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Transdiagnostic cognitive-behavioral group therapy for anxiety disorders: Therapists’ perception of group management in community-based care

Published online by Cambridge University Press:  01 September 2022

C. Durand ,
M. Provencher ,
P. Norton  and
P. Roberge
C. Durand*
Affiliation:
Université de Sherbrooke, Médecine De Famille Et Médecine D’urgence, Sherbrooke, Canada
M. Provencher
Affiliation:
Université Laval, École De Psychologie, Québec, Canada
P. Norton
Affiliation:
Cairnmillar Institute, Psychology, Hawthorn East, Australia
P. Roberge
Affiliation:
Université de Sherbrooke, Médecine De Famille Et Médecine D’urgence, Sherbrooke, Canada
*
*Corresponding author.

Abstract

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Introduction

Cognitive-behavioral therapy (CBT) is recognized as an effective treatment for anxiety disorders. Transdiagnostic group CBT (tCBT) targets cognitive and behavioural intervention strategies common to anxiety disorders. tCBT allows the treatment of a larger number of patients simultaneously and therapists only need to master a single intervention protocol. However, tCBT may present several challenges for therapists, particularly regarding group management.

Objectives

To explore therapists’ perceptions and experience of group management during tCBT for mixed anxiety disorders.

Methods

A qualitative study embedded in a randomized controlled trial of group tCBT (Roberge & Provencher; CIHR, 2015-2021). Semi-structured interviews were conducted with 18 of the 21 therapists to document their perceptions and to identify improvements for tCBT delivery. The data were analyzed using a deductive approach and based on the interactive cyclical process of data reduction, display and conclusion drawing.

Results

Therapists raised the challenge of the heterogeneous characteristics of participants’ anxious profile, since they had to be creative to provide exercises that were suitable for a whole group. Exposure exercises, a key component of tCBT, were particularly affected by the composition of the groups. Previous group animation experience and the ability to establish a therapeutic alliance from a group perspective were important facilitators. Co-therapy also facilitated the intervention, since it allowed the therapists to be more vigilant to group dynamics and favored the organization of tCBT.

Conclusions

This study highlights the importance of exploring therapists’ perceptions and experience about group management in order to identify facilitators and barriers of group tCBT in community-based care.

Disclosure

No significant relationships.

Keywords

QualitativeTherapistCBTAnxiety disorders
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S743
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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