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One-day CBT self-confidence workshops for people with depression: a randomised controlled trial to assess clinical and health economic outcomes and access by difficult to engage groups

Horrell, Linda, Goldsmith, Kimberley, Tylee, Andre, Schmidt, Ulrike, Murphy, Caroline, Bonin, Eva-Maria, Beecham, J.K., Kelly, Joanna, Raikundalia, Shriti, Brown, June and others. (2013) One-day CBT self-confidence workshops for people with depression: a randomised controlled trial to assess clinical and health economic outcomes and access by difficult to engage groups. British Journal of Psychiatry, 204 (3). pp. 222-233. ISSN 0007-1250. E-ISSN 1472-1465. (doi:10.1192/bjp.bp.112.121855) (The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided) (KAR id:38514)

The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided. (Contact us about this Publication)
Official URL:
http://dx.doi.org/10.1192/bjp.bp.112.121855

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.

Item Type: Article
DOI/Identification number: 10.1192/bjp.bp.112.121855
Subjects: H Social Sciences > H Social Sciences (General)
Divisions: Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Personal Social Services Research Unit
Depositing User: Jane Dennett
Date Deposited: 28 Feb 2014 10:36 UTC
Last Modified: 16 Feb 2021 12:51 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/38514 (The current URI for this page, for reference purposes)

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