Christopher J. Williams|Philip Wilson|Jill Morrison|Alex D. McMahon|Andrew Walker|Linda Allan|Alex McConnachie|Yvonne McNeill|Louise Tansey
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
access cognitive behavioural therapy cbt depression limited one solution cbt selfhelp books trial objectives assess impact guided selfhelp cbt book gshcbt mood compared treatment usual taugshcbt improved mood knowledge causes treatment depression compared control receiving tauguided selfhelp acceptable patients staffadults attending seven general practices glasgow uk bdiii score 14 141 randomised gshcbt 140 taurct comparing overcoming depression five areas approach book plus 34 short face face support appointments totalling 2 hours guided support compared general practitioner tauthe bdi ii score 4 months numbers analysed 281 baseline 203 4 months primary outcome 117 12 monthsmean bdiii scores lower gshcbt group 4 months 53 points 26 79 p0001 4 12 months also significantly higher proportions participants achieving 50 reduction bdiii gshcbt arm mean support 2 sessions 427 minutes session 1 414 minutes session 2 402 minutes support session 3 adverse effectsharms significantly less deterioration mood gshcbt 20 compared 98 tau group bdiii category changeweaknesses followup rate 722 4 months better predicted poorer 12 months 416 gshcbt arm around 50 people attended 2 fewer sessions 22 failed take treatmentgshcbt substantially effective taucontrolledtrialscom isrctn13475030