Psychosocial group therapy interventions for patients with physical disabilities: A scoping review of implementation considerations.

IF 1.9 4区医学 Q3 PSYCHOLOGY, CLINICAL Rehabilitation Psychology Pub Date : 2023-08-01 Epub Date: 2023-04-20 DOI:10.1037/rep0000491

Rosalie Steinberg, Stephanie Posa, Noorin Pattni, Marina B Wasilewski, Lawrence R Robinson, Sharon Jankey, Robert Simpson, Amanda L Mayo, Crystal MacKay, Steven Dilkas, Sander L Hitzig

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Abstract

Objective: Group therapy is an intervention that that has been well-studied in patients with medical illness and shown to optimize patients' wellbeing and mental health resource utilization. However, its implementation and effectiveness have not been adequately studied in those with physical disabilities. This review addresses current gaps by synthesizing the literature to examine implementation considerations in the use of psychosocial group therapy for anxiety and depression in individuals with physical disabilities.

Method: This review adhered to Arksey and O'Malley's methodological framework and the Preferred Reporting Items for Systematic Reviews and Meta-analyses extension for Scoping Reviews Checklist. Studies were identified through MEDLINE, EMBASE, PSYCINFO, and CINAHL. Included studies were qualitative, quantitative, or mixed methods research on participants with a physical disability, and undergoing psychosocial group therapy to address anxiety/depression.

Results: Fifty-five studies were included in the review. The most common physical disabilities were multiple sclerosis (n = 31) and Parkinson's disease (n = 13). Group Cognitive Behavioral Therapy was the most commonly used intervention, facilitated by individuals with formal mental health training. A majority of therapy sessions included cohorts of up to 10 patients, and occurred weekly. Almost half of the studies (n = 27) reported high adherence rates (80%-99%), and a large proportion found group therapy led to improvements in their samples on a range of outcomes.

Conclusion: Group therapies to address anxiety and depression are diverse, widely used, effective, and well-adhered to. This review may help practitioners develop, implement, and evaluate group programming for individuals with physical disabilities to address anxiety and depression. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

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身体残疾患者的社会心理团体治疗干预:实施考虑的范围审查。

目的:团体治疗是一种在内科疾病患者中得到充分研究的干预措施，并被证明可以优化患者的幸福感和心理健康资源利用。然而，其在身体残疾人群中的实施和有效性尚未得到充分研究。本综述通过综合文献来研究在使用心理社会团体治疗身体残疾患者的焦虑和抑郁方面的实施考虑，从而解决了目前的差距。方法:本综述遵循Arksey和O'Malley的方法框架，以及系统评价的首选报告项目和范围评价清单的元分析扩展。研究通过MEDLINE、EMBASE、PSYCINFO和CINAHL进行鉴定。纳入的研究包括对身体残疾的参与者进行定性、定量或混合方法的研究，并接受心理社会团体治疗以解决焦虑/抑郁。结果:共纳入55项研究。最常见的身体残疾是多发性硬化症(n = 31)和帕金森病(n = 13)。团体认知行为疗法是最常用的干预措施，由接受过正式心理健康培训的个人提供帮助。大多数治疗疗程包括多达10名患者的队列，每周进行一次。几乎一半的研究(n = 27)报告了高依从率(80%-99%)，很大一部分研究发现团体治疗导致了样本一系列结果的改善。结论:治疗焦虑抑郁的团体治疗方法多样、应用广泛、疗效显著、依从性好。本综述可以帮助从业者开发、实施和评估针对身体残疾个体的群体规划，以解决焦虑和抑郁问题。(PsycInfo数据库记录(c) 2023 APA，版权所有)。

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来源期刊

Rehabilitation Psychology Multiple-

CiteScore

4.80

自引率

7.40%

发文量

期刊介绍： Rehabilitation Psychology is a quarterly peer-reviewed journal that publishes articles in furtherance of the mission of Division 22 (Rehabilitation Psychology) of the American Psychological Association and to advance the science and practice of rehabilitation psychology. Rehabilitation psychologists consider the entire network of biological, psychological, social, environmental, and political factors that affect the functioning of persons with disabilities or chronic illness. Given the breadth of rehabilitation psychology, the journal"s scope is broadly defined.