Patients receiving routine care alone showed minimal change, and those who received supportive counselling showed some improvement but less so than
those receiving cognitive behaviour therapy.
Forty two (71 %) patients
receiving cognitive behaviour therapy or supportive counselling were treated in outpatient clinics, and 17 in their homes.
After an assessment, they are referred to their family doctor for further counselling or medication, and continue to
receive Cognitive Behaviour Therapy (CBT) from their Depression Care counsellor.
Five patients who
received cognitive behaviour therapy and two who received supportive counselling were free from all positive symptoms after treatment, whereas none who received routine care alone achieved this.
This difference was significant when the number of patients who showed a 50 % or greater improvement was compared between those who
received cognitive behaviour therapy and the other two groups combined (χ2 = 3D5.18; df = 3D1; P = 3D0.02).
In this study, 60 children with an anxiety disorder were randomised to
receive cognitive behaviour therapy (CBT) and 34 were randomised to a waiting list control.
Patients who
received cognitive behaviour therapy were offered 16 individual weekly sessions in addition to their medical care.
At the final 12 month assessment the percentage of patients who had attained normal functioning (score 80 or more) on the Karnofsky scale was significantly greater in the group who had
received cognitive behaviour therapy (χ2 = 11.3, df = 1; P < 0.001).
At the final assessment significant subjective improvement («much improved» or «very much improved») was reported by 60 % (18/30) of the patients who
received cognitive behaviour therapy and 23 % (7/30) of the patients who had only medical care.
The improvement in day to day functioning in the group who
received cognitive behaviour therapy continued after treatment had ended.
The required sample size of 60 patients was estimated with the assumption of (a) clinically significant improvement in 20 % of the patients who received medical care13 and 60 % who also
received cognitive behaviour therapy, 10 (b) a low drop out rate, and (c) a significance level of 5 % and a power of 80 %.
Not exact matches
Some hundreds of patients with depression, anxiety and other disorders have
received online treatment using a sophisticated computerised
cognitive behaviour therapy program from the St Vince... Read more
Some hundreds of patients with depression, anxiety and other disorders have
received online treatment using a sophisticated computerised
cognitive behaviour therapy program from the St Vincent's Clinical Research Unit for Anxiety Disorders in Sydney.
He is past National President of the Australian Association of
Cognitive Behaviour Therapy, and has
received a distinguished career award from this association.
New findings show that patients referred to hospital for the chronic fatigue syndrome have a better outcome if they are given a course of
cognitive behaviour therapy than if they
receive only basic medical care
Of those patients allocated to additional
cognitive behaviour therapy, one
received counselling as part of vocational retraining.
The greater improvement in the
cognitive behaviour therapy group was underscored by the 63 % (19/30) of patients in this group who improved in work status as compared with 20 % (6/30) of those who
received only medical care.
Results from randomised controlled trials highlight that
cognitive behaviour therapy (CBT) is an effective intervention for child anxiety disorders.6, 7,8,9,10 While effective interventions are available, comparatively few children with significant emotional disorders
receive specialist help.
In recognition of her achievements, Prof. Hudson has
received awards from a number of organisations including Australian Psychological Society, Anxiety Disorders Association of America, The Australian Association of
Cognitive Behaviour Therapy and The Australian Institute of Political Sciences.