Wykes, CF; (2013) Are Gains made in IAPT Psychoeducational Groups Maintained over Time? A Qualitative Study. Doctoral thesis , UCL (University College London).

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Abstract

Volume 1 of this thesis evaluates the effectiveness of brief Psychoeducative Group Cognitive Behavioural Therapy (PGCBT) groups for depression and anxiety disorders. Volume 1 is presented in three parts. Part 1 is a systematic literature review of outcome studies on PGCBT for depression and common anxiety disorders, delivered in group format over eight or fewer sessions. Study quality was evaluated using the Downs and Black (1998) critical appraisal tool. Results indicated that the interventions were effective, more so for anxiety disorders than depression. Studies’ qualities and methodologies were variable, making a meta-analysis impossible and weakening the findings. The quality of the current evidence base and methodological issues are discussed and avenues for further research suggested. Part 2 is a qualitative study into what patients who completed a five session psychoeducative group delivered by an IAPT service found beneficial and how they incorporated benefits into their lives. Fifteen participants who showed reliable clinical benefit on a measure of anxiety or depression during intervention were interviewed approximately six months post-group and their responses evaluated using thematic analysis. Results showed that most people incorporated some CBT skills into daily life, either through deliberate use or less formal awareness of new ways to approach problems. However participants found the normative, cohesive and cathartic elements of the group more important in effecting change. Results were used to make recommendations to services in designing interventions and to highlight research opportunities. Part 3 is a critical appraisal of the qualitative study focused on the background to choice of research topic and methodology, followed by consideration of conceptual issues, and practical and methodological limitations to the research. It concludes with a consideration of the research process on participants and the researcher.

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