Long-term effectiveness of cognitive behavioral therapy in routine outpatient care
- \(\bf {Objective:}\) Long-term follow-ups several years after receiving cognitive behavioral therapy (CBT) are scarce and most of the existing literature describes follow-up data of randomized-controlled trials. Thus, very little is known about the long-term effects of CBT in routine care. \(\bf {Methods:}\) We investigated psychological functioning in a sample of 263 former outpatients who had received CBT for a variety of mental disorders such as depression, anxiety-, eating- or somatoform disorders 8.06 (SD 5.08) years after treatment termination. All participants completed a diagnostic interview as well as the Brief-Symptom Inventory (BSI) and the Beck Depression Inventory (BDI). Effect sizes and response rates according to Jacobson and Truax [J Consult Clin Psychol 1991;59:12–9] were calculated from pre- to posttreatment and from pretreatment to follow-up assessment. \(\bf {Results:}\) Pre- to posttreatment effect sizes ranged between 0.75 (BDI) and 0.63 (BSI) and pretreatment to follow-up effect sizes were 0.92 (BDI) and 0.75 (BSI). Of all patients, 29% (BDI) and 17% (BSI) experienced clinically significant change at posttreatment and 42% (BDI) and 24% (BSI) at follow-up. \(\bf {Conclusion:}\) The results point to the long-term effectiveness of CBT under routine conditions for a wide array of problems, especially when compared to the long-term effects of medical treatment. It is noteworthy that the results at follow-up were even better than at posttreatment, indicating further improvement. However, about a quarter of the patients did not respond sufficiently to therapy, neither concerning short-term nor long-term effects.
Author: | Ruth von BrachelGND, Gerrit H.F. HirschfeldGND, Aleta BernerGND, Ulrike WillutzkiGND, Tobias TeismannGND, Jan Christopher CwikORCiDGND, Julia VeltenORCiDGND, Dietmar SchulteGND, Jürgen MargrafORCiDGND |
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URN: | urn:nbn:de:hbz:294-75991 |
DOI: | https://doi.org/10.1159/000500188 |
Parent Title (English): | Psychotherapy and psychosomatics |
Subtitle (English): | a 5- to 20-year follow-up study |
Publisher: | Karger |
Place of publication: | Basel |
Document Type: | Article |
Language: | English |
Date of Publication (online): | 2020/10/29 |
Date of first Publication: | 2019/05/23 |
Publishing Institution: | Ruhr-Universität Bochum, Universitätsbibliothek |
Tag: | Clinically significant change; Cognitive behavioral therapy; Follow-up; Long-term; Routine care |
Volume: | 88 |
Issue: | 4 |
First Page: | 225 |
Last Page: | 235 |
Note: | Dieser Beitrag ist aufgrund einer nationalen Lizenz frei zugänglich. |
Institutes/Facilities: | Lehrstuhl für Klinische Kinder- und Jugendpsychologie |
Forschungs- und Behandlungszentrum für psychische Gesundheit | |
open_access (DINI-Set): | open_access |
Licence (German): | Nationale Lizenz |