Meeting the unmet need for depression services with psycho-educational self-confidence workshops: preliminary report

BACKGROUND: The prevalence of depression has not fallen despite effective treatments being available. AIMS: To examine the effectiveness of a psycho-educational intervention designed to be easily accessible. METHOD: Large-scale, self-referral 'How to improve your self-confidence' workshops were run in a leisure centre at weekends. The day-long programme used a cognitive-behavioural approach. A randomised controlled trial design using waiting-list controls was employed. Three months after the workshop, results of workshop participants were compared with those of the waiting list control group. RESULTS: Among 120 people who self-referred, 75% of participants had General Health Questionnaire scores of 3 and above. Over 39% had never previously consulted their general practitioners about their depression. At 3-month follow-up, members of the experimental group were significantly less depressed, less distressed and reported higher self-esteem. CONCLUSIONS: Workshops were shown to be accessible and effective; a larger, more rigorous trial is now needed.