Behavioural and Cognitive Psychotherapy, 2005, 33, 33–44
Printed in the United Kingdom DOI: 10.1017/S1352465804001754
A Randomized Trial of Cognitive Group Therapy vs. Waiting
List for Patients with Co-Morbid Psychiatric Disorders: Effect
of Cognitive Group Therapy after Treatment and Six
and Twelve Months Follow-Up
Roger Hagen and Hans M. Nordahl
Norwegian University of Science and Technology, Trondheim, Norway
Lena Kristiansen
Ostmarka University Hospital, Trondheim, Norway
Gunnar Morken
Norwegian University of Science and Technology, Trondheim, Norway
Abstract. The aim of the study was to assess the effectiveness of cognitive group therapy
compared to a waiting list in a sample of patients with heterogeneous non-psychotic disorders.
Participants in this study were referred from either the psychiatric in- or outpatient clinic at the
psychiatric university hospital in Trondheim, Norway. The patients were assessed with SCID
I and SCID II, and randomized either to cognitive group therapy (n = 15) or to a waiting list
(n = 17). Self-report assessments of symptoms and interpersonal difficulties were administered
at the start of therapy, after termination of therapy (8 weeks), and at 6 months and 12 months
follow-up. Thirty-two patients completed 8 weeks of therapy. Results showed that an 8-week
program of CBGT performed better than the waiting list controls, on symptom relief at post-
treatment for all patients. The effects of therapy were still upheld at 6 and 12 months follow-up.
Cognitive therapy seems to be useful and effective in a group format in naturalistic clinical
settings, with patients suffering from various forms of non-psychotic co-morbid psychiatric
disorders.
Keywords: Cognitive group therapy, co-morbid disorders, anxiety, depression.
Introduction
Co-morbidity of psychiatric disorders in patients is more often the rule than the exception in
clinical practice. Results from a WHO-study (Sartorius, Ustun, Lecruiber and Wittchen, 1996),
Reprint requests to Roger Hagen, Department of Psychology, Norwegian University of Science and Technology, 7491
Trondheim, Norway. E-mail: roger.hagen@svt.ntnu.no
© 2005 British Association for Behavioural and Cognitive Psychotherapies