Effectiveness of Cognitive Behavioural Therapy in Treating Mental Health Patients with Depression

This study explores the effectiveness of Cognitive Behavioural Therapy (CBT) in treating mental health patients with depression. It discusses the process and delivery of CBT, the effectiveness of one-day self-confidence workshops, community-based group interventions, and CBT for depressed patients with diabetes. The implications for practice are also discussed.

How effective is Cognitive
Behavioural Therapy in
treating mental health
patients with depression?

TABLE OF CONTENTS
INTRODUCTION...........................................................................................................................1
SEARCH..........................................................................................................................................1
DISCUSSION..................................................................................................................................3
CONCLUSION................................................................................................................................5
IMPLICATION FOR PRACTICE..................................................................................................6
REFERENCES................................................................................................................................8

INTRODUCTION
Evidence based practice (EBP) is an effective problem solving approach which is mainly
used in clinical practice. This helps in incorporating the best evidence by understanding the
preference of the patient, well designed studies, understanding the value of the patient and
expertise of clinical helps in making strategic decision associated with the patient care (Johnsen
and Friborg, 2015). Evidence based practice helps in improving the health outcomes of the
patients. This study will highlight on determining how effective is Cognitive Behavioural
Therapy in treating mental health patients with depression. This study will reflect on literature
searching process which is relevant for the nursing practice. This will be light on by examining
key articles associated with the aim of the research. Evidence based practice model is an
effective process of collecting, processing, critically analysing the findings of the research which
in turn helps in improving clinical practice. Use of Evidence based practice model helps in
providing high quality care services in the most cost efficient manner. It is important to use EBP
because it mainly focuses on providing the most effective care with the key aim to improve the
outcomes of the patients. This is beneficial in providing individualize and personalized care to
the patients. It helps in enhancing the expertise of the professional expertise and also reduce cost
in order to provide effective care and services. The use of evidence based practice in nursing
helps in effectively evaluating the research in order to understand the risk associated with the
treatment. This in turn helps in delivering exceptional value added care to the patient by
standardizing health care services and attaining best results. This study will determine, why
Cognitive behavioural therapy is an effective technique which helps in treating mental health of
the patients with depression.
SEARCH
Keywords: Cognitive behaviour therapy, diabetes, depression, effectiveness, symptoms, anxiety,
multi- modal CBT, Evidence based practice, intervention, psychiatric condition, LLTTF classes,
multimedia CBT, Hybrid CBT, One day CBT self confidence.
I have evaluated that depression tends to affect large number of people across the world
which is mainly associated with the personal, economic and social morbidity and productivity.
This is turn results in level of health and care services which in turn leads to higher level of care
services to the individual. It is very crucial for the nurses and health care practitioners to
effectively optimize the use of various health resources. Despite of high prevalence rate and
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several numerous barriers it has been assessed that depression is considered to be one of the
major factor which in turn results in better health care outcomes.
I have determined that, by the year 2030, depression is considered to be one of the
leading factor of disease burden at a global scale. The key aim of carrying out the particular
study is to gain wider knowledge on the subject matter which is mainly associated to gain wider
knowledge on CBT in order to treat people with depression and anxiety. This article is selected
in order to assess the cost effectiveness and efficiency of the one day cognitive behavioural
therapy self confidence workshops which is mainly associated with the reduction in depression.
This article is also very useful in demonstrating the various indicators associated with the self
esteem, anxiety and prognostic factors. The researcher of the study has carried out determine
that, despite of the higher prevalence, the individual seeking help for depression is quite low.
I have evaluated that, depression and anxiety tends to place a very significant burden on
the health services. This study will help in critically analysing and assessing the effectiveness of
8 week community based CBT approach for self help group classes in order to evaluate
symptoms associated with anxiety, depression and social functions.
This article is selected by the researcher in order to identify whether CBT is effective
among the individuals who are at high risk of diabetes suffering from depression (Fernandez and
et.al., 2015). This helps in determining whether CBT is an effective tool in order to reduce
depressive symptoms and improve glycaemic control with depressed diabetic patients.
This article is selected by the researcher in order to effectively determine the
effectiveness of multi modal CBT approach for treating symptoms related with anxiety and
depression in relation with primary care (Manber and et.al., 2016).
Rationale: The main reason for carrying out the research on the particular research topic
because of the academic interest in order to critically analyse on the cognitive behaviour therapy
in order to treat mental health patients who are suffering from depression. The researcher has
also carried out this study because depression is a current issue and it helps in determining wider
knowledge on how effective is CBT in order to treat individuals suffering from depression,
anxiety and impaired disorders.
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The search of these articles were carried out through CINHAL site which helped the
researcher in gaining important articles which in turn is useful in grasping relevant knowledge
and insight on the particular subject matter. This study helps in determining the various
particular subject matter through qualitative research study and gained relevant data base by
exploring the internet by finding relevant topics associated with cognitive behaviour therapy in
order to treat depression.
DISCUSSION
Process and delivery of CBT for depression in adults
Garber, Frankel and Herrington, (2016) sought to determine the fact that, cognitive
behaviour therapy is considered to be as an effective approach which helps in treating for
depressing adults. The interventions associated with the CBT is very complex. The major
depressive disorder is mainly linked up with psychiatric condition of an individual which in turn
causes disability worldwide. CBT interventions are considered to be complex because it tends to
include various related therapies which in turn can be delivered in numerous ways in order to
treat adults who are suffering from depression. CBT is considered to be as a family related
therapy because it tends to range from several components which mainly includes behavioural
activation, psycho education, homework, problem solving, etc. Watkins, (2018) argued that, the
overall benefit of the CBT intervention is that it helps in improving the depressive symptoms
which in turn is considered to be the most effective approach which tends to help in improving
the health outcomes of the people who are suffering from depression. Hybrid CBT intervention
is considered to be one of the most effective intervention which is the combination of both face
to face CBT sessions and multimedia CBT. Hybrid CBT and multimedia CBT is an effective
and consists of promising alternative in order to improve the coverage associated with the
depressing adults. Multimedia CBT is mainly an effective approach which is useful in treating
people with severe depression among adults. Face to face CBT is an effective approach which is
useful in changing the thought patterns of the individual suffering from depression.
One day CBT self confidence workshops for individuals suffering from depression.
Stiles-Shields and et.al., (2015) said that, CBT is an effective intervention approach
which in turn helps in assessing the cost effectiveness of one day CBT approach which is very
useful in reducing depression which in turn leads to long term sustainable growth and efficiency
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of the individual. CBT is considered to be as an effective meditation which in turn helps in
severe depression and also focuses on long term benefits to the individual. This psycho-
educational self confidence approach is important because it helps in development of low self
confidence and various other emotional components associated with the individual. The second
session mainly consists of cognitive components which is associated with the self- confidence.
This in turn is very useful in determining the negative thoughts of an individual. Johnsen and
Friborg, (2015) argued that, Behavioural methods is considered to be an effective approach
because it helps in improving the low self confidence among individuals by effectively
identifying problem serving approach. One day CBT self confidence workshops for individuals
suffering from depression mainly helps in reducing anxiety and is very beneficial in improving
the self- esteem of an individual. Self confidence workshop is considered to be effective because
it helps in effectively appearing towards cost and clinical effectiveness approach. It also helps in
accessing to engage several different groups.
Community Based group which is guided by self help intervention in relation with low mood
and stress.
Huguet and et.al., (2016) sought to determine the fact that, depression can be effectively
treated with the help of primary care which helps in treating individual with depression in order
to attain better health care outcomes. Living life to the fullest (LLTTF) intervention is tended to
be delivered by charitable organization which in turn helps in treating people with depression.
LLTTF classes help in treating people with symptoms of depression where the individuals will
help in improving the problems associated with the depression, anxiety and impaired disability.
It has been evaluated that, this intervention is very effective because it helps in providing
alternative route of management with no additional cost to various health and social care
services. Zettle and Hayes, (2015) argued that, Community based intervention is considered to
be as an effective approach because it helps in providing promising and additional approach in
order to improve mental health care services. Community based intervention at a primary care
level helps in fast recovery of depression which in turn helps in treating depression.
Effectiveness of CBT for depressed patients with diabetes.
Weitz and et.al., (2015) sought to determine the fact that, CBT is considered to be an
effective approach which is useful in treating patients with high diabetes who are suffering from
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depression. Depression with the people who have diabetes tend to have a negative impact on the
quality of life. This requires careful management because it has several negative impact on the
quality of life of an individual. Computerized cognitive behavioural therapy is an effective
intervention which in turn uses computer in order to deliver effective and interactive cognitive
behaviour therapy sessions. The major advantage associated with the CCBT approach is that it
helps in providing various treatment choices for the patients in order to have access to various
mental health care services. Ebert and et.al., (2015) argued that, CCBT is an effective approach
in treating diabetic patients with depression in order to improve health and care services. CBT
approach is useful because it tends to have positive impact on various depressive symptoms and
also tends to have betterment in glycated haemoglobin. It helps in improving the self concept and
self efficacy in order to successfully manage diabetes and depression.
Effectiveness of CBT for depression and anxiety in primary care: Meta analysis
Fernandez and et.al., (2015) sought to determine the fact that, CBT has been increasingly
delivered in the primary care which is mainly based on self care CBT, computerized CBT,
telephone based CBT and one to one CBT. Meta analysis is very useful in demonstrating that,
CBT is considered to be as an effective approach because it helps in treating several mental
health difficulties which is mainly associated with treating anxiety and depression. CBT is
considered to be a very effective approach which is useful in treating anxiety and depression in
relation with primary care. Manber and et.al., (2016) argued that, Multi-modal CBT approach is
very useful in treating individuals to effectively treat and identify a mental disorder. It is very
useful in optimizing the treatment of various mental disorder which in turn helps in improving
the health outcomes of an individual. Multi modal is considered to be as an effective approach
because it helps in effectively treating individuals with depression and anxiety. Meta analysis
help in determining that, multi- modal CBT is considered to be one of the most effective as
compared to the primary care. It is very useful in determining the effectiveness of the CBT
modal in relation with the primary care.
CONCLUSION
From the above conducted study it has been summarized that, Evidence based practice
helps in improving the health outcomes of the patients. This is very useful because it is
considered to be effective problem solving approach which is mainly used in clinical practice.
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Use of Evidence based practice model helps in providing high quality care services in the most
cost efficient manner. Cognitive behaviour therapy is considered to be a complex approach
which helps in treating for depressing adults. Hybrid CBT and multimedia CBT is an effective
and consists of promising alternative in order to improve the coverage associated with the
depressing adults. Furthermore, the next article helps in evaluating, One day CBT self
confidence workshops for individuals suffering from depression mainly helps in reducing
anxiety and is very beneficial in improving the self- esteem of an individual. Another research
article helps in summarizing that, LLTTF classes help in treating people with symptoms of
depression where the individuals will help in improving the problems associated with the
depression, anxiety and impaired disability. This study report also helps in gaining that, CCBT
intervention approach helps in providing various treatment choices for the patients in order to
have access to various mental health care services. The next article also helps evaluating that,
Multi-modal CBT approach is very useful in treating individuals to effectively treat and identify
a mental disorder.
IMPLICATION FOR PRACTICE
The psychological intervention for effective treatment associated with the adult
depression tends to attain better care results which leads to higher care outcomes and results
associated with people suffering from depression. Technology is increasingly adapted in relation
with CBT intervention in order to prevent depression (Garber, Frankel and Herrington, 2016).
Hybrid CBT and multimedia CBT is considered to be one of the best effective approach as
compared with the face to face CBT.
The self confidence workshop programme is considered to be an effective approach
which helps individual in under treatment of the individual suffering from depression. This is an
effective psychological programme which in turn is an effective intervention for the people
suffering from depression.
Implication of LLTTF intervention is considered to be effective because it helps in
demonstrating that, low intensity CBT classes is effectively delivered within a particular
community because it is considered to be effective and cost efficient approach. This in turn helps
in management of the anxiety, depression and impaired social function.
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Implication of this approach by the health care practitioners is considered to be very
effective for future because it helps in delivering the best possible health care outcomes
(Watkins, 2018). CCBT is an effective approach in treating diabetic patients with depression in
order to improve health and care services.
Meta analysis tends to provide effective preliminary evidence which in turn leads to
effectiveness of multi modal which is mainly associated with treating people who are suffering
from depression and anxiety (Stiles-Shields and et.al., 2015). This is considered to be as an
economically viable approach which is very useful in increasing the roll-out associated with
multi modal CBT in primary care.
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REFERENCES
Books and Journals
Ebert, D.D and et.al., 2015. Internet and computer-based cognitive behavioral therapy for anxiety
and depression in youth: a meta-analysis of randomized controlled outcome trials. PloS
one. 10(3).p.e0119895.
Fernandez, E and et.al., 2015. Meta-analysis of dropout from cognitive behavioral therapy:
Magnitude, timing, and moderators. Journal of Consulting and Clinical Psychology.83(6).
p.1108.
Garber, J., Frankel, S.A. and Herrington, C.G., 2016. Developmental demands of cognitive
behavioral therapy for depression in children and adolescents: cognitive, social, and
emotional processes. Annual review of clinical psychology. 12.pp.181-216.
Huguet, A and et.al., 2016. A systematic review of cognitive behavioral therapy and behavioral
activation apps for depression. PloS one. 11(5). p.e0154248.
Johnsen, T.J. and Friborg, O., 2015. The effects of cognitive behavioral therapy as an anti-
depressive treatment is falling: A meta-analysis. Psychological Bulletin. 141(4). p.747.
Manber, R and et.al., 2016. Efficacy of Cognitive-Behavioral Therapy for Insomnia Combined
With Antidepressant Pharmacotherapy in Patients With Comorbid Depression and
Insomnia: A Randomized Controlled Trial. The Journal of clinical psychiatry, 77(10),
pp.e1316-e1323.
Stiles-Shields, C and et.al., 2015. Predictors of outcome for telephone and face-to-face
administered cognitive behavioral therapy for depression. Psychological medicine.45(15).
pp.3205-3215.
Watkins, E.R., 2018. Rumination-focused cognitive-behavioral therapy for depression. Guilford
Publications.
Weitz, E.S and et.al., 2015. Baseline depression severity as moderator of depression outcomes
between cognitive behavioral therapy vs pharmacotherapy: an individual patient data meta-
analysis. JAMA psychiatry.72(11). pp.1102-1109.
Zettle, R.D. and Hayes, S.C., 2015. Rule-governed behavior: A potential theoretical framework
for cognitive-behavioral therapy. In The Act in Context (pp. 33-63). Routledge.
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