Horrell, Linda, Goldsmith, Kimberley A., Tylee, Andre T., Schmidt, Ulrike, Murphy, Caroline A., Bonin, Eva-Maria, Beecham, Jennifer, Kelly, Joanna, Raikundalia, Shriti, Brown, June S.L. and others. (2014) One-day cognitive-behavioural therapy self-confidence workshops for people with depression: a randomised controlled trial. British Journal of Psychiatry, 204 (3). pp. 222-233. ISSN 0007-1250. (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:41628)
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. | |
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 |
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DOI/Identification number: | 10.1192/bjp.bp.112.121855 |
Uncontrolled keywords: | cognitive behavioural therapy, depression, cost-effectiveness, CBT |
Subjects: | H Social Sciences > HV Social pathology. Social and public welfare |
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: | R. Bass |
Date Deposited: | 30 Jun 2014 10:58 UTC |
Last Modified: | 17 Aug 2022 10:57 UTC |
Resource URI: | https://kar.kent.ac.uk/id/eprint/41628 (The current URI for this page, for reference purposes) |
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