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BMJ. 2002 Apr 20;324(7343):947-50.

Effectiveness of teaching general practitioners skills in brief cognitive behaviour therapy to treat patients with depression: randomised controlled trial.

Author information

  • 1Department of Psychiatry and Behavioural Sciences, Royal Free and University College Medical School, Royal Free Campus, London NW3 2PF. m.king@rfc.ucl.ac.uk

Abstract

OBJECTIVE:

To assess the effectiveness of teaching general practitioners skills in brief cognitive behaviour therapy.

DESIGN:

Parallel group, cluster randomised, controlled trial of an educational package on cognitive behaviour therapy.

SETTING:

General practices in north London.

PARTICIPANTS:

84 general practitioner principals and 272 patients attending their practices who scored above the threshold for psychological distress on the hospital anxiety and depression scale.

INTERVENTION:

A training package of four half days on brief cognitive behaviour therapy.

MAIN OUTCOME MEASURES:

Scores on the depression attitude questionnaire (general practitioners) and the Beck depression inventory (patients).

RESULTS:

Doctors' knowledge of depression and attitudes towards its treatment showed no major difference between intervention and control groups after 6 months. The training had no discernible impact on patients' outcomes.

CONCLUSION:

General practitioners may require more training and support than a basic educational package on brief cognitive behaviour therapy to acquire skills to help patients with depression.

PMID:
11964340
[PubMed - indexed for MEDLINE]
PMCID:
PMC102328
Free PMC Article
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