North Staffordshire Combined Healthcare NHS Trust, Stoke-on-Trent, Staffs, UK.
J Psychiatr Ment Health Nurs. 2009 Nov;16(9):792-803. doi: 10.1111/j.1365-2850.2009.01457.x.
Mental health treatments that are effective and accessible to the general population are in high demand. Cognitive behavioural therapy (CBT) has been shown to be effective and is popular but such treatments are difficult to access especially within primary care, causing delay, frustration and suffering. One approach to meeting demand would be through the use of self-help CBT materials that aim to address common mental health problems such as depression. The aim of this review is to discover whether self-help CBT materials are effective in the treatment of depression and how mental health nurses within primary care can use their skills to provide access and low-level support. Studies critiqued within this literature review indicate that self-help CBT is effective for the treatment of depression. However, there is a lack of evidence that specifically considers self-help CBT for the treatment of depression in primary care. This review addresses the question of how much nurse client contact is needed to provide adequate support for the facilitation of self-help CBT in depression with primary care patients and recommends the use of a service delivery model. However, more research needs to be carried out on the application of self-help CBT for depression in primary care.
大众普遍需要有效且易于获得的心理健康治疗方法。认知行为疗法（CBT）已被证明是有效的，并且很受欢迎，但这种治疗方法很难获得，尤其是在初级保健中，导致延迟、沮丧和痛苦。满足需求的一种方法是使用旨在解决常见心理健康问题（如抑郁症）的自助 CBT 材料。本综述的目的是发现自助 CBT 材料在治疗抑郁症方面是否有效，以及初级保健中的心理健康护士如何利用他们的技能提供途径和低水平的支持。本文献综述中评估的研究表明，自助 CBT 对抑郁症的治疗是有效的。然而，缺乏专门针对初级保健中自助 CBT 治疗抑郁症的证据。本综述探讨了为促进初级保健患者的自助 CBT 提供足够支持需要多少护士与患者的接触，并建议使用服务交付模式。然而，仍需要对初级保健中自助 CBT 治疗抑郁症的应用进行更多的研究。
