Christopher J. Williams|Philip Wilson|Jill Morrison|Alex D. McMahon|Andrew Walker|Linda Allan|Alex McConnachie|Yvonne McNeill|Louise Tansey
Correction: Guided Self-Help Cognitive Behavioural Therapy for Depression in Primary Care: A Randomised Controlled Trial
University of Glasgow|University of Glasgow|University of Glasgow|University of Strathclyde|University of Glasgow|University of Glasgow|University of Glasgow|University of Strathclyde|University of Glasgow|University of Glasgow|University of Glasgow
background access cognitive behavioural therapy cbt depression limitedone solution cbt selfhelp bookstrial objectives assess impact guided selfhelp cbt book gshcbt mood compared treatment usual tauhypotheses1 gshcbt improved mood knowledge causes treatment depression compared control receiving tau 2 guided selfhelp acceptable patients staffmethods findings participants adults attending seven general practices glasgow uk bdiii score 14 141 randomised gshcbt 140 tauinterventions rct comparing overcoming depression five areas approach book plus 34 short face face support appointments totalling 2 hours guided support compared general practitioner tauprimary outcome bdi ii score 4 monthsnumbers analysed 281 baseline 203 4 months primary outcome 117 12 monthsoutcome mean bdiii scores lower gshcbt group 4 months 53 points 26 79 p0001at 4 12 months also significantly higher proportions participants achieving 50 reduction bdiii gshcbt armthe mean support 2 sessions 427 minutes session 1 414 minutes session 2 402 minutes support session 3adverse effectsharms significantly less deterioration mood gshcbt 20 compared 98 tau group bdiii category changelimitations weaknesses followup rate 722 4 months better predicted poorer 12 months 416in gshcbt arm around 50 people attended 2 fewer sessions22 failed take treatmentconclusions gshcbt substantially effective tau