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首页> 外文期刊>The British journal of psychiatry : >One-day cognitive-behavioural therapy self-confidence workshops for people with depression: randomised controlled trial
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One-day cognitive-behavioural therapy self-confidence workshops for people with depression: randomised controlled trial

机译：抑郁症患者一日认知行为疗法自信心研讨会：随机对照试验

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Background Despite its high prevalence, help-seeking for depression is low. Aims 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. Method An open randomised controlled trial (RCT) waiting list control design with 12-week follow-up was used (trial registration: [ISRCTN26634837][1]). A total of 459 adult participants with depression (Beck Depression Inventory (BDI) scores of a??14) self-referred and 382 participants (83%) were followed up. Results 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. Conclusions Self-confidence workshops appear promising in terms of clinical effectiveness, cost-effectiveness and access by difficult-to-engage groups. [1]: /external-ref?link_type=ISRCTN&access_num=ISRCTN26634837
机译：背景技术尽管其患病率很高，但寻求抑郁症的人很少。目的评估为期1天的认知行为疗法（CBT）自信心研讨会在减少抑郁症中的有效性和成本效益。焦虑，自尊，预后指标以及访问也进行了评估。方法采用开放式随机对照试验（RCT）等待名单对照设计，随访时间为12周（试验注册：[ISRCTN26634837] [1]）。总共459名自我推荐的抑郁症成年参与者（贝克抑郁量表（BDI）得分为a ?? 14）和382名参与者（83％）得到了随访。结果随访时，实验参与者和对照组参与者的BDI差异显着，影响大小为0.55。焦虑和自尊心也有所不同。在参加调查的人中，有25％是全科医生非顾问，有32％来自黑人和少数民族。在抑郁得分上，女性比男性受益更多。如果无忧郁症的一天的价值等于？14，该干预措施就有90％的机会被认为具有成本效益。结论自信心研讨会在临床有效性，成本效益和难以接触的人群获得机会方面看来很有希望。 [1]：/ external-ref？link_type = ISRCTN＆access_num = ISRCTN26634837

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