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Effectiveness and Efficiency of Cognitive-Behavioral Group Therapy for Inpatients: 4-Year Follow-up Study

VELTRO, FRANCO, MD; VENDITTELLI, NICOLA, MD; ORICCHIO, INES, MD; ADDONA, FRANCO, MD; AVINO, CAMILLO, MD; FIGLIOLIA, GIANLUCA, MD; MOROSINI, PIERLUIGI, MD

Journal of Psychiatric Practice®: September 2008 - Volume 14 - Issue 5 - p 281-288
doi: 10.1097/01.pra.0000336755.57684.45
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Objectives. The goals of this study were to evaluate the effectiveness of manualized cognitive-behavioral group therapy (CBGT) integrated into routine care on a psychiatric inpatient unit and to compare the impact of the intervention on patients with the following diagnoses: schizophrenia, major depression, bipolar disorder, or personality disorders. The results presented here expand on those presented in a previous publication by including 2 more years of data and additional analyses concerning diagnosis and economic outcomes.

Method. A pre-post design was used to measure voluntary and compulsory readmissions, ward atmosphere, patient satisfaction, mean length of stay, and cost-income in the year before CBGT was introduced (2001) compared with the next 4 years.

Results. In the years 2001-2005, percentage of total readmissions declined from 38% to 24% (p < 0.02); of those readmissions, 17% were compulsory in 2001 compared with 0 in 2005 (p < 0.02). A progressive improvement in ward atmosphere was observed from baseline to the following 4 years (p < 0.001). There was also statistically significant improvement in patient satisfaction compared with baseline, mainly observed during the first 2 years of the intervention (p < 0.001). The reduction in readmissions was statistically significant only for patients with schizophrenia (p < 0.001) and bipolar disorder (p < 0.04).

Conclusions. These results are promising and indicate that CBGT may contribute added benefit to treatment on an inpatient psychiatric ward.

VELTRO, VENDITTELLI, ORICCHIO, ADDONA, AVINO, and FIGLIOLIA: Dipartimento di Salute Mentale, ASReM, Zona 3 "Centro Molise" di Campobasso, Italy; MOROSINI: Istituto Superiore di Sanità, Rome, Italy.

Please send correspondence and reprint requests to: Franco Veltro, MD, Dipartimento di Salute Mentale, ASReM Zona 3 "Centro Molise" di Campobasso, Presidio Ospedaliero Cardarelli, C. da Tappino, 86100 Campobasso, Italy. franco.veltro1@virgilio.it

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