Evidence map›Paper›PMID 40501181›Full record

Trial reportBritish journal of health psychology2025

A randomized controlled trial of self-help cognitive behavioural therapy for depression in adults with pulmonary hypertension.

Abbie S L Stark, Gregg H Rawlings, James D Gregory, Iain Armstrong, Melanie Simmonds-Buckley, Andrew R Thompson

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in British journal of health psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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.

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

7 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. 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

6 authors.

Abbie S L StarkCardiff and Vale University Health Board and Cardiff University, Cardiff, UK.ORCID 0009-0002-8277-9785
Gregg H RawlingsClinical and Applied Psychology Unit, University of Sheffield, Sheffield, UK.ORCID 0000-0003-4962-3551
James D GregoryCardiff and Vale University Health Board and Cardiff University, Cardiff, UK.ORCID 0000-0002-9911-3587
Iain ArmstrongSheffield Pulmonary Vascular Disease Unit, Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.ORCID 0000-0001-5898-3087
Melanie Simmonds-BuckleyClinical and Applied Psychology Unit, University of Sheffield, Sheffield, UK.ORCID 0000-0003-3808-4134
Andrew R ThompsonCardiff and Vale University Health Board and Cardiff University, Cardiff, UK.ORCID 0000-0001-6788-7222

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesPulmonary hypertension (PH) is a progressive, life-reducing group of conditions associated with an elevated risk of depression. To meet this clinical need, we developed an unguided self-help intervention targeting depression in PH based on cognitive behavioural therapy (CBT) and tested its acceptability, feasibility, and effectiveness.

designA randomized controlled trial (RCT) design was utilized with a wait-list control group. Acceptability was assessed using content analysis.

methodsAdults self-reporting difficulties with depression were recruited from global Pulmonary Hypertension Associations. Participants were randomly assigned to the intervention (n = 33) or the wait-list control group (n = 35). Depression was the primary outcome; secondary outcomes included anxiety, health-related quality of life, pain self-efficacy, fatigue, and cognitions and behaviours associated with mood difficulties. Change from baseline to post-intervention (4 weeks) and follow-up (1 month later) was measured.

resultsWe found a significant reduction in depression and HRQoL in the intervention group compared with the control group, with medium effect sizes. No significant changes were observed in other outcomes (p > .05). Overall, 72% of individuals in the treatment arm scored above the clinical level of depression, compared with 28% at post-intervention and 36% at follow-up. The intervention was judged to be acceptable and feasible, with the main benefits including tools to support, increased motivation, and understanding of depression. No adverse events were reported. Change in cognitions and behaviours did not mediate the relationship between the intervention group and change in depression (p > .05).

conclusionsResults support the use of CBT for depression in PH and provide evidence for the delivery of self-help at scale via PHA-UK, the UK's leading charity for PH.

Indexed as

Cognitive Behavioral TherapyDepressionHypertension, PulmonarySelf CareAdultAgedFemaleHumansMaleMiddle AgedQuality of LifeSelf EfficacyTreatment Outcomelow moodpsychological interventionpsychological therapypulmonary arterial hypertensionqualitative

Identifiers

PMID40501181
PMCPMC12159717

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Registered trials

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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.