Effectiveness of Group CBT for Depression in Military Outpatient Clinics

210 adults were referred for a six-session (twelve hour) depression management groups by mental health providers at outpatient mental health clinics on military bases and 138 (66%) completed treatment. The sample of treatment completers included 79 active duty or retired military personnel and 59 spouses of active duty or retired personnel. No one was excluded from participation in the groups because of any other mental, personality, or medical disorder.

The treatment approach used combined elements of CT and RET with behavioral strategies designed to increase pleasurable activities and training in problem-solving and communication skills. Analysis of pre-post changes in scores on the Beck Depression Inventory showed that 84% of participants showed a decrease in depression scores with 43% of patients showing a 50% or greater decrease in BDI scores. A subset of participants were surveyed 6 months after they completed group treatment. This follow-up data showed continued improvement in BDI scores and an overall 74% reduction in BDI scores from pre-test to follow-up.

• Peterson, A.L. & Halstead, T.S. (1998). Group cognitive behavior therapy for depression in a community setting: A clinical replication series. Behavior Therapy, 29, 3-18.

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