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Cognitive Behavioural Analysis System of Psychotherapy for Treatment-Resistant Depression: Adaptation to a Group Modality

Published online by Cambridge University Press:  06 July 2012

Liliane Sayegh ,
Kenneth D. Locke ,
Daniele Pistilli ,
J. Kim Penberthy ,
Eduardo Chachamovich ,
James P. McCullough  and
Gustavo Turecki
Liliane Sayegh*
Affiliation:
Douglas Mental Health University Institute, Canada
Kenneth D. Locke
Affiliation:
Department of Psychology and Communication Studies, University of Idaho, USA
Daniele Pistilli
Affiliation:
Douglas Mental Health University Institute, Canada
J. Kim Penberthy
Affiliation:
Department of Psychiatry & Neurobehavioral Sciences, University of Virginia, USA
Eduardo Chachamovich
Affiliation:
Douglas Mental Health University Institute, Canada
James P. McCullough
Affiliation:
Department of Psychology, Virginia Commonwealth University, USA
Gustavo Turecki
Affiliation:
Department of Psychiatry, McGill University, Canada
*
Address for correspondence: Liliane Sayegh, Psychologist, Depressive Disorders Program, Douglas Mental Health University Institute, 6875 Boul. LaSalle Montréal, Qc, Canada, H4H 13R. Email: lilian.sayegh@douglas.mcgill.ca
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Abstract

Studies researching psychotherapeutic interventions for treatment-resistant depression (TRD) are quite new to the field. The Cognitive Behavioural Analysis System of Psychotherapy (CBASP) is the only model developed specifically to treat the chronically depressed patient. While empirical evidence indicates that CBASP is an effective treatment for chronic depression, little is known about its adaptation to a group modality. Treating these patients in a group approach would have the added benefits of being cost-effective and providing in vivo previously avoided interpersonal situations for practising social skills and role-plays. This single arm study asks whether CBASP adapted to a group modality can be effective. All patients received 12 CBASP group therapy sessions with two to four individual preparatory sessions before the group. Our results suggest that CBASP group treatment demonstrated positive effects on patient outcomes. Specifically, patients showed significant decreases in symptoms of depression and the use of emotion-oriented coping, as well as increases in overall social adjustment and interpersonal self-efficacy when compared to pretreatment levels. However, patients did not achieve normative levels in these areas by the end of treatment. These pilot results are encouraging and support further study of the effectiveness of CBASP group treatment with a control group.

Keywords

TRDdepressioncognitivegrouptherapy
Type
Standard Papers
Information
Behaviour Change , Volume 29 , Issue 2 , June 2012 , pp. 97 - 108
Copyright
Copyright © The Authors 2012

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