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Group rumination-focused cognitive-behavioural therapy (CBT) v. group CBT for depression:phase II trial
- Source :
- Pedersen, M H, Møller, S B, Poulsen, S, Gondan, M, Grafton, B, Austin, S F, Kistrup, M, Rosenberg, N G K, Howard, H & Watkins, E R 2020, ' Group rumination-focused cognitive-behavioural therapy (CBT) v. group CBT for depression : phase II trial ', Psychological Medicine, vol. 50, no. 1, pp. 11-19 . https://doi.org/10.1017/S0033291718003835
- Publication Year :
- 2020
-
Abstract
- BackgroundAlthough cognitive-behavioural therapy (CBT) is an effective treatment for depression, less than half of patients achieve satisfactory symptom reduction during treatment. Targeting known psychopathological processes such as rumination may increase treatment efficacy. The aim of this study was to test whether adding group rumination-focused CBT (RFCBT) that explicitly targets rumination to routine medical management is superior to adding group CBT to routine medical management in treating major depression.MethodsA total of 131 outpatients with major depression were randomly allocated to 12 sessions group RFCBT v. group CBT, each in addition to routine medical management. The primary outcome was observer-rated symptoms of depression at the end of treatment measured on the Hamilton Rating Scale for Depression. Secondary outcomes were rumination at post-treatment and depressive symptoms at 6 months follow-up (Trial registered: NCT02278224).ResultsRFCBT significantly improved observer-rated depressive symptoms (Cohen's d 0.38; 95% CI 0.03–0.73) relative to group CBT at post-treatment on the primary outcome. No post-treatment differences were found in rumination or in depressive symptoms at 6 months follow-up, although these secondary analyses may have been underpowered.ConclusionsThis is the first randomized controlled trial providing evidence of benefits of RFCBT in major depression compared with CBT. Group RFCBT may be a beneficial alternative to group CBT for major depression.
- Subjects :
- medicine.medical_specialty
medicine.medical_treatment
Faculty of Social Sciences
law.invention
Group psychotherapy
Randomized controlled trial
law
Cognitive-behavioural therapy
rumination-focused CBT
Medicine
Applied Psychology
Depression (differential diagnoses)
business.industry
Hamilton Rating Scale for Depression
rumination
Cognition
Treatment efficacy
Psychiatry and Mental health
Rumination
depression
Physical therapy
medicine.symptom
business
RCT
Psychopathology
Subjects
Details
- Language :
- English
- ISSN :
- 00332917
- Database :
- OpenAIRE
- Journal :
- Pedersen, M H, Møller, S B, Poulsen, S, Gondan, M, Grafton, B, Austin, S F, Kistrup, M, Rosenberg, N G K, Howard, H & Watkins, E R 2020, ' Group rumination-focused cognitive-behavioural therapy (CBT) v. group CBT for depression : phase II trial ', Psychological Medicine, vol. 50, no. 1, pp. 11-19 . https://doi.org/10.1017/S0033291718003835
- Accession number :
- edsair.doi.dedup.....7dac3724b1d2dc4e9e4f413c1f6e1a1f