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

June S. L. Brown; Katie Sellwood; Jennifer K. Beecham; Mike Slade; Manoharan Andiappan; Sabine Landau; Tracy Johnson; Roger Smith

doi:10.1017/S135246581000072X

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

June S. L. Brown, Katie Sellwood, Jennifer K. Beecham, Mike Slade, Manoharan Andiappan, Sabine Landau, Tracy Johnson, Roger Smith

Research output: Contribution to journal › Article › peer-review

28 Citations (Scopus)

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.

Original language	English
Pages (from-to)	355 - 358
Number of pages	4
Journal	Behavioural and Cognitive Psychotherapy
Volume	39
Issue number	3
DOIs	https://doi.org/10.1017/S135246581000072X
Publication status	Published - May 2011

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10.1017/S135246581000072X

Cite this

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

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.",

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AU - Brown, June S. L.

AU - Sellwood, Katie

AU - Beecham, Jennifer K.

AU - Slade, Mike

AU - Andiappan, Manoharan

AU - Landau, Sabine

AU - Johnson, Tracy

AU - Smith, Roger

PY - 2011/5

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N2 - 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.

AB - 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.

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