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Cited by 58Obsessive-Compulsive Spectrum DisordersAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychoanalysis and Psychopathology Research

Drop-out and efficacy of group versus individual cognitive behavioural therapy: What works best for Obsessive-Compulsive Disorder? A systematic review and meta-analysis of direct comparisons

Pozza, Andrea, Dèttore, Davide·2017·Psychiatry Research
DOI 10.1016/j.psychres.2017.09.056
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Abstract

Cognitive behavioural therapy (CBT) is the first-line psychological treatment for Obsessive-Compulsive Disorder (OCD). However, a relevant proportion of individuals with OCD remain untreated or inadequately treated. Group cognitive behavioural therapy (GCBT) may be an alternative treatment modality. Little knowledge is available about the efficacy between GCBT versus individual CBT, particularly on long-term secondary outcomes including anxiety and depression. In addition, drop-out rates have not been investigated by previous meta-analyses. The current systematic review and meta-analysis summarized evidence comparing drop-out rates between GCBT and individual CBT and efficacy at post-treatment and follow-up on OCD symptoms, depression and anxiety. A systematic review and meta-analysis according to PRISMA guidelines was conducted. Online databases were searched. Studies were included if using randomized designs comparing GCBT versus individual CBT. Six studies were included (n = 327). No difference was found between GCBT and individual CBT on drop-out rates with a medium non-significant effect. No difference resulted at post-treatment on OCD symptoms, depression, and anxiety. Analyses on a smaller number of studies indicated no difference at follow-up. Findings provided preliminary evidence that GCBT can be as effective as individual CBT. Further trials are required with higher quality and long-term assessments of quality of life.

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  • Group CBT can be as effective as individual CBT for anxiety-related disorders.

    “some studies indicate that group CBT can be as effective as individual CBT for anxietyrelated disorders (Oie & Boschen, 2009;Pozza & Dèttore, 2017;Sharp, Power, & Swanson, 2004;van Ingen & Novicki, 2009).”

    From Efficacy of an acceptance-based group behavioral therapy for generalized anxiety disorder. (2020) · cites this paper as Pozza & Dèttore, 2017

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Authors
Pozza, A., & Dèttore, D.
Affiliations
University of Florence (IT)
Corresponding author
Pozza, Andrea
ORCID
Venue
Psychiatry Research
Publisher
Elsevier BV
Published
2017-12
Volume
258
Pages
24-36
ISSN
0165-1781 (ISSN-L)
DOI
10.1016/j.psychres.2017.09.056
OpenAlex
W2760774408
Cited by
58
References
18
Citations by year
2026: 5 · 2025: 8 · 2024: 2 · 2023: 7 · 2022: 13 · 2021: 10 · 2020: 8 · 2019: 4 · 2018: 1
FWCI
0.54
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Psychiatry Research (publishedVersion)
  • PubMed (publishedVersion)
  • Florence Research (University of Florence) (submittedVersion)
  • Use Siena air (University of Siena) (submittedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
Keywords
obsessive-compulsive disorder, group cognitive behavioral therapy, treatment discontinuation, treatment efficacy, depression, anxiety, long-term outcomes, psychological intervention
MeSH terms
Anxiety, Depression, Humans, Obsessive-Compulsive Disorder, Patient Dropouts, Psychotherapy, Group, Quality of Life, Cognitive Behavioral Therapy, Databases, Factual, Treatment Outcome

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