Meeting the unmet need for depression services with psycho-educational self-confidence workshops: preliminary report

Br J Psychiatry. 2004 Dec:185:511-5. doi: 10.1192/bjp.185.6.511.

Abstract

Background: The prevalence of depression has not fallen despite effective treatments being available.

Aims: To examine the effectiveness of a psycho-educational intervention designed to be easily accessible.

Method: Large-scale, self-referral 'How to improve your self-confidence' workshops were run in a leisure centre at weekends. The day-long programme used a cognitive-behavioural approach. A randomised controlled trial design using waiting-list controls was employed. Three months after the workshop, results of workshop participants were compared with those of the waiting list control group.

Results: Among 120 people who self-referred, 75% of participants had General Health Questionnaire scores of 3 and above. Over 39% had never previously consulted their general practitioners about their depression. At 3-month follow-up, members of the experimental group were significantly less depressed, less distressed and reported higher self-esteem.

Conclusions: Workshops were shown to be accessible and effective; a larger, more rigorous trial is now needed.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Depressive Disorder / therapy*
  • Female
  • Humans
  • London
  • Male
  • Needs Assessment
  • Patient Acceptance of Health Care / statistics & numerical data
  • Patient Education as Topic
  • Psychotherapy / methods*
  • Self Concept
  • Socioeconomic Factors
  • Treatment Outcome