Journal article
Does the Cohesion-Outcome Relationship Change Over Time? A Dynamic Model of Change in Group Psychotherapy
Group dynamics, Vol.23(2), pp.91-103
06/01/2019
DOI: 10.1037/gdn0000100
Abstract
Although it is well established that group cohesion is important for client improvement in group psychotherapy, less is known about how the cohesion-outcome relationship varies over the course of group therapy. No known study has formally tested the association between group cohesion and outcome as a dynamic relationship over the course of group therapy. Moreover, previous research has not routinely monitored cohesion and outcome session-to-session, which has limited researcher's ability to study the cohesion-outcome relationship at the session and member levels. Therefore, as part of a larger randomized clinical trial evaluating the efficacy of feedback in group therapy, the current study examined the cohesion-outcome relationship over time within-clients and between-clients. More specifically, we partitioned session-to-session cohesion data from 41 members across 5 interpersonal process groups into within-client and between-client predictors of well-being, and modeled interactions with time to test the development of the cohesion-outcome relationship across the span of the groups. Model fit comparisons indicated that a model testing within and between cohesion effects over time was a better fitting model compared to a model that tested within and between components that did not include a time effect. Additionally, our main analyses indicated that time significantly moderated the cohesion-outcome relationship at the client level (between-client effect), but not the session level (within-client effect). This means the between-client cohesion-outcome effect significantly increased over the course of the group. Implications for group practice and future directions are discussed.
Details
- Title: Subtitle
- Does the Cohesion-Outcome Relationship Change Over Time? A Dynamic Model of Change in Group Psychotherapy
- Creators
- Norah Chapman - Spalding UniversityDennis M Kivlighan III
- Resource Type
- Journal article
- Publication Details
- Group dynamics, Vol.23(2), pp.91-103
- Publisher
- Educational Publishing Foundation-American Psychological Assoc
- DOI
- 10.1037/gdn0000100
- ISSN
- 1089-2699
- eISSN
- 1930-7802
- Number of pages
- 13
- Language
- English
- Date published
- 06/01/2019
- Academic Unit
- Psychiatry; Internal Medicine; Psychological and Quantitative Foundations
- Record Identifier
- 9984359702102771
Metrics
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