Delgadillo, J. orcid.org/0000-0001-5349-230X and Groom, M. (2017) Using psychoeducation and role induction to improve completion rates in cognitive behavioural therapy. Behavioural and Cognitive Psychotherapy, 45 (2). pp. 170-184. ISSN 1352-4658
Abstract
Background: Pre-treatment role induction interventions have been suggested to potentially enhance attendance and clinical outcomes in psychotherapy. Aims: This study aimed to evaluate the effects of a programme of 3 transdiagnostic seminars (TDS) for patients with common mental disorders accessing CBT in primary care. TDS included CBT psychoeducation and role induction. Methods: A random sample of patients (N = 49) participated in TDS followed by CBT (TDS+CBT) and they were compared to matched controls (N = 49) accessing usual CBT. TDS participants rated the relevance and quality of this intervention using an acceptability questionnaire (AQ). Treatment completion (vs. dropout) rates were compared across groups using chi-square tests. Post-treatment changes in depression (PHQ-9) and anxiety (GAD-7) symptoms were compared between groups using analysis of covariance controlling for potential confounders. Analyses were based on intention-to-treat principles. Results: Mean AQ ratings of the TDS intervention were comparable across diagnostic groups (p = .05). Treatment completion rates were significantly higher (p = .02) in the TDS+CBT group (87.8%) by comparison to usual CBT (68.8%). However, no significant differences in post-treatment symptom changes were found for depression (p = .34) or anxiety measures (p = .71). Conclusions: Incorporating a psychoeducational role induction prior to CBT significantly improved treatment retention, but not overall symptom reductions.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2017 British Association for Behavioural and Cognitive Psychotherapies. This is an author produced version of a paper subsequently published in Behavioural and Cognitive Psychotherapy. Article available under the terms of the CC-BY-NC-ND license (https://creativecommons.org/licenses/by-nc-nd/4.0/). |
Keywords: | cognitive behavioural therapy; psychoeducation; role induction; depression; anxiety |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Science (Sheffield) > Department of Psychology (Sheffield) |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 01 Dec 2016 15:49 |
Last Modified: | 05 May 2020 13:02 |
Published Version: | https://doi.org/10.1017/S1352465816000643 |
Status: | Published |
Publisher: | Cambridge University Press |
Refereed: | Yes |
Identification Number: | 10.1017/S1352465816000643 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:108823 |
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Filename: TDS_study_2016_accepted_manuscript.pdf
Licence: CC-BY-NC-ND 4.0