Evidence map›Paper›PMID 33045002›Full record

Observational studyPloS one2020

Effect of a brief cognitive behavioral program on depressive symptoms among newly licensed registered nurses: An observational study.

Kosei Esaki, Masashi Ikeda, Tomo Okochi, Satoru Taniguchi, Kohei Ninomiya, Ayu Shimasaki, Yasuyo Otsuka, Yoshiko Oda, Takaya Sakusabe, Keiko Mano and 2 more

Abstract readObservational Study
In one paragraph

Observational study in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Validated Tools for Assessing Anxiety and Depression in Nurses: A Systematic Review.International journal of environmental research and public health · 2025
    Pooled it
  2. Article
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

12 authors.

Kosei EsakiDepartment of Psychiatry, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.
Masashi IkedaDepartment of Psychiatry, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.ORCID 0000-0001-6237-2449
Tomo OkochiDepartment of Psychiatry, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.
Satoru TaniguchiDepartment of Psychiatry, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.
Kohei NinomiyaDepartment of Psychiatry, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.
Ayu ShimasakiDepartment of Psychiatry, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.
Yasuyo OtsukaDivision of Nursing, Fujita Health University Hospital, Toyoake, Aichi, Japan.
Yoshiko OdaDivision of Nursing, Fujita Health University Hospital, Toyoake, Aichi, Japan.
Takaya SakusabeMedical Engineering, Fujita Health University School of Medical Sciences, Toyoake, Aichi, Japan.
Keiko ManoDivision of Nursing, Fujita Health University Hospital, Toyoake, Aichi, Japan.
Takeo SaitoDepartment of Psychiatry, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.
Nakao IwataDepartment of Psychiatry, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Depressive symptoms are a serious problem in workplaces. Hospital staff members, such as newly licensed registered nurses (NLRNs), are at particularly increased risk of these symptoms owing to their limited experience. Previous studies have shown that a brief program-based cognitive behavioral therapy program (CBP) can offer effective treatment. Here, we conducted a longitudinal observational study of 683 NLRNs (CBP group, n = 522; no-CBP group, n = 181) over a period of 1 year (six times surveys were done during this period). Outcomes were assessed on the basis of surveys that covered the Beck Depression Inventory-I (BDI). The independent variables were CBP attendance (CBP was conducted 3 months after starting work), personality traits, personal stressful life events, workplace adversity, and pre-CBP change in BDI in the 3 months before CBP (ΔBDIpre-CBP). All factors were included in Cox proportional hazards models with time-dependent covariates for depressive symptoms (BDI ≥10), and we reported hazard ratios (HRs). Based on this analysis, we detected that CBP was significantly associated with benefit for depressive symptoms in all NLRNs (Puncorrected = 0.0137, HR = 0.902). To identify who benefitted most from CBP, we conducted a subgroup analysis based on the change in BDI before CBP (ΔBDIpre-CBP). The strongest association was when BDI scores were low after starting work and increased before CBP (Puncorrected = 0.00627, HR = 0.616). These results are consistent with previous findings, and indicate that CBP may benefit the mental health of NLRNs. Furthermore, selective prevention based on the pattern of BDI change over time may be important in identifying who should be offered CBP first. Although CBP is generally effective for all nurses, such a selective approach may be most appropriate where cost-effectiveness is a prominent concern.

Indexed as

AdultCognitive Behavioral TherapyDepressive DisorderFemaleHumansLongitudinal StudiesMaleNursing Staff, HospitalPrognosisStress, PsychologicalSurveys and QuestionnairesYoung Adult

Identifiers

PMID33045002
PMCPMC7549829

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.