Hostname: page-component-76fb5796d-25wd4 Total loading time: 0 Render date: 2024-04-25T22:37:36.563Z Has data issue: false hasContentIssue false

Group Cognitive Therapy in Chronic Depression: Results From Two Intervention Studies

Published online by Cambridge University Press:  16 June 2009

Michael Bristow
Affiliation:
St George's Hospital Medical School, London
Jenifer Bright
Affiliation:
Institute of Psychiatry, London

Abstract

This paper describes two interventions used to treat patients suffering with chronic depression. In the first (Study 1), a group of five sufferers from depression of more than one year's duration who had been unresponsive to, or declined drugs were given cognitive therapy for depression in a group format and followed up for a year afterwards. They were compared with a wait-list group with a similar natural history. The treatment group showed greater improvement than the wait list group and maintained most of their gains at follow-up. In the second (Study 2) four patients also suffering from chronic depression who scored highly on the Hollon Severity Index were treated in a cognitive therapy group over a more extended period (28 weeks) using the approach designed to treat personality disorder. Modest gains were made by some patients. The findings are discussed and suggestions for improvement are made.

Type
Research Article
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1995

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Beck, A. T., Freeman, A., et al. (1990). Cognitive Therapy of Personality Disorders. New York: Guilford.Google Scholar
Blackburn, I. M., Bishop, S., Glen, A. I. M., Whalley, L. J. and Christie, J. E. (1981). The efficacy of cognitive therapy in depression: a treatment trial using cognitive therapy and pharmacotherapy, each alone and in combination. British Journal of Psychiatry 139, 181189.CrossRefGoogle ScholarPubMed
Fennell, M. and Teasdale, J. (1982). Group cognitive therapy with chronic drug resistant depressives: a note of caution. Cognitive Therapy & Research 6, 455460.CrossRefGoogle Scholar
Greene, S. M. (1989). The relationship between depression and hopelessness. British Journal of Psychiatry 154, 650659.CrossRefGoogle ScholarPubMed
Hollon, S. D. and Evans, M. D. (1983). Cognitive therapy for depression in a group format. In Freeman, A. (Ed). Cognitive therapy with couples and groups (pp. 1142). New York: Plenum.CrossRefGoogle Scholar
Kay, D. W. K., Garside, R. F., Roy, J. R. and Beamish, P. (1969). “Endogenous” and “neurotic” syndromes of depression: a 5– to 7–year follow up of 104 cases. British Journal of Psychiatry 115, 389399.CrossRefGoogle ScholarPubMed
Lee, A. and Murray, R. M. (1988). The long term outcome of Maudsley depressives. British Journal of Psychiatry 153, 741752.CrossRefGoogle Scholar
Rush, A. J. and Watkins, J. T. (1981). Group versus individual cognitive therapy: a pilot study. Cognitive Research & Therapy 5, 95103.CrossRefGoogle Scholar
Scott, J. (1988). Chronic depression. British Journal of Psychiatry 153, 287–198.CrossRefGoogle ScholarPubMed
Scott, J. (1992). Chronic depression: can cognitive therapy succeed where other treatments fail? Behavioural Psychotherapy 20, 2530.CrossRefGoogle Scholar
Scott, M. J. and Stradling, S. G. (1990). Group cognitive therapy for depression produces clinically significant and reliable change in community based settings. Behavioural Psychotherapy 18, 119.CrossRefGoogle Scholar
Shaffer, C. S., Shapiro, J., Sank, L. and Coghlan, D. J. (1981). Positive changes in depression, anxiety and assertion following individual and group cognitive behaviour therapy intervention. Cognitive Therapy & Research 5, 149157.CrossRefGoogle Scholar
Snaith, R. P., Constantopoulos, A. A., Jardine, M. Y. and McGuffin, P. (1978). A clinical scale for the self-assessment of irritability. British Journal of Psychiatry 132, 164171.CrossRefGoogle ScholarPubMed
Wierzbicki, M. and Bartlett, T. S. (1987). The efficacy of group and individual cognitive therapy for mild depression. Cognitive Therapy and Research 11, 337342.CrossRefGoogle Scholar
Young, J. E. (1987). Schema-focused cognitive therapy for personality disorders. Unpublished manuscript. New York: Center for Cognitive Therapy.Google Scholar
Submit a response

Comments

No Comments have been published for this article.