Evaluation of routine outcomes of CBT Vs CBT & EMDR in a community mental health service for severe and enduring mental health problems
Description
Background and Purpose:
Cognitive Behavioral Therapy (CBT) is the psychotherapy treatment of choice for most psychiatric disorders and is regularly used in Community Mental Health Team settings . Eye Movement Desensitization and Reprocessing therapy is often used with PTSD but there is little evidence base for it being used with other psychiatric disorders, or combined with CBT, and whether or not this would have an effect.
Method:
A retrospective cohort design was adopted to compare outcomes at pre- and post-therapy on three outcome measures, the Beck Depression Inventory (BDI) [1], the Beck Anxiety Inventory (BAI) [2] and the Outcome Questionnaire 45 item version (OQ.45) [3], between clients who received CBT and those who received both CBT and EMDR.
Results:
The results showed that both the CBT and CBT and EMDR conditions achieve statistically significant outcomes on all three outcome measures. The CBT and EMDR condition achieved superior outcomes on the BAI and OQ.45 post therapy. Both the CBT and EMDR and CBT conditions achieved similar statistically significant outcomes on the BDI.
Conclusions:
EMDR and CBT combined appeared to achieve more positive outcomes on the BAI and OQ.45 in comparison to CBT alone in a similar timescale of an average of 10 sessions for a broad range of psychiatric disorders. These findings suggest that larger scale RCTs may be warranted on EMDR either alone or combined with CBT for a broad range of psychiatric disorders.
Cognitive Behavioral Therapy (CBT) is the psychotherapy treatment of choice for most psychiatric disorders and is regularly used in Community Mental Health Team settings . Eye Movement Desensitization and Reprocessing therapy is often used with PTSD but there is little evidence base for it being used with other psychiatric disorders, or combined with CBT, and whether or not this would have an effect.
Method:
A retrospective cohort design was adopted to compare outcomes at pre- and post-therapy on three outcome measures, the Beck Depression Inventory (BDI) [1], the Beck Anxiety Inventory (BAI) [2] and the Outcome Questionnaire 45 item version (OQ.45) [3], between clients who received CBT and those who received both CBT and EMDR.
Results:
The results showed that both the CBT and CBT and EMDR conditions achieve statistically significant outcomes on all three outcome measures. The CBT and EMDR condition achieved superior outcomes on the BAI and OQ.45 post therapy. Both the CBT and EMDR and CBT conditions achieved similar statistically significant outcomes on the BDI.
Conclusions:
EMDR and CBT combined appeared to achieve more positive outcomes on the BAI and OQ.45 in comparison to CBT alone in a similar timescale of an average of 10 sessions for a broad range of psychiatric disorders. These findings suggest that larger scale RCTs may be warranted on EMDR either alone or combined with CBT for a broad range of psychiatric disorders.
Format
Journal
Language
English
Original Work Citation
Hutchins, J., Hasson, L., & Proudlock, S. (2017). Evaluation of routine outcomes of CBT Vs CBT & EMDR in a community mental health service for severe and enduring mental health problems. Journal of Psychiatry and Cognitive Behavior, 1, [1-6]
Citation
“Evaluation of routine outcomes of CBT Vs CBT & EMDR in a community mental health service for severe and enduring mental health problems,” Francine Shapiro Library, accessed May 13, 2024, https://francineshapirolibrary.omeka.net/items/show/24638.