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Journal of Clinical and
            Basic Psychosomatics                                                   A review of balancing psychotherapy



            2.2. Inclusion criteria                            3.1. BPT sessions

            Studies were included if they utilized BPT as a therapeutic   At present, BPT is primarily implemented in clinical
            intervention for patients with various psychological disorders.  settings through two modalities: Individual BPT and
                                                               GBPT. The sessions are generally divided into eight 1-h
            2.3. Exclusion criteria                            sessions, which are conducted weekly, and facilitated by
                                                                                                        29
            Studies  were  excluded  if  they  involved BPT  in  patients   a designated consultant at a fixed time and place.  The
            without psychological disorders and/or incomplete   treatment is based on the thematic progression: Standing,
            application of BPT-related treatments.             conforming, maintaining, melting, breaking, repairing,
                                                               smoothing, and harmonizing. These themes are designed
            3. Results                                         to help clients gradually establish a balanced strategy and

            A total of nine studies fulfilled the inclusion criteria and   regain positive psychological functioning. 29
            were eligible for the final analysis. Empirical studies on the   Specifically, “standing”  focuses on  establishing  a good
            clinical application of BPT are summarized in Table 1.  relationship of trust between the consultant and the

            Table 1. Empirical studies of BPT in clinical practice
            Types of BPT  Types of disease  Sample sizes  Reference  Research aims     Research results
                                     BPT   Control
                                    group  group
            Individual BPT Adolescent   1    /   Zhang et al. 7  To study the effect of   The symptoms of depression and anxiety were
                       depressive                         individual BPT     significantly reduced, and the social functions
                       disorder                                              were recovered at the follow-up
                                      15    14   Zhang 12  To compare the efficacy   The drug combined with the BPT group was
                                                          of drug therapy and drug   more effective than the drug-alone group
                                                          combined with BP
                       Midlife depressive   30  30  Sun 22  To compare the efficacy of   Individual BPT was significantly more effective
                       disorder                           individual BPT and mental  than mental health education in relieving
                                                          health education in the   anxiety and depression, helping to coordinate
                                                          treatment of middle-aged   interpersonal relationships, alleviating loneliness,
                                                          patients           and improving the level of external goal pursuit
            GBPT       Panic disorder  14   15   Wang 23  To compare the efficacy of   GBPT combined with drugs was more effective
                                                          GBPT combined with drugs than drug therapy alone in improving anxiety
                                                                             and depression, severity of panic disorder, and
                                                                             panic-related symptoms
                       GAD            15    14   Liu 24   To compare the efficacy of   GBPT was more effective than group mental
                                                          GBPT and group mental   health lectures in relieving anxiety and
                                                          health lecture     depression as well as in reducing neuroticism
                                      14    19   Gao 25   To compare the efficacy of   GBPT was significantly more effective than
                                                          GBPT and GCBT      GCBT in relieving anxiety and somatization
                                                                             symptoms
            VR-BPT     OCD            15    15   Gu 26    To compare the efficacy of   Both treatment modalities could improve
                                                          BPT and VR-BPT     obsessive-compulsive symptoms, anxiety, and
                                                                             depression. VR-BPT was more effective than
                                                                             BPT alone. The VR-BPT group also showed
                                                                             significantly lower OCD scores, demonstrating
                                                                             an earlier treatment effect
                       Panic disorder  13   14   Zhu 27   To compare the efficacy   Both treatment modalities could alleviate panic
                                                          of VR-BPT and BPT   severity, anxiety, and depression symptoms.
                                                          combined with drugs  VR-BPT has a better effect than BPT on panic
                                                                             severity and anxiety symptoms
                       Depressive     30    30   Zhang 28  To compare the efficacy of   VR-BPT combined with drug therapy was more
                       disorder                           VR-BPT combined drug   effective than drug therapy alone in improving
                                                          therapy and drug therapy alone depression levels.
            Abbreviations: BPT: Balancing psychotherapy; GAD: Generalized anxiety disorder; GBPT: Group balancing psychotherapy;
            OCD: Obsessive-compulsive disorder; VR-BPT: virtual reality-based balancing psychotherapy.


            Volume 3 Issue 4 (2025)                         14                              doi: 10.36922/jcbp.8288
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