One-day cognitive–behavioural therapy self-confidence workshops for people with depression: randomised controlled trial

Horrell, Linda; Goldsmith, Kimberley; Tylee, André; Schmidt, Ulrike; Murphy, Caroline; Bonin, Eva-Maria; Beecham, Jennifer; Kelly, Joanna; Raikundalia, Shriti; Brown, June

doi:10.1192/bjp.bp.112.121855

Cited by 53 publications

(69 citation statements)

References 43 publications

(64 reference statements)

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“…The CBT--I workshop evaluated in the current study represents a format that provides effective psychological therapy in the community in a way that is both cost--effective and accessible. Similar evidence has been reported in support of CBT workshops for depression (Horrell et al, 2013), indicating the potentially broad application of psychological therapy in this format. In recent years services have been moving towards greater access to psychological therapy, for example the Increasing Access to Psychological Therapies service (IAPT) which has adopted…”

Section: Clinical Implications and Future Directionssupporting

confidence: 80%

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Let's Talk About Psychosis

Steele¹,

Chadwick²

2018

Clinical Schizophrenia & Related Psychoses

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Section: Clinical Implications and Future Directionssupporting

confidence: 80%

“…Studies have shown that these one--day CBT group workshops have been effective in reducing depression and anxiety (Brown, Cochrane & Hancox, 2000;Brown et al, 2004;Horrell et al, 2013), with improvements being maintained two years later (Brown et al, 2008).…”

Section: Access To Treatment For Insomniamentioning

confidence: 99%

Let's Talk About Psychosis

Steele¹,

Chadwick²

2018

Clinical Schizophrenia & Related Psychoses

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“…Over the last 15 years there has been an increase in research on the effectiveness of cognitivebehavioural interventions aimed at raising levels of self-esteem showing that this form of treatment is of value (Brown et al, 2008;Fennell, 1997Fennell, , 1999Horrell et al, 2014;Pack & Condren, 2014;Waite, McManus, & Shafran, 2012). Whilst self-esteem remained a significant factor in predicting distress, this study also demonstrates the importance of attending to metacognitions about worry and self-critical rumination independent of the level of self-esteem.…”

Section: Potential Role Of Metacognitive Therapy As An Alternative Tomentioning

confidence: 59%

Metacognitions about Self-Critical Rumination Questionnaire

Kolubinski¹,

Nikčević²,

Lawrence³

et al. 2017

PsycTESTS Dataset

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Background: Self-criticism refers to a series of persistent and negative self-judgements, often involuntary, that an individual makes about themselves. Recent research has explored the possibility that self-criticism can lead to a more perseverative style of thinking called selfcritical rumination. There is evidence that self-critical rumination may be a separate construct from other forms of rumination, such as depressive rumination and post-event processing.Research has indicated that metacognitions, beliefs that individuals have about their internal experiences and how to control them, may play a role in self-critical rumination. The aim of our work was to develop a measure to assess metacognitions related to self-critical rumination. Method: In Study 1, a community sample of 178 participants completed the newly developed Metacognitions about Self-Critical Rumination Questionnaire (MSCRQ) and results were subjected to a Principal Components Analysis. In Study 2, a community sample of 247 participants completed a battery of questionnaires including the MSCRQ. A Confirmatory Factors Analysis was performed on the MSCRQ and validity was ascertained by correlating with other measures. Results: In Study 1, a 15-item two-factor structure was identified. A 10-item two-factor structure was confirmed in Study 2. Results also indicated that the MSCRQ has acceptable levels of reliability, and good concurrent and incremental validity. Conclusions: The MSCRQ appears to be a reliable and valid measure of metacognitions about self-critical rumination whilst the MCQ-30 is a better predictor of general emotional distress.

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“…Of note is that previous studies found that self-referral and more particularly non-stigmatising self-referral, increased access for ethnic minority communities [39,40] .

“ they never recommended it to us in the first place you know cause they were in one of the practices in included in the programme but they never recommended it to us uh you know so that’s why I thought well I’d go and see if we were eligible to go on it.

…”

Section: Resultsmentioning

confidence: 99%

Development and evaluation of culturally sensitive psychosocial interventions for under-served people in primary care

et al. 2014

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BackgroundPsychological therapy is effective for symptoms of mental distress, but many groups with high levels of mental distress face significant barriers in terms of access to care, as current interventions may not be sensitive to their needs or their understanding of mental health. There is a need to develop forms of psychological therapy that are acceptable to these groups, feasible to deliver in routine settings, and clinically and cost effective.MethodsWe developed a culturally sensitive wellbeing intervention with individual, group and sign-posting elements, and tested its feasibility and acceptability for patients from ethnic minorities and older people in an exploratory randomised trial.ResultsWe recruited 57 patients (57% of our target) from 4 disadvantaged localities in the NW of England. The results of the exploratory trial suggest that the group receiving the wellbeing interventions improved compared to the group receiving usual care. For elders, the largest effects were on CORE-OM and PHQ-9. For ethnic minority patients, the largest effect was on PHQ-9. Qualitative data suggested that patients found the intervention acceptable, both in terms of content and delivery.ConclusionsThis exploratory trial provides some evidence of the efficacy and acceptability of a wellbeing intervention for older and ethnic minority groups experiencing anxiety and depression, although challenges in recruitment and engagement remain. Evidence from our exploratory study of wellbeing interventions should inform new substantive trial designs.Trial registrationCurrent controlled trials ISRCTN68572159

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One-day cognitive–behavioural therapy self-confidence workshops for people with depression: randomised controlled trial

Abstract: Self-confidence workshops appear promising in terms of clinical effectiveness, cost-effectiveness and access by difficult-to-engage groups.

Cited by 53 publications

References 43 publications

Let's Talk About Psychosis

Let's Talk About Psychosis

Metacognitions about Self-Critical Rumination Questionnaire

Development and evaluation of culturally sensitive psychosocial interventions for under-served people in primary care

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