Hostname: page-component-78c5997874-s2hrs Total loading time: 0 Render date: 2024-11-02T00:28:29.805Z Has data issue: false hasContentIssue false

Who Attends and Who Benefits from CBT “Self-Confidence” Workshops Run in Routine Practice? A Pilot Study

Published online by Cambridge University Press:  23 June 2009

Marta Prytys*
Affiliation:
South London and Maudsley NHS Trust, UK
Kate Harman
Affiliation:
South London and Maudsley NHS Trust, UK
Rachel Lee
Affiliation:
South London and Maudsley NHS Trust, UK
June S. L. Brown
Affiliation:
Institute of Psychiatry, King's College London, UK
*
Reprint requests to Marta Prytys, Research Department of Clinical, Educational and Health Psychology, University College London, Gower Street, London WC1E 6BT, UK. E-mail: [email protected]

Abstract

Background: This study examined characteristics of members of the public who self-referred and the effectiveness of psycho-educational CBT self-confidence workshops when run in routine practice. Method: Repeated measures were employed at pre- and post-workshop stages. Results: Of the 56 members of the general public who self-referred to the workshops, 70% were above the clinical cut-offs for Global Distress (CORE OM) and 86% were above the clinical cut offs for depression symptomatology (CES-D). Follow up data (n = 31) showed significant reduction in self-reported distress and depression at 4-week follow-up. A further analysis showed that those whose scores were above the clinical threshold at initial presentation benefited most but those with scores below the threshold did not seem to benefit. Conclusions: This study demonstrates that psycho-educational CBT workshops attract those with high levels of distress and depression, and have potential as a cost effective means of disseminating psychological interventions.

Type
Research Article
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Angermeyer, M. C. and Matschinger, H. (1996). Public attitude towards psychiatric treatment. Acta Psychiatrica Scandinavia, 94, 326336.CrossRefGoogle ScholarPubMed
Bebbington, P., Marsden, L. and Brewin, C. (1999). The treatment of psychiatric disorder in the community: report from the Camberwell needs for care survey. Journal of Mental Health 8, 717.CrossRefGoogle Scholar
Beck, A., Rush, A. J., Shaw, B. F. and Emery, G. (1979). Cognitive Therapy of Depression. London: Wiley.Google Scholar
Bhui, K., Stansfeld, S., Hull, S., Priebe, S., Mole, F. and Feder, G. (2003). Ethnic variations in pathways to and use of specialist mental health services in the UK. The British Journal of Psychiatry, 182, 105116.CrossRefGoogle ScholarPubMed
Brown, J. S., Boardman, J., Elliott, S. A., Howay, E. and Morrison, J. (2005). Are self-referrers just the worried well? A cross-sectional study of self-referrers to community psycho-educational stress and self-confidence workshops. Social Psychiatry and Psychiatric Epidemiology, 40, 396401.CrossRefGoogle Scholar
Brown, J. S. L., Cochrane, R. and Cardone, D. (1999). Running large-scale stress workshops for the general public: promotion methods, programme content, clients' satisfaction and drop-out rates. Journal of Mental Health, 8, 391402.Google Scholar
Brown, J. S. L., Cochrane, R. and Hancox, T. (2000). Large-scale health promotion stress workshops for the general public: a controlled evaluation. Behavioural and Cognitive Psychotherapy, 28, 139151.CrossRefGoogle Scholar
Brown, J. S. L., Elliott, S., Boardman, J., Ferns, J. and Morrison, J. (2004). Meeting the unmet need for depression services with psycho-educational self-confidence workshops: preliminary report. The British Journal of Psychiatry, 185, 511515.CrossRefGoogle ScholarPubMed
Brown, J. S. L., Elliott, S. A., Boardman, J., Andiappan, M., Landau, S. and Howay, E. (2008). Can the effects of a 1-day CBT psycho educational workshop on self-confidence be maintained after 2 years? A naturalistic study. Depression and Anxiety, 25, 632640.CrossRefGoogle Scholar
Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd ed.). New York: Academic Press.Google Scholar
Cook, M. (2007). Key Facts for London Borough of Southwark 2007. Southwark Council: Planning Policy Team.Google Scholar
CORE System Group (1998). CORE System (Information Management) Handbook. Leeds: CORE System Group.Google Scholar
Evans, C., Mellor-Clark, J., Margison, F., Barkham, M., Audin, K., Connell, J. and McGrath, G. (2000). CORE: Cinical Outcomes in Routine Evaluation. Journal of Mental Health, 9, 247255.CrossRefGoogle Scholar
Fennel, M. J. V. (1999). Overcoming Low Self-esteem: a self-help guide using cognitive behavioural techniques. London: Robinson.Google Scholar
Hayward, P. and Bright, J. A. (1997). Stigma and mental illness: a review and critique. Journal of Mental Health, 6, 345354.CrossRefGoogle Scholar
Jacobson, N. and Truax, P. (1991). Clinical significance: a statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 1219.CrossRefGoogle ScholarPubMed
Kellett, S., Clarke, S. and Matthews, L. (2007). Delivering psycho educational CBT in primary care: comparing outcomes with individual CBT and individual psychodynamic interpersonal psychotherapy. British Journal of Clinical Psychology, 46, 211222.CrossRefGoogle Scholar
Layard, R. (2006). The Depression Report: a new deal for anxiety and depression. The Centre for Economic Performance's Mental Health Policy Group.Google Scholar
Lovell, K. and Richards, D. (2000). Multiple Access Points and Levels of Entry (MAPLE): ensuring choice, accessibility and equity for CBT services. Behavioral and Cognitive Psychotherapy, 28, 379391.CrossRefGoogle Scholar
National Institute for Clinical Excellence (2004a). Anxiety: management of anxiety (panic disorder, with or without agoraphobia, and generalised anxiety disorder) in adults in primary, secondary and community care – NICE Guidance. Available at http://www.nice.org.uk/CG022Google Scholar
National Institute for Clinical Excellence (2004b). Depression: management of depression in primary and secondary care – NICE guidance. Available at http://www.nice.org.uk/CG023Google Scholar
Radloff, L. S. (1977). The CES-D Scale: a self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385401.CrossRefGoogle Scholar
Tylee, A. (2006). Identifying and managing the treatment of depression in primary care in the United Kingdom. Journal of Clinical Psychiatry, 67, 4145Google ScholarPubMed
Watkins, E., Elliott, S., Stanhope, N., Button, J., Williams, R. and Brown, J. (2000). Meeting the needs for psychological treatment of people with common mental disorders: an exploratory study. Journal of Mental Health, 9, 445456.Google Scholar
Weissman, M. M., Sholomskas, D., Pottenger, M., Prusoff, B. A. and Locke, B. Z. (1977). Assessing depressive symptoms in five psychiatric populations: a validation study. American Journal of Epidemiology, 106, 203214.CrossRefGoogle ScholarPubMed
White, J., Keenan, M. and Brooks, N. (1992). Stress control: a controlled comparative investigation of large group therapy for generalized anxiety disorder. Behavioural Psychotherapy, 20, 97114.CrossRefGoogle Scholar
Submit a response

Comments

No Comments have been published for this article.