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Approaches to Group Therapy for Depression: Effectiveness and Key Insights

This overview discusses the effectiveness of group therapy in treating depression, particularly focusing on couples' therapy. It highlights how couples can improve communication and problem-solving skills, which is crucial for those experiencing marital distress leading to depression. Studies show that group therapy is as effective as individual therapy, with many finding it more cost-effective. Factors influencing group therapy effectiveness, such as group cohesion and therapist relationships, are also explored, alongside meta-analytic findings on treatment outcomes.

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Approaches to Group Therapy for Depression: Effectiveness and Key Insights

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  1. Group Approaches to the treatment of Depression Based on pages 177-178 of the Course Companion

  2. What is group therapy? • Read page 168 of the Course Companion

  3. Group Therapy • Most group therapy for treating depression is couples’ therapy

  4. What happens at couple’s therapy?

  5. What happens at couple’s therapy? • Couples learn how to: • communicate more effectively • and problem-solve • increase positive interactions • decrease negative interchanges

  6. Jacobson et al (1989) • Couples’ therapy just as effective as other forms of treating the symptoms of depression • Most successful in treating women for whom marital distress is causing depression

  7. Which is better?Individual vs Group Therapy

  8. Toseland and Siporin (1986) • To date there haven’t been too many studies on the effectiveness of group therapy. • Toseland and Siporin (1986) reviewed 74 studies comparing individual with group treatment • 75% equally effective • 25% group treatment more effective • No evidence that individual treatment was more effective • 31% of cases, group treatment more cost effective

  9. McDermut et al. (2001) Meta-analysis of the effectiveness of group psychotherapy in the treatment of depression. 43 out of 48 studies showed statistically significant reductions in depressive symptoms after group psychotherapy 9 out of 48 showed no difference between group and individual therapy 8 out of 48 showed CBT to be more effective than psychodynamic therapy

  10. Meta- analysis • Why might there be such a difference between the meta-analysis of Toseland and Siporin and McDermut et al?

  11. Meta- analysis • Why might there be such a difference between the meta-analysis of Toseland and Siporin and McDermut et al? • According to Yalom (2005), one of the fathers of group therapy, it is highly problematic to collect data for group therapy. • A group dynamic presents so many different variables than individual therapy.

  12. 4 Factors to consider in group therapy • Group Cohesion • Exclusion (are there people who should be excluded?) • Confidentiality • Relationships with therapist

  13. Re-read pages 177-178 of the Course Companion • Search the internet for information on group therapy • Visit http://www.minddisorders.com/Flu-Inv/Group-therapy.html • Also read pages 173-174 of the Pearson’s sample chapter • Make notes • Compile a list of strengths and limitations of group therapy

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