One-day cognitive–behavioural therapy self-confidence workshops for people with depression: randomised controlled trial
Open accessAbstract
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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- 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
- ORCID
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- 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
- bronze
- doi.org
- 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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