One-day cognitive-behavioural therapy self-confidence workshops for people with depression: randomised controlled trial

The British Journal of Psychiatry : the Journal of Mental Science
Linda HorrellCLASSIC trial group

Abstract

Despite its high prevalence, help-seeking for depression is low. To assess the effectiveness and cost-effectiveness of 1-day cognitive-behavioural therapy (CBT) self-confidence workshops in reducing depression. Anxiety, self-esteem, prognostic indicators as well as access were also assessed. An open randomised controlled trial (RCT) waiting list control design with 12-week follow-up was used (trial registration: ISRCTN26634837). A total of 459 adult participants with depression (Beck Depression Inventory (BDI) scores of ≥ 14) self-referred and 382 participants (83%) were followed up. At follow-up, experimental and control participants differed significantly on the BDI, with an effect size of 0.55. Anxiety and self-esteem also differed. Of those who participated, 25% were GP non-consulters and 32% were from Black and minority ethnic groups. Women benefited more than men on depression scores. The intervention has a 90% chance of being considered cost-effective if a depression-free day is valued at £14. Self-confidence workshops appear promising in terms of clinical effectiveness, cost-effectiveness and access by difficult-to-engage groups.

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Citations

Feb 29, 2016·PharmacoEconomics·James ShearerRenee Romeo
Oct 8, 2016·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Pim CuijpersMarcus J H Huibers
Oct 4, 2016·American Journal of Men's Health·Anthony P O'BrienSally W Chan
May 6, 2019·BMC Psychiatry·Vishal K ThakurJitender Sareen
Jul 9, 2020·Journal of Evidence-based Integrative Medicine·Adrian L LoprestiPeter D Drummond
Mar 16, 2021·Behavioural and Cognitive Psychotherapy·Samantha SwartzmanRowena McElhinney

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