Research Article| Volume 20, ISSUE 1, P3-11, February 2006

The Evaluation of Cognitive–Behavioral Group Therapy on Patient Depression and Self-Esteem

      We evaluated the impact of cognitive–behavioral group therapy on the depression and self-esteem of clinically depressed patients. This longitudinal study involved 26 experimental group patients who received 12 weeks of cognitive–behavioral group therapy and 25 comparison subjects. Two weeks before the study, immediately upon therapy completion, and 1 month later, all the participants underwent pretest, posttest, and follow-up, respectively. The experimental group patients experienced greater cognitive improvements (i.e., depression relief, self-esteem increase) as compared with the comparison group subjects. One month after therapy completion, the depressive symptoms and self-esteem of the experimental group patients remained slightly but significantly better than those of the comparison group subjects.
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        • American Psychiatric Association
        Diagnostic and statistical manual of mental disorders.
        4th ed. American Psychiatric Association, Washington, DC1994
        • Beck A.T.
        • Rush A.J.
        • Show B.F.
        • Emery G.
        Cognitive therapy of depression.
        Guilford Press, New York1979
        • Chang A.J.
        • Ko H.C.
        • Yeh T.L.
        • Lu R.B.
        The Short-Form Cognitive Style Test and Cognitive Error Questionnaire: Reliability and validity.
        Chinese Psychiatry Medicine. 1996; 10: 36-44
      1. Chang, K. H. (2001). The self-identification and the relationship with parents' attitude and self-esteem in adolescents. Unpublished thesis. National Taiwan University.

        • R.J. DeRubeis
        • A.T. Beck
        Cognitive therapy.
        in: Dobson K.S. Handbook of cognitive–behavioral therapies. Guilford Press, New York1988: 273-306
        • DeRubeis R.J.
        • Gelfand L.A.
        • Tang T.Z.
        • Simons A.D.
        Medications versus cognitive behavior therapy for severely depressed outpatients: Meta-analysis of four randomized comparisons.
        American Journal of Psychiatry. 1999; 156: 1007-1013
        • Elkin I.
        • Gibbons R.D.
        • Shea M.T.
        • Sotrky S.M.
        • Watkins J.T.
        • Pilkonis P.A.
        Initial severity and differential treatment outcome in the National Institute of Mental Health Treatment of Depression Collaborative Research Program.
        Journal of Consulting and Clinical Psychology. 1995; 63: 841-847
        • Elkin I.
        • Shea M.T.
        • Watkins A.
        • Imber S.D.
        • Sotsdy S.M.
        • Collins J.F.
        • et al.
        National Institute of Mental Health Treatment of Depression Collaborative Research Program: General effectiveness of treatments.
        Archives of General Psychiatry. 1989; 46: 971-982
        • George L.K.
        • Bearon L.B.
        Quality of life in older persons: Meaning and measurement.
        Human Science Press, New York1980
        • Hardy G.E.
        • Cahill J.
        • Shapiro D.A.
        • Barkham M.
        • Rees A.
        • Macaskill N.
        Client interpersonal and cognitive styles as predictors of response to time-limited cognitive therapy for depression.
        Journal of Consulting and Clinical Psychology. 2001; 69: 841-845
        • Klerman G.L.
        • Weissman M.M.
        The course, morbidity, and costs of depression.
        Archives of General Psychiatry. 1992; 49: 831-834
        • Paykel E.S.
        • Scott J.
        • Teasdale J.
        • Johnson A.L.
        • Garland A.
        • Moore R.
        • et al.
        Prevention of relapse in residual depression by cognitive therapy: A controlled trial.
        Archives of General Psychiatry. 1999; 56: 829-835
        • Peden A.R.
        • Rayens M.K.
        • Hall L.A.
        • Beebe L.H.
        Preventing depression in high-risk college women: A report of an 18-month follow-up.
        Journal of American College Health. 2001; 49: 299-306
        • Scott J.
        Cognitive therapy for depression.
        British Medical Bulletin. 2001; 57: 101-113
        • Scott J.
        • Palmer S.
        • Paykel E.
        • Teasdale J.
        • Hayhurst H.
        Use of cognitive therapy for relapse prevention in chronic depression.
        British Journal of Psychiatry. 2003; 182: 221-227
        • Scott J.
        • Teasdale J.D.
        • Paykel E.S.
        • Johnson A.L.
        • Abbott R.
        • Hayhurst H.
        • et al.
        Effects of cognitive therapy on psychological symptoms and social functioning in residual depression.
        British Journal of Psychiatry. 2000; 177: 440-446
        • Shapiro D.A.
        • Barkham M.
        • Rees A.
        • Hardy G.E.
        • Reynolds S.
        • Startup M.
        Effects of treatment duration and severity of depression on the effectiveness of cognitive/behavioral and psychodynamic/interpersonal psychotherapy.
        Journal of Consulting and Clinical Psychology. 1994; 62: 522-534
        • Silber E.
        • Tippet J.
        Self-esteem: Clinical assessment and measurement validation.
        Journal of Psychiatric Reports. 1965; 16: 1017-1071
        • Silverman M.S.
        • McCarthy M.
        • McGovern T.
        A review of outcome studies of rational–emotive therapy from 1982–1989.
        Journal of Rational-Emotive and Cognitive Behavior Therapy. 1992; 10: 111-181
        • Stravynski A.
        • Verreault R.
        • Gaudette G.
        • Langlois R.
        • Gagnier S.
        • Larose M.
        The treatment of depression with group behavioral–cognitive therapy and imipramine.
        Canadian Journal of Psychiatry-Revue Canadienne de Psychiatrie. 1994; 39: 387-390
        • Vittengl J.R.
        • Jarrett R.B.
        • Clark L.A.
        Interpersonal problems, personality pathology, and social adjustment after cognitive therapy for depression.
        Psychological Assessment. 2003; 15: 29-40
        • Yalom I.D.
        The theory and practice of group psychotherapy.
        Basic Books, New York1995
        • Zaretsky A.E.
        • Segal Z.V.
        • Gemar M.
        Cognitive therapy for bipolar depression: A pilot study.
        Canadian Journal of Psychiatry. 1999; 44: 491-494
        • Zust B.L.
        Effect of cognitive therapy on depression in rural, battered women.
        Archives of Psychiatric Nursing. 2000; XIV: 51-63