Linda Horrell, DipPsych, Psychology Department, Kimberley A. Goldsmith, MPH, Biostatistics Department, André T. Tylee, MD, Health Services and Population Research, Ulrike H. Schmidt, PhD, Section of Eating Disorders, Caroline L. Murphy, MSc, Clinical Trials Unit, Institute of Psychiatry, King's College London; Eva-Maria Bonin, MA, Personal Social Services Research Unit, London School of Economics and Political Science; Jennifer Beecham, PhD, Personal Social Services Research Unit, London School of Economics and Political Science, and University of Kent; Joanna Kelly, MSc, Clinical Trials Unit, Shriti Raikundalia, MSc, Psychology Department, Institute of Psychiatry, King's College London; June S. L. Brown, PhD, Psychology Department, Institute of Psychiatry, King's College London, UK.
Br J Psychiatry. 2014 Mar;204(3):222-33. doi: 10.1192/bjp.bp.112.121855. Epub 2013 Dec 19.
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 groups.
尽管抑郁症的患病率很高，但寻求帮助的人却很少。
评估为期一天的认知行为疗法（CBT）自信工作坊在降低抑郁、焦虑、自尊、预后指标以及获取途径方面的有效性和成本效益。
采用开放随机对照试验（RCT）等候名单对照设计，随访时间为 12 周（试验注册：ISRCTN26634837）。共有 459 名成年抑郁症患者（贝克抑郁量表（BDI）评分≥14）自行就诊，其中 382 名患者（83%）接受了随访。
随访时，实验组和对照组在 BDI 上有显著差异，效应大小为 0.55。焦虑和自尊也有差异。在那些参加的人中，25%的人不咨询全科医生，32%的人来自黑人和少数族裔群体。女性在抑郁评分上比男性受益更多。如果将无抑郁日的价值定为 14 英镑，那么该干预措施有 90%的可能性被认为是具有成本效益的。
自信工作坊在临床效果、成本效益和难以接触到的群体的获取途径方面似乎很有前景。
