{"status":"public","doi":"10.1159/000500188","abstract":[{"text":"Objective: Long-term follow-ups several years after receiving cognitive behavioral therapy (CBT) are scarce and most of the existing literature describes follow-up data of randomized-controlled trials. Thus, very little is known about the long-term effects of CBT in routine care. Methods: We investigated psychological functioning in a sample of 263 former outpatients who had received CBT for a variety of mental disorders such as depression, anxiety-, eating- or somatoform disorders 8.06 (SD 5.08) years after treatment termination. All participants completed a diagnostic interview as well as the Brief-Symptom Inventory (BSI) and the Beck Depression Inventory (BDI). Effect sizes and response rates according to Jacobson and Truax [J Consult Clin Psychol 1991;59:12–9] were calculated from pre- to posttreatment and from pretreatment to follow-up assessment. Results: Pre- to posttreatment effect sizes ranged between 0.75 (BDI) and 0.63 (BSI) and pretreatment to follow-up effect sizes were 0.92 (BDI) and 0.75 (BSI). Of all patients, 29% (BDI) and 17% (BSI) experienced clinically significant change at posttreatment and 42% (BDI) and 24% (BSI) at follow-up. Conclusion: The results point to the long-term effectiveness of CBT under routine conditions for a wide array of problems, especially when compared to the long-term effects of medical treatment. It is noteworthy that the results at follow-up were even better than at posttreatment, indicating further improvement. However, about a quarter of the patients did not respond sufficiently to therapy, neither concerning short-term nor long-term effects.","lang":"eng"}],"date_created":"2019-05-28T12:24:33Z","type":"journal_article","publication_identifier":{"issn":["0033-3190"],"eissn":["1423-0348"]},"_id":"516","citation":{"apa":"von Brachel, R., Hirschfeld, G., Berner, A., Willutzki, U., Teismann, T., Cwick, J. C., … Margraf, J. (2019). Long-term effectiveness of CBT in routine outpatient care - a 5 to 20-year follow-up study. <i>Psychotherapy and Psychosomatics</i>, <i>88</i>(4), 225–235. <a href=\"https://doi.org/10.1159/000500188\">https://doi.org/10.1159/000500188</a>","ama":"von Brachel R, Hirschfeld G, Berner A, et al. Long-term effectiveness of CBT in routine outpatient care - a 5 to 20-year follow-up study. <i>Psychotherapy and Psychosomatics</i>. 2019;88(4):225–235. doi:<a href=\"https://doi.org/10.1159/000500188\">10.1159/000500188</a>","bibtex":"@article{von Brachel_Hirschfeld_Berner_Willutzki_Teismann_Cwick_Velten_Schulte_Margraf_2019, title={Long-term effectiveness of CBT in routine outpatient care - a 5 to 20-year follow-up study}, volume={88}, DOI={<a href=\"https://doi.org/10.1159/000500188\">10.1159/000500188</a>}, number={4}, journal={Psychotherapy and Psychosomatics}, publisher={Karger}, author={von Brachel, Ruth and Hirschfeld, Gerrit and Berner, Arleta and Willutzki, Ulrike and Teismann, Tobias and Cwick, Jan Christopher and Velten, Julia and Schulte, Dietmar and Margraf, Jürgen}, year={2019}, pages={225–235} }","mla":"von Brachel, Ruth, et al. “Long-Term Effectiveness of CBT in Routine Outpatient Care - a 5 to 20-Year Follow-up Study.” <i>Psychotherapy and Psychosomatics</i>, vol. 88, no. 4, Karger, 2019, pp. 225–235, doi:<a href=\"https://doi.org/10.1159/000500188\">10.1159/000500188</a>.","ieee":"R. von Brachel <i>et al.</i>, “Long-term effectiveness of CBT in routine outpatient care - a 5 to 20-year follow-up study,” <i>Psychotherapy and Psychosomatics</i>, vol. 88, no. 4, pp. 225–235, 2019.","short":"R. von Brachel, G. Hirschfeld, A. Berner, U. Willutzki, T. Teismann, J.C. Cwick, J. Velten, D. Schulte, J. Margraf, Psychotherapy and Psychosomatics 88 (2019) 225–235.","alphadin":"<span style=\"font-variant:small-caps;\"><span style=\"font-variant:small-caps;\">von Brachel, Ruth</span> ; <span style=\"font-variant:small-caps;\">Hirschfeld, Gerrit</span> ; <span style=\"font-variant:small-caps;\">Berner, Arleta</span> ; <span style=\"font-variant:small-caps;\">Willutzki, Ulrike</span> ; <span style=\"font-variant:small-caps;\">Teismann, Tobias</span> ; <span style=\"font-variant:small-caps;\">Cwick, Jan Christopher</span> ; <span style=\"font-variant:small-caps;\">Velten, Julia</span> ; <span style=\"font-variant:small-caps;\">Schulte, Dietmar</span> ; u. a.</span>: Long-term effectiveness of CBT in routine outpatient care - a 5 to 20-year follow-up study. In: <i>Psychotherapy and Psychosomatics</i> Bd. 88, Karger (2019), Nr. 4, S. 225–235","chicago":"Brachel, Ruth von, Gerrit Hirschfeld, Arleta Berner, Ulrike Willutzki, Tobias Teismann, Jan Christopher Cwick, Julia Velten, Dietmar Schulte, and Jürgen Margraf. “Long-Term Effectiveness of CBT in Routine Outpatient Care - a 5 to 20-Year Follow-up Study.” <i>Psychotherapy and Psychosomatics</i> 88, no. 4 (2019): 225–235. <a href=\"https://doi.org/10.1159/000500188\">https://doi.org/10.1159/000500188</a>."},"publication":"Psychotherapy and Psychosomatics","year":"2019","title":"Long-term effectiveness of CBT in routine outpatient care - a 5 to 20-year follow-up study","publisher":"Karger","language":[{"iso":"eng"}],"date_updated":"2025-04-09T15:04:34Z","intvolume":"        88","page":"225–235","user_id":"220548","author":[{"first_name":"Ruth","last_name":"von Brachel","full_name":"von Brachel, Ruth"},{"first_name":"Gerrit","orcid_put_code_url":"https://api.orcid.org/v2.0/0000-0003-2143-4564/work/181737504","last_name":"Hirschfeld","id":"234690","orcid":"0000-0003-2143-4564","full_name":"Hirschfeld, Gerrit"},{"first_name":"Arleta","last_name":"Berner","full_name":"Berner, Arleta"},{"full_name":"Willutzki, Ulrike","first_name":"Ulrike","last_name":"Willutzki"},{"full_name":"Teismann, Tobias","last_name":"Teismann","first_name":"Tobias"},{"full_name":"Cwick, Jan Christopher","first_name":"Jan Christopher","last_name":"Cwick"},{"first_name":"Julia","last_name":"Velten","full_name":"Velten, Julia"},{"full_name":"Schulte, Dietmar","last_name":"Schulte","first_name":"Dietmar"},{"first_name":"Jürgen","last_name":"Margraf","full_name":"Margraf, Jürgen"}],"issue":"4","volume":88}