Measuring Changes in Negative and Positive Thinking in Patients With Depression

Authors

  • Diane McNally Forsyth RN, PhD,

    1. Diane McNally Forsyth, RN, PhD, is Professor, Winona State University Graduate Program in Nursing, Winona State University, Rochester, Minnesota, USA; Kathleen A. Poppe, RN, MS, is a Registered Nurse, Nurse Manager, Mayo Clinic, Rochester, Minnesota, USA; Virginia Rae Nash, RN, DNP, is a Clinical Nurse Specialist in Adult Psychiatric and Mental Health, Mayo Clinic, Rochester, Minnesota, USA; Renato D. Alarcon, MD, MPH, is a Professor of Psychiatry, Mayo Clinic College of Medicine, and Consultant, Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA; and Simon Kung, MD, is an Assistant Professor of Psychiatry, Mayo Clinic College of Medicine, and Consultant, Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA.
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  • Kathleen Poppe RN, MS,

    1. Diane McNally Forsyth, RN, PhD, is Professor, Winona State University Graduate Program in Nursing, Winona State University, Rochester, Minnesota, USA; Kathleen A. Poppe, RN, MS, is a Registered Nurse, Nurse Manager, Mayo Clinic, Rochester, Minnesota, USA; Virginia Rae Nash, RN, DNP, is a Clinical Nurse Specialist in Adult Psychiatric and Mental Health, Mayo Clinic, Rochester, Minnesota, USA; Renato D. Alarcon, MD, MPH, is a Professor of Psychiatry, Mayo Clinic College of Medicine, and Consultant, Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA; and Simon Kung, MD, is an Assistant Professor of Psychiatry, Mayo Clinic College of Medicine, and Consultant, Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA.
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  • Virginia Nash RN, DNP,

    1. Diane McNally Forsyth, RN, PhD, is Professor, Winona State University Graduate Program in Nursing, Winona State University, Rochester, Minnesota, USA; Kathleen A. Poppe, RN, MS, is a Registered Nurse, Nurse Manager, Mayo Clinic, Rochester, Minnesota, USA; Virginia Rae Nash, RN, DNP, is a Clinical Nurse Specialist in Adult Psychiatric and Mental Health, Mayo Clinic, Rochester, Minnesota, USA; Renato D. Alarcon, MD, MPH, is a Professor of Psychiatry, Mayo Clinic College of Medicine, and Consultant, Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA; and Simon Kung, MD, is an Assistant Professor of Psychiatry, Mayo Clinic College of Medicine, and Consultant, Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA.
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  • Renato D. Alarcon MD, MPH,

    1. Diane McNally Forsyth, RN, PhD, is Professor, Winona State University Graduate Program in Nursing, Winona State University, Rochester, Minnesota, USA; Kathleen A. Poppe, RN, MS, is a Registered Nurse, Nurse Manager, Mayo Clinic, Rochester, Minnesota, USA; Virginia Rae Nash, RN, DNP, is a Clinical Nurse Specialist in Adult Psychiatric and Mental Health, Mayo Clinic, Rochester, Minnesota, USA; Renato D. Alarcon, MD, MPH, is a Professor of Psychiatry, Mayo Clinic College of Medicine, and Consultant, Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA; and Simon Kung, MD, is an Assistant Professor of Psychiatry, Mayo Clinic College of Medicine, and Consultant, Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA.
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  • Simon Kung MD

    1. Diane McNally Forsyth, RN, PhD, is Professor, Winona State University Graduate Program in Nursing, Winona State University, Rochester, Minnesota, USA; Kathleen A. Poppe, RN, MS, is a Registered Nurse, Nurse Manager, Mayo Clinic, Rochester, Minnesota, USA; Virginia Rae Nash, RN, DNP, is a Clinical Nurse Specialist in Adult Psychiatric and Mental Health, Mayo Clinic, Rochester, Minnesota, USA; Renato D. Alarcon, MD, MPH, is a Professor of Psychiatry, Mayo Clinic College of Medicine, and Consultant, Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA; and Simon Kung, MD, is an Assistant Professor of Psychiatry, Mayo Clinic College of Medicine, and Consultant, Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA.
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Author contact: poppe.kathleen@mayo.edu, with a copy to the Editor: gpearson@uchc.edu

Abstract

PURPOSE.  The purpose of this article is to describe changes in positive and negative thinking in adult inpatients with depression who attended an Advanced Practice Nurse-led Cognitive Behavioral Therapy group on 1 inpatient unit in a large medical center.

DESIGN AND METHODS.  A descriptive design with a retrospective cohort chart review was conducted (n= 427). Positive and negative thinking were measured by the Automatic Thoughts Questionnaire at admission and at discharge.

FINDINGS AND PRACTICE IMPLICATIONS.  A paired t-test revealed a significant change (p = .001) in both positive and negative thinking in the desired direction between admission and discharge. It is important to measure clinical improvements.

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