Comparing the effectiveness of cognitive behaviour therapy using individual or group therapy in the treatment of depression

2.50
Hdl Handle:
http://hdl.handle.net/10755/163849
Category:
Abstract
Type:
Article
Level of Evidence:
Systematic Review
Research Approach:
Translational Research/Evidence-based Practice
Title:
Comparing the effectiveness of cognitive behaviour therapy using individual or group therapy in the treatment of depression
Author(s):
Lockwood, Craig; Page, Tamara; Conroy-Hiller, Tiffany
Author Details:
Craig Lockwood, RN, BN, GradDipNSc(AcuteCare), MNSc, Department of Clinical Nursing, Royal Adelaide Hospital, North Terrace, Adelaide, SA, 5000, Australia, email: craig.lockwod@adelaide.edu.au; Tamara Page, RN, BN, HyperbaricNursCert, GradDipNSc(HighDep), MNSc; Tiffany Conroy-Hiller, RN, BN, DipBusFLM, GradCertUnivTechLearn
Abstract:
Objectives: The objective of this review was to present the best available information on the use of cognitive behaviour therapy using either group cognitive therapy (GCT) or individual cognitive therapy (ICT) in the treatment of depression. The primary question to be addressed in this review was: For the treatment of long-term depression, using a cognitive behavioural approach, is group therapy or individual therapy the most effective?
Inclusion criteria: Studies that included adolescents or adults with long-term depression and a measured Beck Depression Inventory (BDI) value of equal to or greater than 12 or Hamilton Rating Scale for Depression (HRSD) of equal to or greater than 14 were included. Interventions of interest were forms of cognitive behaviour therapy utilising either an individual or group approach. For the purpose of this review individual therapy was regarded as a one-to-one interaction between the patient and the therapist. Group therapy excluded family therapy. This review excluded studies that involved pharmacotherapy alone as the only intervention and studies that involved combined group and individual treatment. Outcome measures of interest were reduction in depression inventory scores, specifically the BDI and/or the HRSD. This study considered any randomised or pseudo-randomised controlled trials that addressed the use or comparison of GCT or ICT. Results: Individual and group cognitive behavioural therapies for moderately or severely depressed adults (BDI equal to or greater than 14) were comparable with each other in effectiveness and both were superior to providing no treatment at all. Individual cognitive therapy was equal to or better than tricyclic antidepressant drugs given at recommended therapeutic dosages for depressed people with a mean BDI of 30. This information was based on level II evidence. Recommendations: The following recommendations were made for adults: 1) Either GCT or ICT can be used to treat moderate to severe depression. The choice of therapy should be dependent upon the clinician's perceived receptiveness of the particular patient to group or individual treatment. 2) The use of computer-assisted therapy is a useful adjunct to GCT in moderate to severely depressed patients. 3) ICT can effectively replace pharmacotherapy in moderate to severely depressed patients if the patient is opposed to being treated with drug therapy. 4) GCT has not been compared to pharmacotherapy so no direct recommendation can be given as to its effectiveness as a replacement therapy.
The following recommendations were made for adolescents: 1) Either GCT or ICT can be used to treat moderately depressed adolescents (BDI equal to or greater than 14). 2) More research is needed to determine the effectiveness of GCT or ICT in severely depressed adolescents (BDI equal to or greater than 20).
Keywords:
Behavior Therapy; Depression; Psychotherapy, Evaluation; Group Psychotherapy
Repository Posting Date:
27-Oct-2011
Date of Publication:
2004
Citation:
Lockwood, C., Page, T., & Conroy-Hiller, T. (2004). Comparing the effectiveness of cognitive behaviour therapy using individual or group therapy in the treatment of depression.�JBI Reports,2(5), 185-206.
Publisher:
Joanna Briggs Institute
Conference Date:
2006
Conference Name:
Joanna Briggs Institute 2006 International Convention
Conference Host:
Joanna Briggs Institute
Conference Location:
Hilton Adelaide, South Australia
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typeArticleen_GB
dc.evidence.levelSystematic Reviewen_US
dc.research.approachTranslational Research/Evidence-based Practiceen_US
dc.titleComparing the effectiveness of cognitive behaviour therapy using individual or group therapy in the treatment of depressionen_GB
dc.contributor.authorLockwood, Craigen_US
dc.contributor.authorPage, Tamaraen_US
dc.contributor.authorConroy-Hiller, Tiffanyen_US
dc.author.detailsCraig Lockwood, RN, BN, GradDipNSc(AcuteCare), MNSc, Department of Clinical Nursing, Royal Adelaide Hospital, North Terrace, Adelaide, SA, 5000, Australia, email: craig.lockwod@adelaide.edu.au; Tamara Page, RN, BN, HyperbaricNursCert, GradDipNSc(HighDep), MNSc; Tiffany Conroy-Hiller, RN, BN, DipBusFLM, GradCertUnivTechLearnen_US
dc.identifier.urihttp://hdl.handle.net/10755/163849-
dc.description.abstractObjectives: The objective of this review was to present the best available information on the use of cognitive behaviour therapy using either group cognitive therapy (GCT) or individual cognitive therapy (ICT) in the treatment of depression. The primary question to be addressed in this review was: For the treatment of long-term depression, using a cognitive behavioural approach, is group therapy or individual therapy the most effective?<br/>Inclusion criteria: Studies that included adolescents or adults with long-term depression and a measured Beck Depression Inventory (BDI) value of equal to or greater than 12 or Hamilton Rating Scale for Depression (HRSD) of equal to or greater than 14 were included. Interventions of interest were forms of cognitive behaviour therapy utilising either an individual or group approach. For the purpose of this review individual therapy was regarded as a one-to-one interaction between the patient and the therapist. Group therapy excluded family therapy. This review excluded studies that involved pharmacotherapy alone as the only intervention and studies that involved combined group and individual treatment. Outcome measures of interest were reduction in depression inventory scores, specifically the BDI and/or the HRSD. This study considered any randomised or pseudo-randomised controlled trials that addressed the use or comparison of GCT or ICT. Results: Individual and group cognitive behavioural therapies for moderately or severely depressed adults (BDI equal to or greater than 14) were comparable with each other in effectiveness and both were superior to providing no treatment at all. Individual cognitive therapy was equal to or better than tricyclic antidepressant drugs given at recommended therapeutic dosages for depressed people with a mean BDI of 30. This information was based on level II evidence. Recommendations: The following recommendations were made for adults: 1) Either GCT or ICT can be used to treat moderate to severe depression. The choice of therapy should be dependent upon the clinician's perceived receptiveness of the particular patient to group or individual treatment. 2) The use of computer-assisted therapy is a useful adjunct to GCT in moderate to severely depressed patients. 3) ICT can effectively replace pharmacotherapy in moderate to severely depressed patients if the patient is opposed to being treated with drug therapy. 4) GCT has not been compared to pharmacotherapy so no direct recommendation can be given as to its effectiveness as a replacement therapy.<br/>The following recommendations were made for adolescents: 1) Either GCT or ICT can be used to treat moderately depressed adolescents (BDI equal to or greater than 14). 2) More research is needed to determine the effectiveness of GCT or ICT in severely depressed adolescents (BDI equal to or greater than 20).en_GB
dc.subjectBehavior Therapyen_US
dc.subjectDepressionen_US
dc.subjectPsychotherapy, Evaluationen_US
dc.subjectGroup Psychotherapyen_US
dc.date.available2011-10-27T11:30:41Z-
dc.date.issued2004en_GB
dc.date.accessioned2011-10-27T11:30:41Z-
dc.identifier.citationLockwood, C., Page, T., & Conroy-Hiller, T. (2004). Comparing the effectiveness of cognitive behaviour therapy using individual or group therapy in the treatment of depression.�JBI Reports,2(5), 185-206.en_US
dc.publisherJoanna Briggs Instituteen_US
dc.identifier.issn1479-697X-
dc.conference.date2006-
dc.conference.nameJoanna Briggs Institute 2006 International Convention-
dc.conference.hostJoanna Briggs Institute-
dc.conference.locationHilton Adelaide, South Australia-
dc.identifier.citationLockwood, C., Page, T., & Conroy-Hiller, T. (2004). Comparing the effectiveness of cognitive behaviour therapy using individual or group therapy in the treatment of depression.�JBI Reports,2(5), 185-206.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item.-
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