Cited by 183Psychotherapy Techniques and ApplicationsAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychological Treatments and Assessments

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The clinical effectiveness of cognitive behaviour therapy: outcome for a large sample of adults treated in routine practice

Westbrook, David, Kirk, Joan·2005·Behaviour Research and Therapy

DOI 10.1016/j.brat.2004.09.006

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Abstract

There is increasing interest in questions about how far the demonstrated efficacy of psychological therapies in research trials can be translated into clinical effectiveness in routine practice. This paper summarises outcome data from several hundred patients treated with CBT in routine clinical practice in a National Health Service psychology service, and compares their outcomes with some of the published research. Although the data have flaws common in ordinary clinical practice (no untreated controls, missing data, uncontrolled pharmacotherapy, etc.), the analyses suggest that CBT in this context is an effective treatment, albeit with probably not quite such good results as it achieves in research trials. Using clinical significance statistics on standardised measures, about half of the sample reliably improved over a course of therapy, including about a third who recovered to normal range.

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Authors: Westbrook, D., & Kirk, J.
Affiliations: Warneford Hospital (GB)
Corresponding author: Westbrook, David
Venue: Behaviour Research and Therapy
Publisher: Elsevier BV
Published: 2005-10
Volume: 43
Issue: 10
Pages: 1243-1261
ISSN: 0005-7967 (ISSN-L)
DOI: 10.1016/j.brat.2004.09.006
OpenAlex: W2009742487
Cited by: 183
References: 29
Citations by year: 2025: 2 · 2024: 4 · 2023: 4 · 2022: 8 · 2021: 1 · 2020: 5 · 2019: 7 · 2018: 12 · 2017: 3 · 2016: 10 · 2015: 9 · 2014: 17 · 2013: 12 · 2012: 18
FWCI: 6.79
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Behaviour Research and Therapy (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
Keywords: cognitive behavioral therapy, clinical effectiveness, routine clinical practice, treatment outcomes, adults
MeSH terms: Adolescent, Adult, Aged, Anxiety Disorders, Depressive Disorder, England, Female, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Severity of Illness Index, State Medicine, Cognitive Behavioral Therapy, Treatment Outcome, Outcome Assessment, Health Care, Benchmarking

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The clinical effectiveness of cognitive behaviour therapy: outcome for a large sample of adults treated in routine practice

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