Technische Universität Braunschweig, Humboldtstraße 33, 38106 Braunschweig, Germany,
Psychiatr Danub. 2020 Spring;32(1):115-121. doi: 10.24869/psyd.2020.115.
Group interventions can have negative effects for patients with anxiety disorders. Stimuli which provoke side effects may be the group setting, the content, or the interaction between the participants in the group. This study is the first to report negative effects from a cognitive behavioral group intervention, in comparison with an unspecific, recreational group for anxiety patients.
107 patients with work-related anxiety disorders were randomized to either a cognitive behavioral group therapy (work-coping group WG) or an unspecific group encounter aimed at increasing recreational activities (recreational group RG). Patients completed the Unwanted Events in Group Therapy Scale (UE-G scale).
In the work-coping group, 41.9% of the patients reported at least one relevant side effect, as compared to 28.9% in the recreational group. These included an increase in the perception of anxiety and work-problems, feelings of exposure to criticism and the development of negative views on group therapy as such.
This is the first randomized, controlled, therapy study in anxiety patients to systematically investigate side effects. Work-coping group interventions have, despite their useful main effects, specific negative effects, when compared with group encounters. Group psychotherapists or group moderators should be aware of the potential side effects in anxiety patients.
团体干预对焦虑症患者可能产生负面影响。引发副作用的刺激因素可能是团体环境、内容或团体成员之间的相互作用。本研究首次报告了认知行为团体干预的负面效应，与针对焦虑症患者的非特异性娱乐性团体进行了比较。
107 名与工作相关的焦虑症患者被随机分配到认知行为团体治疗（工作应对组 WG）或旨在增加娱乐活动的非特异性团体接触（娱乐组 RG）。患者完成了团体治疗中不想要事件量表（UE-G 量表）。
在工作应对组中，41.9%的患者报告至少有一个相关的副作用，而娱乐组为 28.9%。这些副作用包括焦虑和工作问题感知的增加、对批评的感觉暴露以及对团体治疗的负面看法的发展。
这是焦虑症患者中首个进行随机、对照、治疗研究以系统地调查副作用的研究。与团体接触相比，工作应对组干预措施尽管具有有益的主要效果，但也具有特定的负面效果。团体心理治疗师或团体主持人应意识到焦虑症患者的潜在副作用。
