Evidence map›Paper›PMID 29436324›Full record

Trial reportThe British journal of psychiatry : the journal of mental science2018

Community-based group guided self-help intervention for low mood and stress: randomised controlled trial.

Christopher Williams, Carrie-Anne McClay, Lynsay Matthews, Alex McConnachie, Caroline Haig, Andrew Walker, Jill Morrison

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in The British journal of psychiatry : the journal of mental science, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04425785 (Physical Exercise and Mental Wellbeing Rehabilitation for Acute Stress-induced Takotsubo Cardiomyopathy), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04425785 nacompletednot on this mapstarted 2019, after this paper: background citation

Physical Exercise and Mental Wellbeing Rehabilitation for Acute Stress-induced Takotsubo Cardiomyopathy: The PLEASE Study

TypeinterventionalSponsorUniversity of AberdeenRan2019 to 2023Enrolled76ConditionsTakotsubo CardiomyopathyArmsPhysical Exercise Program, Cognitive Behavioural Therapy
3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. [Advances in the application of digital cognitive behavioral therapy in adolescent mental health issue interventions].Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Christopher WilliamsInstitute of Health and Wellbeing,University of Glasgow,Gartnavel Royal Hospital,Glasgow.
Carrie-Anne McClayInstitute of Health and Wellbeing,University of Glasgow,Gartnavel Royal Hospital,Glasgow.
Lynsay MatthewsInstitute of Health and Wellbeing,University of Glasgow,Gartnavel Royal Hospital,Glasgow.
Alex McConnachieRobertson Centre for Biostatistics,University of Glasgow,Glasgow.
Caroline HaigRobertson Centre for Biostatistics,University of Glasgow,Glasgow.
Andrew WalkerRobertson Centre for Biostatistics,University of Glasgow,Glasgow.
Jill MorrisonGeneral Practice and Primary Care,Institute of Health and Wellbeing,University of Glasgow,Glasgow,UK.

Funding

Chief Scientist Office CZH/4/738Chief Scientist Office SPHSU14Medical Research Council MC_UU_12017/14
6 · The paper itself

Abstract

backgroundTo date no studies have explored the effectiveness of written cognitive-behavioural therapy (CBT) resources for low mood and stress delivered via a course of self-help classes in a community setting. Aims To assess the effectiveness of an 8-week community-based CBT self-help group classes on symptoms of depression, anxiety and social function at 6 months (trial registration: ISRCTN86292664).

methodIn total, 142 participants were randomly allocated to immediate (n = 71) or delayed access to a low-intensity CBT intervention (n = 71). Measures of depression, anxiety and social function were collected at baseline and 6 months.

resultsThere was a significant improvement for the primary outcome of Patient Health Questionnaire-9 (PHQ-9) score (mean between-group difference: -3.64, 95% CI -6.06 to -1.23; P = 0.004). The percentage of participants reducing their PHQ-9 score between baseline and 6 months by 50% or more was 17.9% for the delayed access group and 43.8% for the immediate access group. Secondary outcomes also improved including anxiety and social function. The intervention was cost neutral. The probabilities of a net benefit at willingness to pay thresholds of £20 000, £25 000 or £30 000 were 0.928, 0.944 and 0.955, respectively.

conclusionsLow-intensity class-based CBT delivered within a community setting is effective for reducing depression, anxiety and impaired social function at little additional cost. Declaration of interest C.W. is president of British Association for Behavioural & Cognitive Psychotherapies (BABCP) - the lead body for CBT in the UK. He is also author of a range of CBT-based resources available commercially. He is developer of the LLTTF classes evaluated in this study. He receives royalty, and is shareholder and director of a company that commercialises these resources.

Indexed as

Outcome Assessment, Health CareAdultAffective SymptomsCognitive Behavioral TherapyCommunity Mental Health ServicesDepressionFemaleHumansMaleMiddle AgedPsychotherapy, GroupSelf CareStress, Psychological

Identifiers

PMID29436324
PMCPMC6716980

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.