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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
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