Cognitive Behavioral Therapy Comparing Group, Family, and Individual Settings

Cognitive Behavioral Therapy Comparing Group, Family, and Individual Settings

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Cognitive Behavioral Therapy Comparing Group, Family, and Individual Settings

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According to Guo et al. (2021), children and adolescents with anxiety can receive individual cognitive-behavioral therapy (I-CBT) or group cognitive-behavioral therapy (G-CBT); however, it is unclear which has a better outcome. In nine randomized control trials (RCTs) performed on post-treatment results, no significant difference between I-CBT and G-CBT in efficacy or acceptance were found. However, when age was the measure, I-CBT was definitively significant compared to G-CBT in adolescents post-treatment than in children.

Another example is adolescent eating disorders (Dalle Grave et al., 2019). Family-based treatment (FBT) and enhanced cognitive behavioral therapy (CBT-E) view an eating disorder differently. Dalle Grave et al. (2019) state that FBT is the top-recommended form of therapy in treating adolescents with an eating disorder. FBT is great when the parents are committed to the treatment but a failure when parents, or only one parent, show up for the appointments. However, CBT-E has shown promising results in children and adolescents, ages 11 to 19, when FBT is ineffective.

One challenge that a PMHNP can encounter when using CBT is a patient’s distorted views of themselves, others, and their future (Psyche Exam Review, 2019). The combination of distortions is called the cognitive triad (Psyche Exam Review, 2019). Another challenge is the co-occurrence of medical problems and psychiatric issues. Cook et al. (2017) state that when a patient has medical issues, it affects a person receiving mental health services related to the costs. When medical problems are present, patients have such costs that they do not adhere to their psychiatric care needs.

Each resource used to support this discussion is scholarly and peer-reviewed by the National Library of Medicine (NIH). The NIH site offers highly valuable, reliable, and credible articles.

Cognitive Behavioral Therapy Comparing Group, Family, and Individual Settings

References

Cook, S. C., Schwartz, A. C., & Kaslow, N. J. (2017). Evidence-Based Psychotherapy: Advantages and Challenges. Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics, 14(3), 537–545. https://doi.org/10.1007/s13311-017-0549-4

Dalle Grave, R., Eckhardt, S., Calugi, S., & Le Grange, D. (2019). A conceptual comparison of family-based treatment and enhanced cognitive behavior therapy in the treatment of adolescents with eating disorders. Journal of eating disorders, 7, 42. https://doi.org/10.1186/s40337-019-0275-x

Guo, T., Su, J., Hu, J., Aalberg, M., Zhu, Y., Teng, T., & Zhou, X. (2021). Individual vs. Group Cognitive Behavior Therapy for Anxiety Disorder in Children and Adolescents: A Meta-Analysis of Randomized Controlled Trials. Frontiers in psychiatry, 12, 674267. https://doi.org/10.3389/fpsyt.2021.674267

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Psych Exam Review. (2019, April 30). Cognitive therapy, CBT & group approaches (intro psych tutorial #241) [Video]. YouTube. https://www.youtube.com/watch?v=A2_NN1Q7Rfg

A conceptual comparison of family-based treatment and enhanced cognitive behavior therapy.pdf

Evidence-Based Psychotherapy_ Advantages and Challenges – PMC.pdf

Individual vs. Group Cognitive Behavior Therapy for Anxiety Disorder.pdf

Cognitive Behavioral Therapy Comparing Group, Family, and Individual Settings

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