Psychoeducational treatment and prevention of depression: The “coping with depression” course thirty years later
Abstract
The "Coping with Depression" course (CWD) is by the far the best studied psychoeducational intervention for the treatment and prevention of depression, and is used in routine practice in several countries. The CWD is a highly structured cognitive-behavioral intervention, which has been adapted for several goals, contexts, and target populations. The efficacy of the CWD has been examined in 25 randomized controlled trials. We conducted a meta-analysis of these studies. The 6 studies aimed at the prevention of new cases of major depression were found to result in a reduced risk of getting major depression of 38% (incidence rate ratio was 0.62). The 18 studies examining the CWD as a treatment of depression found a mean effect size (Cohen's d) of 0.28. Direct comparisons with other psychotherapies did not result in any indication that the CWD was less efficacious. The CWD is a flexible treatment which can easily be adapted for different populations and this may have led researchers to use this intervention for complex target groups, which in turn may have resulted in a lower mean effect size. The CWD has contributed considerably to the development and innovation of prevention and treatment of depression in many target populations.
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Identified effect sizes were similar to psychoeducational courses evaluated in adversity-affected populations living in high-income countries (e.g., the coping with depression course has a pooled effect size of d 0·28) and some transdiagnostic interventions in conflict-affected low-resource settings.
“Identified effect sizes were similar to psychoeducational courses evaluated in adversity-affected populations living in high-income countries (eg, the coping with depression course has a pooled effect size of d 0·28), 20 and some transdiagnostic interventions in conflict-affected low-resource settings. 12”
From Guided self-help to reduce psychological distress in South Sudanese female refugees in Uganda: A cluster randomised trial (2020) · cites this paper as [20]
Prior work has shown that a course format can reach populations that are hard to access.
“The potential of using a course to access hard-to-reach populations has been demonstrated previously 5 .”
From Self‐Help Plus ( <scp>SH</scp> +): a new <scp>WHO</scp> stress management package (2016) · cites this paper as [5]
The CWD approach has been validated for use with a variety of age, gender, and race/ethnic groups and using a variety of delivery methods, including as a guided self-help intervention.
“The CWD approach has been validated for use with a variety of age, gender, and race/ethnic groups and using a variety of delivery methods, including as a guided self-help intervention [28].”
From MoodHacker Mobile Web App With Email for Adults to Self-Manage Mild-to-Moderate Depression: Randomized Controlled Trial (2016) · cites this paper as [28]
Based on a meta-analysis of 18 CWD-based intervention studies, the CWD approach has been associated with clinically significant effects ranging from d=0.28 to 0.62, depending on the outcome measure used.
“Based on a meta-analysis of 18 CWD-based intervention studies, the approach has been associated with clinically significant effects ranging from d=0.28 to 0.62, depending on the outcome measure used [28].”
From MoodHacker Mobile Web App With Email for Adults to Self-Manage Mild-to-Moderate Depression: Randomized Controlled Trial (2016) · cites this paper as [28]
In trials that targeted adults with subthreshold depression, CWD participants were 38% less likely to escalate to full-syndrome depression.
“In trials that targeted adults with subthreshold depression, CWD participants were 38% less likely to escalate to full-syndrome depression [28].”
From MoodHacker Mobile Web App With Email for Adults to Self-Manage Mild-to-Moderate Depression: Randomized Controlled Trial (2016) · cites this paper as [28]
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- Authors
- Cuijpers, P., Muñoz, R. F., Clarke, G. N., & Lewinsohn, P. M.
- Affiliations
- Amsterdam Public Health (NL)
- San Francisco General Hospital (US)
- Kaiser Permanente Center for Health Research (US)
- Oregon Research Institute (US)
- Corresponding author
- Cuijpers, Pim
- Venue
- Clinical Psychology Review
- Publisher
- Elsevier BV
- Published
- 2009-07
- Volume
- 29
- Issue
- 5
- Pages
- 449-458
- ISSN
- 0272-7358 (ISSN-L)
- OpenAlex
- W2032365826
- Cited by
- 336
- References
- 85
- Citations by year
- 2026: 2 · 2025: 54 · 2024: 12 · 2023: 23 · 2022: 6 · 2021: 14 · 2020: 15 · 2019: 16 · 2018: 11 · 2017: 17 · 2016: 24 · 2015: 27 · 2014: 11 · 2013: 24 · 2012: 26
- FWCI
- 3.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Psychology Review (publishedVersion)
- PubMed (publishedVersion)
- Digital Academic REpository of VU University Amsterdam (Vrije Universiteit Amsterdam) (submittedVersion)
- VU Research Portal (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Keywords
- psychoeducational intervention, depression prevention, major depressive disorder, cognitive behavioral therapy, treatment efficacy, intervention adaptation, target population
- MeSH terms
- Adaptation, Psychological, Depressive Disorder, Major, Major Depressive Disorder, Depressive Disorder, Humans, Patient Education as Topic, Cognitive Behavioral Therapy, Randomized Controlled Trials as Topic
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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