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An Initial Evaluation of the Clinical and Fitness for Work Outcomes of a Military Group Behavioural Activation Programme

Published online by Cambridge University Press:  29 May 2013

Matthew Wesson ,
Dean Whybrow ,
Matthew Gould  and
Neil Greenberg
Matthew Wesson*
Affiliation:
Royal Navy Mental Health Rehabilitation Service, DCMH Portsmouth, UK
Dean Whybrow
Affiliation:
Royal Navy Mental Health Rehabilitation Service, DCMH Portsmouth, UK
Matthew Gould
Affiliation:
Defence Clinical Psychology Service, DCMH Portsmouth, UK
Neil Greenberg
Affiliation:
Academic Centre for Defence Mental Health, Kings College London, UK
*
Reprint requests to Matthew Wesson, Royal Navy Mental Health Rehabilitation Service, DCMH Portsmouth, PP6, Sunny Walk, HMNB Portsmouth, Hampshire PO1 3LT, UK. E-mail: [email protected]
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Abstract

Background: Behavioural Activation (BA) is an evidence-based psychological treatment for depression based on behavioural theory. However, in common with other talking therapies, there is limited evidence about occupational factors related to treatment. This is an important gap in the research given the emphasis placed on employment considerations in recent service initiatives. Aim: A service evaluation to investigate the clinical and fitness to work outcomes of a group BA programme for serving military personnel. Method: 46 patients experiencing moderate to severe depression attended a 12-session Military Behavioural Activation and Rehabilitation Course (MBARC). The primary outcomes were the Patient Health Questionnaire-9 (PHQ-9), a self-report measure of depression and the patient's medical employability category. Results: Clinical and statistically significant changes were found on the PHQ-9 between pre-course and 3-month follow-up. Pretreatment 3 patients (6.5%) were psychologically fit to deploy on full operational duties in their primary role; this increased to 25 (56.8%) and 29 (65.9%) at 3 and 6-months respectively. Conclusion: Preliminary findings suggest that MBARC is a clinically and occupationally effective treatment for depression in military personnel. Further research is required to identify if BA delivered in a group setting would be effective in non-military settings and whether treatment benefits are maintained in the longer term.

Keywords

Behavioural activationdepressiongroup therapymilitary
Type
Brief Clinical Reports
Information
Behavioural and Cognitive Psychotherapy , Volume 42 , Issue 2 , March 2014 , pp. 243 - 247
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2013 

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References

Addis, M. and Martell, C. (2004). Overcoming Depression One Step at a Time. Oakland: Harbinger.Google Scholar
Clark, D. (2011). Implementing NICE guidelines for the psychological treatment of depression and anxiety disorders: the IAPT experience. International Review of Psychiatry, 23, 375–384.CrossRefGoogle ScholarPubMed
Cuijpers, P., van Straten, A., Andersson, G. and van Oppen, P. (2008). Psychotherapy for depression in adults: a meta-analysis of comparative outcome studies. Journal of Consulting and Clinical Psychology, 76, 909–922.CrossRefGoogle ScholarPubMed
Gould, M., Sharpley, J. and Greenberg, N. (2008). Patient characteristics and clinical activities at a British Military Department of Community Mental Health. Psychiatric Bulletin, 32, 99–102.CrossRefGoogle Scholar
Houghton, S., Curran, J. and Saxon, D. (2008). An uncontrolled evaluation of group behavioural activation for depression. Behavioural and Cognitive Psychotherapy, 36, 235–239.CrossRefGoogle Scholar
Iversen, A. C., van Staden, L., Hughes, J. H., Browne, T., Greenberg, N., Hotopf, M., et al. (2010). Help-seeking and receipt of treatment among UK service personnel. British Journal of Psychiatry, 197, 247–248.CrossRefGoogle ScholarPubMed
Kroenke, K., Spitzer, R. L. and Williams, J. B. W. (2001). The PHQ-9: validity of a brief depression severity measure. Journal of General Medicine, 16, 606–613 Google ScholarPubMed
Martell, C. R., Addis, M. E. and Jacobson, N. S. (2001). Depression in Context: strategies for guided action. New York: Norton.Google Scholar
Nieuwenhuijsen, K., Bultmann, U., Neumeyer-Gromen, A., Verhoeven, A., Verbeek, J. and Feltz-Cornelis, C. (2009). The Cochrane Collaboration: interventions to improve occupational health in depressed people (Review). London: John Wiley and Sons.Google Scholar
NICE (2009). Depression in adults: the treatment and management of depression in adults. Available at http://www.nice.org.uk/nicemedia/live/12329/45888/45888.pdf Accessed 12/03/13.Google Scholar
Waddell, G. and Burton, A. K. (2006). Is Work Good For Your Health and Well-Being? Available at https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/138008/hwwb-is-work-good-for-you.pdf.pdf Accessed 29/04/13.Google Scholar
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