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dc.contributor.authorWalker, Nicola
dc.contributor.authorVernon-Smith, Madeleine
dc.contributor.authorTownend, Michael
dc.date.accessioned2021-09-03T10:09:28Z
dc.date.available2021-09-03T10:09:28Z
dc.date.issued2021-09-02
dc.identifier.citationWalker, N. and Townend, M. (2021). 'A feasibility study of a novel work-focused relational group CBT treatment programme for moderate to severe recurrent depression'. Mental Health Review, pp. 1-21.en_US
dc.identifier.doi10.1108/MHRJ-01-2021-0005
dc.identifier.urihttp://hdl.handle.net/10545/625969
dc.description.abstractNo current psychotherapeutic intervention is designed to enhance job retention in employees with moderate-severe recurrent depression. We hypothesized that interdisciplinary, work-focused psychotherapy would have the triple benefits of alleviating depression, improving interpersonal difficulties, and enhancing job retention. To test the feasibility of a new Work-focused Relational Group-CBT Treatment Programme for moderate-severe depression. The new programme was based on a theoretical integration of occupational stress, psychological, social/interpersonal, and bio-medical theories and consisted of (i) 1:1 psychotherapist sessions; (ii) a work-focused, twelve-week group CBT programme; and (iii) optional 1:1 sessions with an occupational therapist. Depression, coping/self-efficacy, health-related quality of life (HRQoL), interpersonal difficulty, and work/social functioning outcomes were assessed before and after group therapy using validated instruments. Intervention delivery, therapeutic alliance, client satisfaction, and programme cost were assessed. While there was no statistically significant change in HAM-D depression scores after therapy (n=5; p=0.313), there was a significant decrease in BDI-II depression scores after therapy (n=8; -20.0 median change, p=0.016; 6/8 responses, 7/8 minimal clinically important differences, 2 remissions). There were significant reductions in clinically relevant psychological distress, coping self-efficacy, HRQoL, and interpersonal difficulties after therapy. All clients in work at the start of therapy remained in work at the end of therapy. The intervention was safe, had 100% retention, and clients were satisfied with their treatment. The Work-focused Relational Group-CBT Treatment Programme showed promising immediate positive outcomes in terms of depressive symptoms, interpersonal difficulties, and job retention that warrant further exploration in a longer-term definitive study.en_US
dc.description.sponsorshipNAen_US
dc.language.isoenen_US
dc.publisherEmeralden_US
dc.relation.urlhttps://www.emerald.com/insight/content/doi/10.1108/MHRJ-01-2021-0005/full/htmlen_US
dc.subjectDepressionen_US
dc.subjectGroup Interventionen_US
dc.subjectjob retentionen_US
dc.titleA feasibility study of a novel work-focused relational group CBT treatment programme for moderate to severe recurrent depressionen_US
dc.typeArticleen_US
dc.identifier.eissn2042-8758
dc.contributor.departmentTeesside Universityen_US
dc.contributor.departmentLeeds and York Partnership NHS Foundation Trusten_US
dc.contributor.departmentUniversity of Derbyen_US
dc.identifier.journalMental Health Review Journalen_US
dcterms.dateAccepted2021-04-11
refterms.dateFOA2021-09-03T10:09:28Z
dc.author.detailshcs107en_US


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