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

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 b...

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Bibliographic Details
Published in:Behavioural and cognitive psychotherapy 2011-05, Vol.39 (3), p.355-358
Main Authors: Brown, June S. L, Sellwood, Katie, Beecham, Jennifer K., Slade, Mike, Andiappan, Manoharan, Landau, Sabine, Johnson, Tracy, Smith, Roger
Format: Article
Language:English
Subjects:
Adult
Behavior therapy. Cognitive therapy
Biological and medical sciences
Clinical outcomes
Clinical practice guidelines
Cognition & reasoning
Cognitive Therapy - economics
Cost-Benefit Analysis
Costs
Depressive Disorder - economics
Depressive Disorder - psychology
Depressive Disorder - therapy
Female
Follow-Up Studies
Group psychotherapy
Humans
Male
Medical sciences
Mental depression
Mental health
Middle Aged
Patient Acceptance of Health Care - psychology
Patient Satisfaction
Patients
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychotherapies. Psychological and clinical counseling
Psychotherapy, Group - economics
Therapy
Treatment Outcome
Treatments
United Kingdom
Young Adult
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Summary: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.
ISSN:1352-4658
1469-1833
DOI:10.1017/S135246581000072X