Cited by 69Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesMental Health Treatment and AccessPsychological Treatments and Assessments

One-day cognitive–behavioural therapy self-confidence workshops for people with depression: randomised controlled trial

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Horrell, Linda, Goldsmith, Kimberley A., Tylee, André T., Schmidt, Ulrike H., Murphy, Caroline L., Bonin, Eva-Maria, Beecham, Jennifer, Kelly, Joanna +2 more·2014·British Journal of Psychiatry

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.

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  • Previous studies found that self-referral and more particularly non-stigmatising self-referral increased access for ethnic minority communities.

    “Of note is that previous studies found that self-referral and more particularly non-stigmatising self-referral, increased access for ethnic minority communities [39,40].”

    From Development and evaluation of culturally sensitive psychosocial interventions for under-served people in primary care (2014) · cites this paper as [40]

    Participant characteristics reports disproportionately high self-referral by Black and Asian participants, and Strengths and weaknesses describes the self-referral route as accessible. That section also says non-diagnostic labels may help engage people, but it does not establish that the non-stigmatising label specifically increased access for ethnic minority communities or had a greater effect than self-referral alone. (LLM, conf=0.84)

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3 of the 53 references couldn’t be matched to a known paper.

Research works printed but not linked: 4

  1. Riedel-Heller SG, Matschinger H, Angermeyer MC. Mental disorders -who and what might help? Soc Psychiatry Psychiatr Epidemiol 2005; 40: 167-74.
  2. National Collaborating Centre for Mental Health. Depression: The NICE Guideline on the Treatment and Management of Depression in Adults (Updated Edition) (National Clinical Practice Guideline 90). British Psychological Society and Royal College of Psychiatrists, 2009.
  3. Dolan P. Modeling valuations for EuroQol health states. Med Care 1997; 35: 1095-108.
  4. Bonin E-M, Beecham J. Costing multi-site, group-based CBT workshops. In Unit Costs of Health & Social Care 2012 (ed. L Curtis): 17-21. Personal Social Services Research Unit, University of Kent, 2012.

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Authors
Horrell, L., Goldsmith, K. A., Tylee, A. T., Schmidt, U. H., Murphy, C. L., Bonin, E.-M., Beecham, J., Kelly, J., Raikundalia, S., & Brown, J. S. L.
Affiliations
  • King's College London (GB)
  • London School of Economics and Political Science (GB)
Corresponding author
Brown, June S. L
Venue
British Journal of Psychiatry
Published
2014-03
Volume
204
Issue
3
Pages
222-233
ISSN
  • 0007-1250 (ISSN-L)
  • 1472-1465
OpenAlex
W2133210419
Cited by
68
References
53
Citations by year
2026: 7 · 2025: 4 · 2024: 5 · 2023: 11 · 2022: 7 · 2021: 6 · 2020: 3 · 2019: 6 · 2018: 5 · 2017: 2 · 2016: 6 · 2015: 3 · 2014: 3
FWCI
5.41
Type
journal article
Language
en
Open access
Locations
  • The British Journal of Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • Research Portal (King's College London) (publishedVersion, other-oa)
  • London School of Economics and Political Science Research Online (London School of Economics and Political Science) (acceptedVersion)
  • Kent Academic Repository (University of Kent) (submittedVersion)
Funders
  • London School of Economics and Political Science
  • National Institute for Health and Care Research (PB-PG-1207-15154)
  • King's College London
  • Menzies Centre for Australian Studies, King's College London, University of London
  • Programme Grants for Applied Research
  • Research for Patient Benefit Programme
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
Keywords
depression, cognitive behavioral therapy, brief psychological intervention, help-seeking, self-referral, cost-effectiveness, anxiety, self-esteem, Black and minority ethnic communities, gender differences, access to mental health care
MeSH terms
Adult, Anxiety, Cost-Benefit Analysis, Depression, Education, Female, Humans, Male, Middle Aged, Psychotherapy, Brief, Self Concept, Severity of Illness Index, Cognitive Behavioral Therapy, Treatment Outcome, Young Adult

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