Hostname: page-component-78c5997874-t5tsf Total loading time: 0 Render date: 2024-11-11T07:41:40.231Z Has data issue: false hasContentIssue false
  • English
  • Français

A group-oriented inpatient CBT programme: a pilot study

Published online by Cambridge University Press:  05 January 2011

Katherine Lynch ,
Courtney Berry  and
Joanne Sirey
Katherine Lynch*
Affiliation:
Department of Psychiatry, Weill Cornell Medical College, White Plains, NY, USA
Courtney Berry
Affiliation:
Department of Psychology, Fordham University, Bronx, NY, USA
Joanne Sirey
Affiliation:
Department of Psychiatry, Weill Cornell Medical College, White Plains, NY, USA
*
*Author for correspondence: Dr K. Lynch, Department of Psychiatry, Weill Cornell Medical College, 21 Bloomingdale Road, White Plains, NY 10605, USA. (email: kll9004@med.cornell.edu)
Get access Rights & Permissions [Opens in a new window]

Abstract

The inpatient unit faces many challenges in the effort to deliver comprehensive psychiatric care to acutely ill patients with minimal lengths of stay. Cognitive behaviour therapy (CBT), a structured, problem-focused, time-limited form of treatment has been shown to be a promising intervention with the inpatient population. This paper describes a group-oriented inpatient CBT programme for women and reports pilot data on the experiences of 78 adult female patients. Repeated-measures ANOVAs revealed that participants exhibited improved psychosocial functioning from admission to discharge, with gains maintained at 1 month post-discharge. Partial correlations indicated that participation and engagement in CBT groups is related to improved functioning at discharge. Participants diagnosed with major depressive disorder, bipolar disorder, and psychotic disorders all evidenced similar positive treatment trajectories, suggesting that group-oriented CBT programming may be a useful addition to standard inpatient care.

Keywords

Group psychotherapyinpatient CBTtreatment outcomewomen's issues
Type
Service models and forms of delivery
Information
the Cognitive Behaviour Therapist , Volume 4 , Issue 1 , March 2011 , pp. 38 - 51
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2011

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

Recommended follow-up reading

Page, AC, Hooke, GR (2003). Outcomes for depressed and anxious inpatients discharged before or after group cognitive behavior therapy: a naturalistic comparison. Journal of Nervous and Mental Disease 191, 653–659.CrossRefGoogle ScholarPubMed
Veltro, F, Vendittelli, N, Oricchio, I, Addona, F, Avino, C, Figliolia, G (2008). Effectiveness and efficiency of cognitive-behavioral group therapy for inpatients: 4-year follow-up study. Journal of Psychiatric Practice 14, 281–288.CrossRefGoogle ScholarPubMed
Wright, JH, Thase, ME, Beck, AT, Ludgate, JW (1993). Cognitive Therapy with Inpatients: Developing a Cognitive Milieu. New York: Guilford Press.Google Scholar

References

Beck, AT, Rush, JA, Shaw, BF, Emery, G (1979). Cognitive Therapy of Depression. New York: Guilford Press.Google Scholar
Beck, JS (1995). Cognitive Therapy: Basics and Beyond. New York: Guilford Press.Google Scholar
Bowers, WA (1990). Treatment of depressed inpatients: cognitive therapy plus medication, relaxation plus medication, and medication alone. British Journal of Psychiatry 156, 73–78.CrossRefGoogle ScholarPubMed
Bowers, WA, Ansher, LS (2008). The effectiveness of cognitive behavior therapy on changing eating disorder symptoms and psychopathy of 32 anorexia nervosa patients at hospital discharge and one year follow-up. Annals of Clinical Psychiatry 20, 79–86.CrossRefGoogle Scholar
Davis, MH, Casey, DA (1990). Utilizing cognitive therapy on the short-term psychiatric inpatient unit. General Hospital Psychiatry 12, 170–176.CrossRefGoogle ScholarPubMed
Drury, V, Birchwood, M, Cochrane, R, Macmillan, F (1996). Cognitive therapy and recovery from acute psychosis: a controlled trial. British Journal of Psychiatry 169, 593–601.CrossRefGoogle ScholarPubMed
Freeman, A, Schrodt, GR, Gilson, M, Ludgate, JW (1993). Group cognitive therapy with inpatients. In: Cognitive Therapy with Inpatients: Developing a Cognitive Milieu (ed. Wright, J. H., Thase, M. E., Beck, A. T. and Ludgate, J. W.), pp. 123–153. New York: Guilford Press.Google Scholar
Friedberg, RD, Viglione, DJ, Fidaleo, RA, Celeste, BL, Lovette, J, Street, G, Yerka, E, Bieraugel, M, Dumas, M, Beal, KM (1998). Measuring how we preach what we practice: Psychoeducational change in depressed inpatients. Journal of Rational-Emotive and Cognitive-Behavior Therapy 16, 45–59.CrossRefGoogle Scholar
Greenberger, D, Padesky, CA (1995). Mind Over Mood: Change How You Feel by Changing the Way You Think. New York: Guilford Press.Google Scholar
Haddock, G, Tarrier, N, Morrison, AP, Hopkins, R, Drake, R, Lewis, S (1999). A pilot study evaluating the effectiveness of individual inpatient cognitive-behavioural therapy in early psychosis. Social Psychiatry and Psychiatric Epidemiology 34, 254–258.CrossRefGoogle ScholarPubMed
Lambert, MJ, Burlingame, GM, Umphress, V, Hansen, NB, Vermeersch, DA, Clouse, GC et al. (1996). The reliability and validity of the Outcome Questionnaire. Clinical Psychology and Psychotherapy 3, 249–258.3.0.CO;2-S>CrossRefGoogle Scholar
Lambert, MJ, Gregersen, AT, Burlingame, GM (2004). The Outcome Questionnaire-45. In: The Use of Psychological Testing for Treatment Planning and Outcomes Assessment Volume 3, 3rd edn (ed. Mariush, M. E.), pp. 191–234. Mahwah, NJ: Lawrence Erlbaum Associates.Google Scholar
Leahy, R (2003). Cognitive Therapy Techniques: A Practitioner's Guide. New York: Guilford Press.Google Scholar
Miller, IW, Bishop, SB, Norman, WH, Keitner, GI (1985). Cognitive/behavioral therapy and pharmacotherapy with chronic, drug-refractory depressed inpatients: a note of optimism. Behavioural Psychotherapy 13, 320–327.CrossRefGoogle Scholar
Miller, IW, Norman, WH, Keitner, GI (1989). Cognitive-behavioral treatment of depressed inpatients: six- and twelve-month follow-up. American Journal of Psychiatry 146, 1274–1279.Google ScholarPubMed
Ness, ML, Tian, BA, Oei, PS (2005). The effectiveness of an inpatient group cognitive behavioral therapy program for alcohol dependence. American Journal on Addictions 14, 139–154.CrossRefGoogle ScholarPubMed
Page, AC, Hooke, GR (2003). Outcomes for depressed and anxious inpatients discharged before or after group cognitive behavior therapy: a naturalistic comparison. Journal of Nervous and Mental Disease 191, 653–659.CrossRefGoogle ScholarPubMed
Scott, J (1992). Chronic depression: Can cognitive therapy success when other treatments fail? Behavioural Psychotherapy 20, 25–36.CrossRefGoogle Scholar
Shaw, BF (1980). Predictors of successful outcome in cognitive therapy: A pilot study. Paper presented at the First World Congress on Behavioral Therapy, Jerusalem, Israel.Google Scholar
Stuart, S, Bowers, WA (1995). Cognitive therapy with inpatients: review and meta-analysis. Journal of Cognitive Psychotherapy 9, 85–92.CrossRefGoogle Scholar
Stuart, S, Thase, ME (1994). Inpatient applications of cognitive-behavioral therapy. Journal of Psychotherapy Practice and Research 3, 284–299.Google ScholarPubMed
Thase, ME, Bowler, K, Harden, T (1991). Cognitive behavior therapy of endogenous depression: part 2: preliminary findings in 16 unmedicated inpatients. Behavior Therapy 22, 469–477.CrossRefGoogle Scholar
Valmaggia, LR, Van Der Gaag, M, Tarrier, N, Pijnenborg, M, Sloof, CJ (2005). Cognitive-behavioural therapy for refractory psychotic symptoms of schizophrenia resistant to atypical antipsychotic medication. British Journal of Psychiatry 186, 324–330.CrossRefGoogle ScholarPubMed
Veltro, F, Vendittelli, N, Oricchio, I, Addona, F, Avino, C, Figliolia, G (2008). Effectiveness and efficiency of cognitive-behavioral group therapy for inpatients: 4-year follow-up study. Journal of Psychiatric Practice 14, 281–288.CrossRefGoogle ScholarPubMed
Whisman, MA, Miller, IW, Norman, WH, Keitner, GI (1991). Cognitive therapy with depressed inpatients: specific effects on dysfunctional cognitions. Journal of Consulting and Clinical Psychology 59, 282–288.CrossRefGoogle ScholarPubMed
Wiseman, CV, Sunday, R, Klapper, F, Klein, M, Halmi, K (2002). Short-term group CBT versus psycho-education on an inpatient eating disorders unit. Eating Disorders: The Journal of Treatment and Prevention 10, 313–320.CrossRefGoogle Scholar
Wright, JH (1996). Inpatient cognitive therapy. In Frontiers of Cognitive Therapy (ed. Salkovskis, P. M.), pp. 208–225. New York: Guilford Press.Google Scholar
Wright, JH, Thase, ME, Beck, AT, Ludgate, JW (1993). Cognitive Therapy with Inpatients: Developing a Cognitive Milieu. New York: Guilford Press.Google Scholar
Submit a response

Comments

No Comments have been published for this article.