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

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Abstract

Background Despite its high prevalence, help-seeking for depression is low. Aims 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. Method 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 514) self-referred and 382 participants (83%) were followed up. Results 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. Conclusions Self-confidence workshops appear promising in terms of clinical effectiveness, cost-effectiveness and access by difficult-to-engage groups.

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APA

Horrell, L., Goldsmith, K. A., Tylee, A. T., Schmidt, U. H., Murphy, C. L., Bonin, E. M., … Brown, J. S. L. (2014). One-day cognitive-behavioural therapy self-confidence workshops for people with depression: Randomised controlled trial. British Journal of Psychiatry, 204(3), 222–233. https://doi.org/10.1192/bjp.bp.112.121855

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