Cognitive Therapy for Depression in a Group Format

Author(s):  
Steven D. Hollon ◽  
Mark D. Evans

2001 ◽  
Vol 29 (3) ◽  
pp. 311-332 ◽  
Author(s):  
Norma Morrison

In the present climate of limited resources and long waiting lists, it is not surprising that there is more emphasis on making sure that psychological treatments are not only clinically sound but also cost-effective. One solution to this is to provide time-limited, focused interventions such as cognitive therapy. Another obvious solution is to deliver treatment in groups rather than individually. However, what evidence is there that therapy can be delivered as effectively in groups as individually? This review will look at which different formats have been tried, what the advantages and disadvantages of those formats might be, which client groups have been targeted for cognitive- behavioural group therapy (CBGT), and whether a group format in general offers any advantages over individual CBT. Outcome studies and their implications for the use of CBGT are considered. Results suggest that, in most client groups, there is little difference in efficacy between group and individual CBT, although there is some evidence that results for some types of patient can be disappointing in CBGT. It may be that the best compromise in terms of cost- effectiveness between quality of therapy and quantity of patients treated is offered by large-scale psychoeducational didactic group therapy.



1995 ◽  
Vol 23 (4) ◽  
pp. 373-380 ◽  
Author(s):  
Michael Bristow ◽  
Jenifer Bright

This paper describes two interventions used to treat patients suffering with chronic depression. In the first (Study 1), a group of five sufferers from depression of more than one year's duration who had been unresponsive to, or declined drugs were given cognitive therapy for depression in a group format and followed up for a year afterwards. They were compared with a wait-list group with a similar natural history. The treatment group showed greater improvement than the wait list group and maintained most of their gains at follow-up. In the second (Study 2) four patients also suffering from chronic depression who scored highly on the Hollon Severity Index were treated in a cognitive therapy group over a more extended period (28 weeks) using the approach designed to treat personality disorder. Modest gains were made by some patients. The findings are discussed and suggestions for improvement are made.



1994 ◽  
Vol 39 (7) ◽  
pp. 387-390 ◽  
Author(s):  
A. Stravynski ◽  
R. Verreault ◽  
G. Gaudette ◽  
R. Langlois ◽  
S. Gagnier ◽  
...  

Twenty-four outpatients meeting DSM-III-R criteria for major depression were assigned to group behavioural-cognitive therapy either with or without antidepressant medication (imipramine). Eighteen patients completed 15 weekly sessions of treatment. Equivalent improvement was observed in both regimens after treatment. The results essentially maintained at six months follow-up. This suggests that a group format of behavioural-cognitive therapy is a viable therapeutic intervention for outpatients diagnosed as suffering from major depression. However, the addition of imipramine to group behavioural-cognitive therapy did not enhance the outcome.



ASHA Leader ◽  
2006 ◽  
Vol 11 (7) ◽  
pp. 3-14
Author(s):  
Mark Kander
Keyword(s):  


ASHA Leader ◽  
2017 ◽  
Vol 22 (10) ◽  
pp. 22-24
Author(s):  
Neela Swanson
Keyword(s):  


2014 ◽  
Vol 43 (4) ◽  
pp. 233-240 ◽  
Author(s):  
Thomas Heidenreich ◽  
Christoph Grober ◽  
Johannes Michalak

Unter den im Zentrum dieses Sonderhefts stehenden Neuentwicklungen nehmen achtsamkeitsbasierte Verfahren eine bedeutsame Rolle ein: Während die „Achtsamkeitsbasierte Stressreduktion” (mindfulness-based stress reduction, MBSR) bereits in der zweiten Hälfte der 1970er Jahre entwickelt wurde ( Kabat-Zinn, 1990 ), erlangte insbesondere die von Segal, Williams und Teasdale (2002) speziell für die Rückfallprävention bei rezidivierender depressiver Störung entwickelte „Achtsamkeitsbasierte Kognitive Therapie” (mindfulness-based cognitive therapy, MBCT) eine zunehmende Bedeutung im Bereich kognitiv-behavioraler Ansätze. Der vorliegende Beitrag geht zunächst auf den historischen und theoretischen Hintergrund der Achtsamkeitsbasierten Kognitiven Therapie ein. Im Anschluss daran wird die praktische Umsetzung des Gruppenkonzepts vorgestellt und der Stand der Forschung anhand aktueller Metaanalysen referiert. Der Beitrag schließt mit einer kritischen Diskussion einer allzu verkürzten Anwendung von Achtsamkeit in der klinischen Praxis.



Crisis ◽  
2018 ◽  
Vol 39 (6) ◽  
pp. 451-460 ◽  
Author(s):  
Megan S. Chesin ◽  
Beth S. Brodsky ◽  
Brandon Beeler ◽  
Christopher A. Benjamin-Phillips ◽  
Ida Taghavi ◽  
...  

Abstract. Background: Few investigations of patient perceptions of suicide prevention interventions exist, limiting our understanding of the processes and components of treatment that may be engaging and effective for high suicide-risk patients. Aims: Building on promising quantitative data that showed that adjunct mindfulness-based cognitive therapy to prevent suicidal behavior (MBCT-S) reduced suicidal thinking and depression among high suicide-risk patients, we subjected MBCT-S to qualitative inspection by patient participants. Method: Data were provided by 15 patients who completed MBCT-S during a focus group and/or via a survey. Qualitative data were coded using thematic analysis. Themes were summarized using descriptive analysis. Results: Most patients viewed the intervention as acceptable and feasible. Patients attributed MBCT-S treatment engagement and clinical improvement to improved emotion regulation. A minority of patients indicated that factors related to the group treatment modality were helpful. A small percentage of patients found that aspects of the treatment increased emotional distress and triggered suicidal thinking. These experiences, however, were described as fleeting and were not linked to suicidal behavior. Limitations: The sample size was small. Conclusion: Information gathered from this study may assist in refining MBCT-S and treatments to prevent suicidal behavior among high suicide-risk patients generally.



2002 ◽  
Vol 47 (5) ◽  
pp. 534-535
Author(s):  
Lynn P. Rehm
Keyword(s):  


1995 ◽  
Vol 40 (7) ◽  
pp. 695-695
Author(s):  
R. C. Prather


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