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Despite its high prevalence, help-seeking for depression is low.
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.
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.
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.
Self-confidence workshops appear promising in terms of clinical
effectiveness, cost-effectiveness and access by difficult-to-engage
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