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Báo cáo y học: "Group cognitive behavioural therapy for women with depression: pilot and feasibility study for a randomised controlled trial using mixed meth"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Group cognitive behavioural therapy for women with depression: pilot and feasibility study for a randomised controlled trial using mixed meth | Cramer et al. BMC Psychiatry 2011 11 82 http www.biomedcentral.com 1471-244X 11 82 BMC Psychiatry RESEARCH ARTICLE Open Access Group cognitive behavioural therapy for women with depression pilot and feasibility study for a randomised controlled trial using mixed methods I_I I r V .-V. 1 1 t r I r I r c I I r I I 1 1 t I I Í . V -12 t I .-V. r cl 4 r 4 31 D I - r 4 A V 41 Helen Cramer Chris Salisbury Joel Conrad James Eldred and Ricardo Araya Abstract Background Group Cognitive Behavioural Therapy CBT may provide a means of improving mental health among people with depression but few studies have explored its effectiveness. Our aim was to examine the feasibility and acceptability of a randomised controlled trial of a group intervention based on CBT principles for women with depression in primary care. Methods Women aged 30 to 55 years were recruited and randomly assigned to either 12 weeks of the group intervention or usual care control . The group intervention was based on a manual and used CBT and problem solving principles with weekly topics including raising activity levels spotting and catching negative thoughts problem solving and relaxation. Women were recruited from deprived areas of Bristol. The groups were run by facilitators with some experience and background in group work and one weeks training in use of the course manual. Assessments of mental health were made using measures including the PHQ-9. Follow-up was at 3 and 6 months after the intervention. Qualitative methods were used to support the design of the intervention and to help understand issues of acceptability and feasibility. Interviews were conducted with all participants at baseline and at 3 and 6 months although detailed qualitative analysis was based on a purposive sample of 20 participants at the 3 time points. Results Of the 86 participants assessed for eligibility 52 were allocated to the intervention arm and 21 to the control group. The intervention was delivered according to the manual