Group Cognitive Behavioural Analysis System of Psychotherapy (CBASP) for persistently depressed outpatients: a retrospective chart review.
Background: Cognitive behavioural analysis system of psychotherapy (CBASP) is an effective individual treatment for persistent depressive disorder (PDD), but evidence on group treatment (Group‐CBASP) is limited. Our aim was to review the effect of Group‐CBASP on self‐report depression severity in ou...
| Publicado en: | British Journal of Clinical Psychology Vol. 59; no. 4; pp. 552 - 565 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Nov2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=146526706&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 146526706 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01446657 99B jtl: British Journal of Clinical Psychology issn: 01446657 maglogo: Y pubinfo: dt: Nov2020 vid: 59 iid: 4 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 146526706 145898917 146526706 146526706 10.1111/bjc.12266 146526706 ppf: 552 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Group Cognitive Behavioural Analysis System of Psychotherapy (CBASP) for persistently depressed outpatients: a retrospective chart review. aug: au: Potijk, Marieke R. aan het Rot, Marije Parlevliet, Frieda M. Schoevers, Robert A. Eldering, Marieke J. affil: University Center Psychiatry, University Medical Center Groningen, University of Groningen,, The Netherlands sug: subj: Psychotherapy, Group Methods Cognitive Therapy Methods Chronic Disease Therapy Depression Therapy Self Report Severity of Illness Age of Onset Treatment Outcomes Evaluation Human Retrospective Design Record Review Outpatients Psychiatric Patients Questionnaires Prospective Studies Effect Size Descriptive Statistics ab: Background: Cognitive behavioural analysis system of psychotherapy (CBASP) is an effective individual treatment for persistent depressive disorder (PDD), but evidence on group treatment (Group‐CBASP) is limited. Our aim was to review the effect of Group‐CBASP on self‐report depression severity in outpatients with PDD, overall and by age of depression‐onset. Methods: A retrospective chart review study (November 2011–March 2017) in 54 patients with PDD (29 late‐onset, 25 early‐onset). Patients were previously treated by pharmacotherapy (92.6%), psychotherapy (98.1%) and/or electroconvulsive therapy (11.1%). Group‐CBASP involved 24 weekly sessions during 6 months, followed by individual appointments over 6 months. The Inventory of Depressive Symptoms ‐self rating(IDS‐SR) was used at baseline and after 3, 6, 9 and 12 months, computing mean differences and response rates. Results: The mean IDS‐SR score decreased significantly from 39.83 at baseline to 33.78 at 6 months: a decrease from severe to moderate depression after 24 weeks of Group‐CBASP, with a medium effect size (Cohen's d =.49). At 12 months, the mean IDS‐SR score was 32.81, indicating moderate symptom levels remained. At 6 and 12 months, mean IDS‐SR scores were similar among late‐ versus early‐onset patients, but at 12 months response rates were higher among late‐onset patients. Limitations: Although results of our study provide valuable input for future prospective studies, limitations were the use of a retrospective design and the small group size. Conclusion: Group‐CBASP offered to an outpatient population with PDD was associated with clinically relevant decrease in self‐reported symptom severity, and with sustained response particularly in patients with late onset of depression. Practitioner points: Group‐CBASP seems to be a good alternative for CBASP in individual setting.Patients with late age of depression‐onset seem to benefit more from Group‐CBASP.This study shows that clinical relevant effects of Group‐CBASP, followed by individual contacts, remain at least for 6 months.Research on personalizing treatment strategies is needed to improve patient assignment for Group‐CBASP. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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