Abstract
The effectiveness among inpatients with depression of a modified cognitive behavior therapy (CBT) program was examined. A group of 300 inpatient admissions with a primary diagnosis of depression attending a private psychiatric clinic were assessed at the beginning and end of a two-week CBT program. The effectiveness of the treatment was demonstrated by improvements on the Beck depression inventory (BDI), the health of the nation outcome scales, locus of control of behaviour scale, and the global assessment of function. The changes on the BDI for patients with depression were benchmarked against estimates generated from published studies. The degree of change in a two-week period for inpatients with depression was similar to that observed in efficacy studies of CBT that typically run over a more extended time. Implications for integrating CBT with inpatient services are discussed.
Highlights
Translating empirically validated treatments into routine clinical practice is an essential activity that requires a multitude of factors to be addressed
The mean difference of 11.6 for studies of group psychotherapy [8] for depression was within this confidence interval, supporting that the conclusion that the difference obtained in the present investigation was comparable to that found with group treatment for depression generally
The present study examined the effectiveness for patients with depression of a cognitive-behavioral therapy (CBT) program adapted to an inpatient psychiatric clinic
Summary
Translating empirically validated treatments into routine clinical practice is an essential activity that requires a multitude of factors to be addressed. Inpatient treatment may be appropriate if there is a risk of suicide, but a goal will be to reduce symptoms rapidly, so the need for a restricted environment is removed swiftly Within these constraints, the typical 20-week format of CBT for depression is not necessarily the most suitable. Given the constant turnover within a hospital, it is harder to mount disorder-specific treatments because the patients will possess various degrees of comorbidity and might not fit neatly into diagnostic categories, ISRN Psychiatry yet they may benefit from a CBT program. For reasons such as these, Perth Clinic developed an intensive CBT program suitable for inpatients [5]. The first question to answer regarded the degree to which the outcomes reported in the published literature regarding group CBT for depression would generalize to this different format
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