ArticleAdministration and policy in mental health2024
Patients' and Therapists' Experiences of Standardized Group Cognitive Behavioral Therapy: Needs for a Personalized Approach.
Article in Administration and policy in mental health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Helpful and hindering factors in group-based cognitive-behavioral therapy for adolescents with obsessive-compulsive disorder: a qualitative study.BMC psychiatry · 2026Article
- The self-directed patient in guided internet-delivered CBT: a qualitative study of patient role expectations.Frontiers in psychology · 2026Article
- Changes to Refugee Mental Health During and After a Cross-Sector PTSD Intervention: A Qualitative Longitudinal Study About the Influence of Social Support, Life Events, and Agency.Culture, medicine and psychiatry · 2025Article
- Multi-component interventions combining psychotherapy and physical activity for children and young peoples' mental health: A scoping review.PLOS mental health · 2025Article
- Renewed Feedback-Informed Group Treatment for Patients with Anxiety and Depressive Disorders.Administration and policy in mental health · 2025Article
- Treatment Personalization and Precision Mental Health Care: Where are we and where do we want to go?Administration and policy in mental health · 2024Article
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Authors and funding
6 authors.
Funding
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Abstract
Personalizing psychotherapy can be challenging within standardized group Cognitive Behavioral Therapy (CBT), in which sessions are structured according to a protocol and must accommodate the needs and preferences of multiple patients. In the current study, we aimed to examine patients' and therapists' experiences of standardized group CBT and identify their perceptions of different patient needs. Furthermore, we explored how these needs can inform possible content of add-on interventions for patients who are not improving as expected during group CBT.We conducted 21 individual in-depth interviews with patients with depression and their therapists about their experiences during group CBT with Routine Outcome Monitoring (ROM) and feedback. Interviews were analyzed by using a hermeneutic-phenomenological thematic analysis. Five themes, representing different patient needs, were identified: (1) Individual attention, (2) Psychological exploration, (3) A focus on the patient's life outside of therapy, (4) Extended assessment, and (5) Agreement on therapeutic tasks.The study supports that "one size does not fit all" when it comes to psychotherapy. Patients have varying needs when they are not making progress in therapy, and these needs, when unmet, can negatively impact the overall experience of group CBT. By acknowledging the unique needs of each patient and providing additional individual sessions as necessary, we can move towards a more personalized approach that maximizes the benefits of group psychotherapy.
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