The effect of service setting on treatment outcome: A comparison between cognitive behavioural approaches within primary and secondary care

Effectiveness of cognitive behavioral therapy: An evaluation of therapies provided by trainees at a university psychotherapy training center

“…The pre‐ and posttherapy measurements of the MADRS and the SWLS also showed a statistically significant improvement in the clients' condition, as well as improved quality of life. This data is in line with previous research results that have shown CBT to be an effective form of treatment for clients suffering from moderate mental distress (Butler et al., ; Fortune et al., ; García‐Palacios et al., ; Gillespie et al., ; Nathan & Gorman, ; Roth & Fonagy, ; Westbrook & Kirk, ). Further, the described treatment carried out at the University's psychotherapy training center seemed to be effective regarding client recovery.…”

“…Several controlled studies have shown significant improvements in treatment outcome for CBT regardless of whether it was conducted in municipal care, in outpatient care, in academic/psychiatric hospitals, in private practices/clinics, or at a psychotherapy training center at a university clinic (Bados, Balaguer, & Saldaña, 2007a ; Foa et al., 2005 ; Fortune, Gracey, Burke, & Rawson, 2005 ; Gillespie, Duffy, Hackmann, & Clark, 2002 ; Kendall, 1998 ).…”

Predictors of outcomes for patients with common mental health disorders receiving psychological therapies in community settings: a systematic review

“…The evidence on what modifying factors are important in the psychological treatment of CMHDs is largely drawn from secondary care samples making its applicability to community samples unknown. Evidence from this review suggests that there may be differences, for instance adherence to treatment and outcomes, which are reported to be better in community care settings (41,43,44), compared with patients from mental health settings. Patients with comorbidities, both comorbid anxiety and depression and comorbid personality disorder and other CMHDs, appear to have worse outcomes in this review, in accordance with other literature.…”

The Association Between Panic Disorder and Coronary Artery Disease Among Primary Care Patients Presenting With Chest Pain

“…96 Comparison of CBT in primary versus secondary care settings found a more rapid response in primary care settings. 97 In fact, previous studies have shown that, after 20 minutes of instruction in the emergency department, exposure therapy decreases depression, avoidance, panic attack frequency, and emergency department visits. 98 Thus, CBT may be useful in the management of panic disorder in the presence of CAD.…”