Kognitive Verhaltenstherapie in und mit Gruppen – Ein Behandlungsprogramm für depressive Patienten in stationärer Behandlung

Abstract

Cognitive-Behavioral Psychotherapy with and within Groups – A Treatment Program for Depressed Inpatients Background: Extensive research of cognitive behavioral therapy shows that it is an effective treatment for unipolar major depression. As the setting (e.g. inpatient vs. outpatient treatment) can influence therapeutic outcome, it is argued that modifications on treatment programs should take such settings into account. The modified treatment programs should then be evaluated within these settings. Based on these arguments, a group psychotherapy program was set up combining disorder-specific components (increasing pleasant activities and modification of dysfunctional thoughts) with a group psychotherapy approach that is more open regarding individual treatment goals. Method: The treatment program was evaluated within a naturalistic single group design. Patients who were hospitalized for unipolar major depression and took part on a therapy group were assessed pre- and post-therapy and at a 6-months follow- up. Results: 71 inpatients participated in 9 therapy groups and completed the program. Only a small number of patients (13.3%) dropped out before the end of treatment, which was interpreted as a high acceptance. The pre-post changes in degree of depressiveness (BDI, HAMD) and the 6-month follow-up results were similar to those of other controlled studies. Discussion: The advantages and disadvantages of a group psychotherapy approach are discussed, together with the limitations of the study.

Negative mood regulation expectancies, self-efficacy beliefs, and locus of control orientation: moderators or mediators of change in the treatment of depression?

“…Patients were treated with group CBT (see Backenstrass et al, 2001, for a comprehensive description of the applied treatment program). The idea of the therapy approach was to combine elements from several successful behavioral and cognitive approaches, such as Lewinsohn's Coping With Depression Course (Lewinsohn, Steinmetz, Antonuccio, & Teri, 1984), Beck's cognitive therapy (Beck et al, 1979), and Fiedler's (1996) concept of individual therapy within a group.…”

Das Gruppenprogramm «Depression bewältigen» und seine Varianten – eine aktualisierte Metaanalyse

“…Umso wichtiger erscheint es nun, in verstärktem Umfang grö-ßere und methodisch gut kontrollierte Studien zum Programm und seinen Varianten durchzuführen, wie sie z.B. von den Arbeitsgruppen um Lewinsohn und Clarke Clarke et al, 1995Clarke et al, , 1999Clarke et al, , 2001] und Muñoz [Muñoz und Ying, 1993;Muñoz et al, 1995] Kühner CWD-Programm für Jugendliche Clarke et al, 1999] Zielke, 1993;Bader, 1994;Hautzinger, 2000;Backenstrass et al, 2001;Junge et al, 2002;Poessel et al, 2003;vgl. auch Fiedler, 1999].…”

A Cognitive Behavioural Illness Management Program for Severe Depression: Predictors of Treatment Response

“…The absence of a control group limits the conclusions that can be drawn from this study. [30,[32][33][34] or outpatients with severe acute, partially remitted or chronic forms of depression (e.g., Keller et al and Teasdale et al [3,6] indicating that the combination of pharmacotherapy with psycho therapeutically interventions has a beneficial effect. It is associated with higher improvement, satisfaction with treatment and treatment adherence with pharmacotherapy than drug treatment alone [21,22,56].…”

“…Participating in interpersonal Schramm et al [30], cognitive Stuart and Bowers [31] or cognitive-psycho educational programs Schaub et al [12,32] led to high satisfaction with treatment and knowledge of depression as well as symptom reductions which were even maintained at six-month follow-up Backenstrass et al [33]. Only two controlled studies showed no or only little short-term benefits of combining pharmacotherapy with cognitive therapy compared to each condition only Hautzinger et al [34] or to the combination with supportive therapy De Jong-Meyer et al [35], however, there was some evidence for long-term effects.…”