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Journal of Clinical and
Basic Psychosomatics A review of balancing psychotherapy
Table 5. Innovative efficacy mechanisms in BPT clinical practice
Type of Sample Study aim Methods Results
disease size
Panic 29 To explore the effect of GBPT HRV was used to evaluate the No significant differences in HRV between the control
disorder on HRV efficacy. and GBPT groups.
GAD 29 To explore the effect of GBPT EPQ-RSC-N and FD-N scales The EPQ-RSC-N reduction rate in the treatment group
on neuroticism. were used rate after 8 weeks of was significantly higher than that in the control group,
intervention to evaluate the efficacy. while there was no significant difference between the
FD-N reduction rate in both groups.
33 To explore the effects of GBPT PSSS, SCSQ, and Goal pursuit scale No significant difference in scores between the two groups
and GCBT on the psychological were used to evaluate the efficacy. before and after the intervention.
quality of patients.
Abbreviations: BPT: Balancing psychotherapy; EPQ-RSC-N: Eysenck personality questionnaire-revised short scale-neuroticism;
FD-N: Four-dimensional neuroticism; GAD: Generalized anxiety disorder; GBPT: Group balancing psychotherapy; GCBT: Group cognitive behavioral
therapy; HRV: Heart rate variability; PSSS: Perceived social support scale; SCSQ: Simplified coping style questionnaire.
framework and treatment paradigms. The research standardize the research process. Future studies should
landscape has become increasingly diverse and innovative. also actively explore the efficacy and applicability of
Notably, the integration of VR into BPT has significantly BPT across a wider range of psychological disorders and
enhanced patient engagement and offers a promising demographic groups, including teenagers and the elderly.
avenue for future clinical practice. 26-28 Comparative studies Expanding the scope of the application will not only
between GBPT and GCBT have provided valuable insights, test BPT’s generalizability but also guide the refinement
allowing therapists to tailor interventions based on of its intervention protocols. Moreover, the therapeutic
individual differences to optimize treatment outcomes. process of BPT can be enriched by incorporating
25
Moreover, emerging research has introduced novel additional modalities such as hypnotherapy, music
physiological indicators such as the allostatic load index therapy, and biofeedback, alongside current tools such as
in VR-BPT treatment. Findings indicate that patients VR and sandbox games. In conclusion, continued clinical
with depression have significantly higher allostatic load innovation is needed to enrich the theoretical foundations
compared to healthy individuals, and elevated levels are and improve treatment effectiveness.
associated with poorer treatment outcomes. 28
BPT is grounded in the principles of “mastery of Acknowledgments
degree” and “coordination of relationship,” emphasizing None.
the importance of individualized, flexible treatment
plans. The treatment procedure is systematic and flexible. Funding
In terms of therapeutic efficacy, current studies extend None.
beyond symptom relief to encompass improvements in
emotional regulation, coping styles, and quality of life, thus Conflict of interest
underscoring the holistic benefits of BPT.
Yonggui Yuan is an Editor-in-Chief of this journal but was
Although BPT has shown great advantages and not in any way involved in the editorial and peer-review
significant effects in clinical application, several process conducted for this paper, directly or indirectly.
limitations persist in existing studies. The studies feature Separately, other authors declared that they have no known
small sample size and limited sample representativeness. competing financial interests or personal relationships that
In addition, the studies mainly use questionnaires could have influenced the work reported in this paper.
to evaluate the treatment effect, thereby introducing
subjectivity into the assessments. Besides, except for one Author contributions
case report that used individual BPT in adolescents with
depression, the other studies did not conduct follow-up. Conceptualization: Yonggui Yuan
In response to these problems, future studies can design Writing – original draft: Ni Yang
randomized controlled trials with larger samples, add Writing – review & editing: Yonggui Yuan
follow-up assessments to determine the long-term efficacy Ethics approval and consent to participate
of treatment methods and add objective indicators such
as examiner-rated scales and physiological indicators to Not applicable.
Volume 3 Issue 4 (2025) 18 doi: 10.36922/jcbp.8288

