title: Outcome, costs and patient engagement for group and individual CBT for depression: a naturalistic clinical study.
abstract: METHODS
  This naturalistic study was undertaken in routine settings and compared the clinical effectiveness, costs, treatment preference, attrition and patient satisfaction of Group and Individual CBT.
  
  
  RESULTS
  No significant differences were found in depressive and distress symptoms between group and individual CBT at post-treatment and follow-up. Individual CBT was 1.5 times more expensive to provide than Group CBT and the wider costs of other supports were similar between study arms suggesting a cost-effectiveness advantage for Group CBT. Patients preferred individual treatment at baseline but, despite this, there were no between-group differences in attrition or satisfaction.
  
  
  CONCLUSIONS
  A larger RCT study is needed, but running CBT groups for depression could be considered more frequently by clinicians.
authors.affiliation: King’s College London, Institute of Psychiatry, De Crespigny Park, London SE5 8AF, UK. june.brown@kcl.ac.uk
authors.forename: June S L
authors.initials: JS
authors.lastname: Brown
authors.forename: Katie
authors.initials: K
authors.lastname: Sellwood
authors.forename: Jennifer K
authors.initials: JK
authors.lastname: Beecham
authors.forename: Mike
authors.initials: M
authors.lastname: Slade
authors.forename: Manoharan
authors.initials: M
authors.lastname: Andiappan
authors.forename: Sabine
authors.initials: S
authors.lastname: Landau
authors.forename: Tracy
authors.initials: T
authors.lastname: Johnson
authors.forename: Roger
authors.initials: R
authors.lastname: Smith
mesh_terms: D000328:Adult; D015928:Cognitive Behavioral Therapy / Q000191:economics*; D003362:Cost-Benefit Analysis; D003866:Depressive Disorder / Q000191:economics* / Q000523:psychology / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D017060:Patient Satisfaction; D011615:Psychotherapy, Group / Q000191:economics*; D016896:Treatment Outcome; D006113:United Kingdom; D055815:Young Adult