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Outcome, Costs and Patient Engagement for Group and Individual CBT for Depression: A Naturalistic Clinical Study

Published online by Cambridge University Press:  16 March 2011

June S. L Brown ,
Katie Sellwood ,
Jennifer K. Beecham ,
Mike Slade ,
Manoharan Andiappan ,
Sabine Landau ,
Tracy Johnson  and
Roger Smith
June S. L Brown*
Affiliation:
King's College London, Institute of Psychiatry, UK
Katie Sellwood
Affiliation:
King's College London, Institute of Psychiatry, UK
Jennifer K. Beecham
Affiliation:
University of Kent, Canterbury, UK
Mike Slade
Affiliation:
King's College London, Institute of Psychiatry, UK
Manoharan Andiappan
Affiliation:
King's College London, Institute of Psychiatry, UK
Sabine Landau
Affiliation:
King's College London, Institute of Psychiatry, UK
Tracy Johnson
Affiliation:
King's College London, Institute of Psychiatry, UK
Roger Smith
Affiliation:
University Hospital, Lewisham, UK
*
Reprint requests to June Brown, Psychology Department (PO77), King's College London, Institute of Psychiatry, De Crespigny Park, London SE5 8AF, UK. E-mail: june.brown@kcl.ac.uk
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Abstract

Background and Method: This naturalistic study was undertaken in routine settings and compared the clinical effectiveness, costs, treatment preference, attrition and patient satisfaction of Group and Individual CBT. Results: No significant differences were found in depressive and distress symptoms between group and individual CBT at post-treatment and follow-up. Individual CBT was 1.5 times more expensive to provide than Group CBT and the wider costs of other supports were similar between study arms suggesting a cost-effectiveness advantage for Group CBT. Patients preferred individual treatment at baseline but, despite this, there were no between-group differences in attrition or satisfaction. Conclusion: A larger RCT study is needed, but running CBT groups for depression could be considered more frequently by clinicians.

Keywords

DepressionCognitive-Behavioural Therapy (CBT)treatment preferencegroup treatmentcosts
Type
Brief Clinical Reports
Information
Behavioural and Cognitive Psychotherapy , Volume 39 , Issue 3 , May 2011 , pp. 355 - 358
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2011

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