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Is specialist registrar training in cognitive therapy effective?

Published online by Cambridge University Press:  02 January 2018

Steve Moorhead  and
Jan Scott
Steve Moorhead*
Affiliation:
University Department of Psychiatry, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP
Jan Scott
Affiliation:
University Department of Psychological Medicine, Gartnavel Royal Hospital, Glasgow GL2 0XH
*
∗Correspondence
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Abstract

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Aims and method

This paper describes the characteristics and outcome of the first 20 patients seen by a newly appointed specialist registrar in cognitive therapy. The outcome of the first (cases 1–10) and second (cases 11–20) cohorts were evaluated to assess if training had any impact on clinical effectiveness.

Results

Comorbidity was common, but more patients improved following the intervention (effect size=0.64–1.34). The 25% therapy drop-out rate was comparable with previously reported rates. Four out of five patients who dropped out had Cluster B personality disorders. The two cohorts showed similar baseline characteristics, but the second cohort showed improved outcome (effect size of training=0.89–1.04) and had a significantly shorter course of therapy (P=0.02).

Clinical Implications

Specialist registrar training in cognitive therapy provides experience in treating a wide variety of mental disorders. The routine collection and analysis of clinical and psychometric data helps identify training effectiveness and training needs. The data demonstrate that training was associated with improved patient outcomes.

Type
Original Papers
Information
Psychiatric Bulletin , Volume 23 , Issue 10: The Journal of Trends in Psychiatric Practice , October 1999 , pp. 603 - 607
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © 1999 The Royal College of Psychiatrists

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