Skip to main content Accessibility help

Who Attends and Who Benefits from CBT “Self-Confidence” Workshops Run in Routine Practice? A Pilot Study

  • Marta Prytys (a1), Kate Harman (a1), Rachel Lee (a1) and June S. L. Brown (a2)


Background: This study examined characteristics of members of the public who self-referred and the effectiveness of psycho-educational CBT self-confidence workshops when run in routine practice. Method: Repeated measures were employed at pre- and post-workshop stages. Results: Of the 56 members of the general public who self-referred to the workshops, 70% were above the clinical cut-offs for Global Distress (CORE OM) and 86% were above the clinical cut offs for depression symptomatology (CES-D). Follow up data (n = 31) showed significant reduction in self-reported distress and depression at 4-week follow-up. A further analysis showed that those whose scores were above the clinical threshold at initial presentation benefited most but those with scores below the threshold did not seem to benefit. Conclusions: This study demonstrates that psycho-educational CBT workshops attract those with high levels of distress and depression, and have potential as a cost effective means of disseminating psychological interventions.


Corresponding author

Reprint requests to Marta Prytys, Research Department of Clinical, Educational and Health Psychology, University College London, Gower Street, London WC1E 6BT, UK. E-mail:


Hide All
Angermeyer, M. C. and Matschinger, H. (1996). Public attitude towards psychiatric treatment. Acta Psychiatrica Scandinavia, 94, 326336.
Bebbington, P., Marsden, L. and Brewin, C. (1999). The treatment of psychiatric disorder in the community: report from the Camberwell needs for care survey. Journal of Mental Health 8, 717.
Beck, A., Rush, A. J., Shaw, B. F. and Emery, G. (1979). Cognitive Therapy of Depression. London: Wiley.
Bhui, K., Stansfeld, S., Hull, S., Priebe, S., Mole, F. and Feder, G. (2003). Ethnic variations in pathways to and use of specialist mental health services in the UK. The British Journal of Psychiatry, 182, 105116.
Brown, J. S., Boardman, J., Elliott, S. A., Howay, E. and Morrison, J. (2005). Are self-referrers just the worried well? A cross-sectional study of self-referrers to community psycho-educational stress and self-confidence workshops. Social Psychiatry and Psychiatric Epidemiology, 40, 396401.
Brown, J. S. L., Cochrane, R. and Cardone, D. (1999). Running large-scale stress workshops for the general public: promotion methods, programme content, clients' satisfaction and drop-out rates. Journal of Mental Health, 8, 391402.
Brown, J. S. L., Cochrane, R. and Hancox, T. (2000). Large-scale health promotion stress workshops for the general public: a controlled evaluation. Behavioural and Cognitive Psychotherapy, 28, 139151.
Brown, J. S. L., Elliott, S., Boardman, J., Ferns, J. and Morrison, J. (2004). Meeting the unmet need for depression services with psycho-educational self-confidence workshops: preliminary report. The British Journal of Psychiatry, 185, 511515.
Brown, J. S. L., Elliott, S. A., Boardman, J., Andiappan, M., Landau, S. and Howay, E. (2008). Can the effects of a 1-day CBT psycho educational workshop on self-confidence be maintained after 2 years? A naturalistic study. Depression and Anxiety, 25, 632640.
Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd ed.). New York: Academic Press.
Cook, M. (2007). Key Facts for London Borough of Southwark 2007. Southwark Council: Planning Policy Team.
CORE System Group (1998). CORE System (Information Management) Handbook. Leeds: CORE System Group.
Evans, C., Mellor-Clark, J., Margison, F., Barkham, M., Audin, K., Connell, J. and McGrath, G. (2000). CORE: Cinical Outcomes in Routine Evaluation. Journal of Mental Health, 9, 247255.
Fennel, M. J. V. (1999). Overcoming Low Self-esteem: a self-help guide using cognitive behavioural techniques. London: Robinson.
Hayward, P. and Bright, J. A. (1997). Stigma and mental illness: a review and critique. Journal of Mental Health, 6, 345354.
Jacobson, N. and Truax, P. (1991). Clinical significance: a statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 1219.
Kellett, S., Clarke, S. and Matthews, L. (2007). Delivering psycho educational CBT in primary care: comparing outcomes with individual CBT and individual psychodynamic interpersonal psychotherapy. British Journal of Clinical Psychology, 46, 211222.
Layard, R. (2006). The Depression Report: a new deal for anxiety and depression. The Centre for Economic Performance's Mental Health Policy Group.
Lovell, K. and Richards, D. (2000). Multiple Access Points and Levels of Entry (MAPLE): ensuring choice, accessibility and equity for CBT services. Behavioral and Cognitive Psychotherapy, 28, 379391.
National Institute for Clinical Excellence (2004a). Anxiety: management of anxiety (panic disorder, with or without agoraphobia, and generalised anxiety disorder) in adults in primary, secondary and community care – NICE Guidance. Available at
National Institute for Clinical Excellence (2004b). Depression: management of depression in primary and secondary care – NICE guidance. Available at
Radloff, L. S. (1977). The CES-D Scale: a self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385401.
Tylee, A. (2006). Identifying and managing the treatment of depression in primary care in the United Kingdom. Journal of Clinical Psychiatry, 67, 4145
Watkins, E., Elliott, S., Stanhope, N., Button, J., Williams, R. and Brown, J. (2000). Meeting the needs for psychological treatment of people with common mental disorders: an exploratory study. Journal of Mental Health, 9, 445456.
Weissman, M. M., Sholomskas, D., Pottenger, M., Prusoff, B. A. and Locke, B. Z. (1977). Assessing depressive symptoms in five psychiatric populations: a validation study. American Journal of Epidemiology, 106, 203214.
White, J., Keenan, M. and Brooks, N. (1992). Stress control: a controlled comparative investigation of large group therapy for generalized anxiety disorder. Behavioural Psychotherapy, 20, 97114.


Who Attends and Who Benefits from CBT “Self-Confidence” Workshops Run in Routine Practice? A Pilot Study

  • Marta Prytys (a1), Kate Harman (a1), Rachel Lee (a1) and June S. L. Brown (a2)


Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed

Who Attends and Who Benefits from CBT “Self-Confidence” Workshops Run in Routine Practice? A Pilot Study

  • Marta Prytys (a1), Kate Harman (a1), Rachel Lee (a1) and June S. L. Brown (a2)
Submit a response


No Comments have been published for this article.


Reply to: Submit a response

Your details

Conflicting interests

Do you have any conflicting interests? *