One-day cognitive–behavioural therapy self-confidence workshops for people with depression: randomised controlled trial. (March 2014)

• Record Type: Journal Article
• Authors: Horrell, Linda; Goldsmith, Kimberley A.; Tylee, André T.; Schmidt, Ulrike H.; Murphy, Caroline L.; Bonin, Eva-Maria; Beecham, Jennifer; Kelly, Joanna; Raikundalia, Shriti; Brown, June S. L
• Is Part Of: British journal of psychiatry. Volume 204:Number 3(2014)
• Page Start: 222
• Page End: 233
• Publication Date: 2014-03
• Subjects: Psychiatry -- Periodicals; Psychology, Pathological -- Periodicals; 616.89005
• DOI: 10.1192/bjp.bp.112.121855
• Languages: English
• ISSNs: 0007-1250

Abstract

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 14) 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.