Changes in quality of life following group CBT for anxiety and depression in a psychiatric outpatient clinic
Abstract
The present study examined the relationship between quality of life and symptom change following group CBT treatment for anxiety or depression in a psychiatric hospital outpatient setting. One hundred seventy seven outpatients undergoing eight sessions of group CBT for anxiety (n=124) or mood disorders (n=53) participated. The Beck Anxiety Inventory (BAI), Zung Self-Rating Depression Scale (Zung-SRDS), Quality of Life Inventory (QOLI), and Satisfaction with Life Scale (SWLS) were administered at baseline and post-treatment. Additionally, the QOLI and SWLS scores of those who achieved reliable improvement or clinically significant symptom change were compared to those who experienced no reliable symptom improvement. There were significant changes across the QOLI, SWLS, BAI and Zung-SRDS outcome measures between baseline and post-treatment, with moderate to very large effect sizes observed. Patients with reliable or clinically significant change in their symptoms experienced significant increases in QOLI and SWLS scores when compared to those whose symptoms did not change reliably. Overall, in a psychiatric hospital outpatient setting, group CBT appeared to be successful in increasing quality of life and satisfaction with life in addition to reducing anxiety and depression symptoms.
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Effects on life satisfaction were small for both groups and stand in contrast to the results of studies investigating satisfaction and quality of life of outpatients, where large improvements in effectiveness trials of ACT and CBT were found.
“However, effects were small for both groups and stand in contrast to the results of studies investigating satisfaction and quality of life of outpatients. In these studies, large improvements in effectiveness trials of ACT and CBT could be found (A-Tjak et al., 2018; Forman et al., 2007; Oei & McAlinden, 2014).”
From A clinical effectiveness trial comparing ACT and CBT for inpatients with depressive and mixed mental disorders (2021) · cites this paper as Oei & McAlinden, 2014
Prevailing intervention approaches for anxiety and depression display modest effects on the positive affect system and associated outcomes.
“Consistent with this proposal, prevailing intervention approaches for anxiety and depression display modest effects on the positive affect system and associated outcomes (e.g., psychological well-being)6, 59–62”
From Upregulating the positive affect system in anxiety and depression: Outcomes of a positive activity intervention: <scp>Taylor et al.</scp> (2017) · cites this paper as [61]
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References 60 · Cited by 33
- Authors
- Oei, T. P., & McAlinden, N. M.
- Affiliations
- The University of Queensland (AU)
- Corresponding author
- Oei, Tian Po
- ORCID
- Oei, Tian Po
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2014-12
- Volume
- 220
- Issue
- 3
- Pages
- 1012-1018
- ISSN
- 0165-1781 (ISSN-L)
- OpenAlex
- W1978866492
- Cited by
- 33
- References
- 60
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 7 · 2023: 4 · 2022: 4 · 2021: 1 · 2020: 2 · 2019: 1 · 2018: 3 · 2017: 3 · 2016: 4 · 2015: 1
- FWCI
- 3.70
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- ResearchOnline - JCU (James Cook University) (submittedVersion)
- Funders
- The University of Queensland
- James Cook University in Singapore
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- group cognitive behavioral therapy, quality of life, anxiety, depression, mood disorders, psychiatric outpatients, treatment outcomes, symptom change, life satisfaction
- MeSH terms
- Adolescent, Adult, Aged, Ambulatory Care Facilities, Anxiety, Depression, Female, Humans, Male, Middle Aged, Psychiatric Department, Hospital, Quality of Life, Cognitive Behavioral Therapy, Young Adult
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