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Patient Educ Couns. 2007 Sep;68(1):107-10. Epub 2007 Jun 19.

An evaluation of large group CBT psycho-education for anxiety disorders delivered in routine practice.

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Psychotherapy Department, Sheffield Care Trust, Michael Carlisle Centre, Osborne Road, Sheffield S11 9BF, UK.



To determine the clinical utility and acceptability of a brief CBT psycho-educational course delivered in an NHS psychotherapy service.


All patients referred, found suitable for CBT, and who had an anxiety disorder, were invited to enrol in a psycho-education course, delivered in an outpatient mental health clinic by two mental health nurses with post-registration training in CBT. There were up to 24 patients in each course. Outcome measures used were CORE-OM and Fear Questionnaire administered pre-course and at 12-week follow-up and Client Satisfaction Questionnaire administered post-course.


One-hundred and ninety one patients were referred. Of these 120 remained in contact with the service to the follow-up meeting. Ninety-seven patients were discharged at the follow-up point and 92 requested further individual psychotherapy. A number of patients made a clinical and reliable change as measured by CORE-OM and Fear Questionnaire. One-hundred and two patients completed the CSQ-8 reporting high satisfaction with the intervention.


The intervention appears to be helpful for a number of patients and largely acceptable for most patients that attend.


Large group psycho-educational interventions for anxiety disorders could be increasingly used as a method of delivering low intensity treatments within a stepped care model of the treatment of anxiety disorders. The intervention is relatively simple to deliver and potentially could be delivered by primary care clinicians.

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