Effectiveness of bibliotherapy self-help for depression with varying levels of telephone helpline support.

The effectiveness of a cognitive behavioural bibliotherapy self-help package, with varied levels of telephone support, delivered through a mental health telephone service was examined with 84 mildly to moderately depressed adults. The study compared the changes in depressive symptoms of three groups: control, self help with minimal contact and self-help with telephone assistance. Both the minimal contact and the assisted self-help groups had significant reductions in their levels of depression compared with the control group. Treatment gains were maintained at a 1-month follow-up. The potential of self-help resources such as this to be successfully disseminated and delivered through a national mental health telephone information service is discussed. Copyright (c) 2008 John Wiley & Sons, Ltd.