感障碍的团体治疗,尽管需要进一步研究比较双相情感障碍的团体治疗与药物治疗。

更新日期:2020-09-15
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