Horrell, L., Goldsmith, K. A., Tylee, A. T., Schmidt, U. H., Murphy, C. L., Bonin, E.-M. 
ORCID: 0000-0001-9123-9217, Beecham, J., Kelly, J., Raikundalia, S. and 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).
pp. 222-233.
ISSN 0007-1250
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.
| Item Type: | Article |
|---|---|
| Official URL: | http://bjp.rcpsych.org/ |
| Additional Information: | © 2014 The Royal College of Psychiatrists |
| Divisions: | Care Policy and Evaluation Centre |
| Subjects: | B Philosophy. Psychology. Religion > BF Psychology |
| Date Deposited: | 04 Feb 2015 11:52 |
| Last Modified: | 14 Nov 2024 04:48 |
| Projects: | PB-PG-1207-15154 |
| Funders: | National Institute for Health Research (NIHR) |
| URI: | http://eprints.lse.ac.uk/id/eprint/60836 |
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