Groups 4 Health Reduces Loneliness and Social Anxiety in Adults With Psychological Distress: Findings From a Randomized Controlled Trial

• Published in: Journal of consulting and clinical psychology 2019-09, Vol.87 (9), p.787-801
• Main Authors: Haslam, Catherine, Cruwys, Tegan, Chang, Melissa X.-L, Bentley, Sarah V, Haslam, S. Alexander, Dingle, Genevieve A, Jetten, Jolanda
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Aged; Antidepressants; Anxiety; Anxiety Disorders - therapy; Belonging; Clinical trials; Depressive Disorder, Major - therapy; Distress; Efficacy; Family physicians; Female; Follow-Up Studies; General Practitioners; Group Intervention; Group Processes; Health education; Human; Humans; Intervention; Loneliness; Male; Membership; Mental depression; Middle Aged; Phobia, Social - therapy; Psychological distress; Psychopharmacology; Psychotherapy - methods; Public health; Randomized Controlled Trials; Social Anxiety; Social development; Social Identification; Social Identity; Stress, Psychological - therapy; Test Construction; Treatment Outcome; Young Adult
• ISSN: 0022-006X; 1939-2117
• DOI: 10.1037/ccp0000427

Objective: Loneliness is a key public health issue for which various interventions have been trialed. However, few directly target the core feature of loneliness-lack of belonging. This is the focus of Groups 4 Health (G4H), a recently developed intervention that targets the development and maintenance of social group memberships to support health. Method: To investigate the efficacy of this intervention, a randomized controlled trial was conducted with participants (N = 120) assigned to G4H or treatment-as-usual (TAU) by computer software. Assessment of primary (loneliness) and secondary (depression, social anxiety, general practitioner visits, multiple group membership) outcomes was conducted at baseline and 2-month follow-up using mixed-model repeated-measures analyses. Results: G4H produced a greater reduction in loneliness (d = −1.04) and social anxiety (d = −0.46) than TAU (d = −0.33 and d = 0.03, respectively). G4H was also associated with fewer general practitioner visits at follow-up (d = −0.33) and a stronger sense of belonging to multiple groups (d = 0.52) relative to TAU (d = 0.30 and d = 0.33, respectively). Depression declined significantly in both G4H (d = −0.63) and TAU (d = −0.34), but follow-up analyses showed this was greater in G4H among those not receiving adjunct psychopharmacological treatment and whose symptoms were milder. Conclusions: Findings suggest that G4H can be a useful way to treat loneliness and highlight the importance of attending to group memberships when tackling this important social challenge. What is the public health significance of this article? This study demonstrates how an intervention derived from social identity theorizing can target social isolation and in so doing reduce loneliness and symptoms of depression and social anxiety.