Naturalistic outcome of case formulation-driven cognitive-behavior therapy for anxious depressed outpatients

Jacqueline B. Persons, Nicole Roberts, Christine A. Zalecki, Whitney A G Brechwald

Research output: Contribution to journalArticle

59 Citations (Scopus)

Abstract

This article describes a case formulation-driven approach to the treatment of anxious depressed outpatients and presents naturalistic outcome data evaluating its effectiveness. Fifty-eight patients who received case formulation-driven cognitive-behavior therapy (CBT) in a private practice setting were studied. All received individual CBT guided by a case formulation and weekly outcome monitoring; in addition, 40 patients received adjunct therapies, including pharmacotherapy, which were added as indicated by the case formulation and the results of weekly outcome monitoring. Patients treated with case formulation-driven CBT showed statistically and clinically significant changes in anxiety and depression that were generally comparable to those reported in published randomized controlled trials of empirically supported therapies (ESTs) for single mood and anxiety disorders. Findings support the proposal that anxious depressed patients who have multiple comorbidities and require multiple therapies can benefit from empirically supported treatments guided by a case formulation and weekly outcome monitoring.

Original languageEnglish (US)
Pages (from-to)1041-1051
Number of pages11
JournalBehaviour Research and Therapy
Volume44
Issue number7
DOIs
StatePublished - Jul 2006
Externally publishedYes

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Cognitive Therapy
Outpatients
Therapeutics
Private Practice
Anxiety Disorders
Mood Disorders
Comorbidity
Anxiety
Randomized Controlled Trials
Depression
Drug Therapy

Keywords

  • Case formulation
  • Comorbidity
  • Effectiveness
  • Empirically-supported therapies (ESTs)

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology

Cite this

Naturalistic outcome of case formulation-driven cognitive-behavior therapy for anxious depressed outpatients. / Persons, Jacqueline B.; Roberts, Nicole; Zalecki, Christine A.; Brechwald, Whitney A G.

In: Behaviour Research and Therapy, Vol. 44, No. 7, 07.2006, p. 1041-1051.

Research output: Contribution to journalArticle

Persons, Jacqueline B. ; Roberts, Nicole ; Zalecki, Christine A. ; Brechwald, Whitney A G. / Naturalistic outcome of case formulation-driven cognitive-behavior therapy for anxious depressed outpatients. In: Behaviour Research and Therapy. 2006 ; Vol. 44, No. 7. pp. 1041-1051.
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