Psychoeducational interventions that provide
disorder-related information in a goal-oriented and
structured manner have been integrated in psychiatric
and psychotherapeutic approaches. The present cognitive
psychoeducational group programme for inpatients with
affective disorders is based on a multidimensional functional
illness concept which covers aspects of vulnerability,
stressors and coping strategies. It covers information
about the disorder and its treatment options, building up
rewarding activities, cognitive restructuring and relapse
prevention. Materials und Methods: This programme was
developed and modified at the University of Munich,
Department of Psychiatry (LMU). A feasibility study was
set up in a follow-up single group design and analyses
of variance (ANOVAs) were performed. A total of 231 patients
participated in 46 groups. Results: 125 patients evaluated
the effectiveness of the programme and its treatment
strategies. The group programme was widely accepted
among patients that were pharmacologically and
psychotherapeutically treated: more than three quarters
of the patients rated its contents to be informative, helpful
and applicable to everyday living. Conclusions: Inpatients
with affective disorders may already benefit from a structured
group programme if it takes into account their cognitive
and motivational deficits. The group leaders’ didactic
and psychotherapeutic strategies as well as the patients’
exchanging ideas with each other play a central
role. In the course of further investigations the programme
was differentiated for patients with major depression
or bipolar disorders.
Background: Although combined pharmacotherapy and teaching illness management are the standard in the treatment of depressed inpatients, few studies have been reported of the effects of these programs. The purpose of this study was to determine the applicability and preliminary effectiveness of a brief, group-based cognitivebehavioural illness management program for depression, and to explore whether patient socio demographic and clinical characteristics predicted differential treatment response.
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