Cognitive Restructuring for Depressive Symptoms Applied by Mental Health Nurses: Designing the Structure and Contents.
Bruno Santos, Lara Guedes Pinho, Luís Silva and 3 others
PMID 42695141WHAT IT FOUND
Experts and people with depression drafted a structured cognitive restructuring programme for nurses to use with people who have depressive symptoms.
It sets session flow and content, but the paper says it has not yet been tested for feasibility or effectiveness.
Key findings
01The proposed programme has a prior assessment session and seven main sessions, with flexibility to repeat sessions and use up to 12 sessions.
02The group favoured individual sessions rather than group sessions to protect trust and avoid exposing intimate details.
03The paper states the intervention's feasibility, acceptability, and effectiveness have not yet been established.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This paper only designed the intervention. It did not test whether the programme is feasible, acceptable, or effective for patients. The focus group used purposive sampling and a small number of participants, including only a small number of people with depression, so patient perspectives may be limited. The sessions were online, which the authors say may have reduced participation and interaction. The intervention is intended for mental health nursing practice, but no clinical implementation or patient outcomes were reported.
The easy way to misread this
Do not read this as evidence that nurse-delivered cognitive restructuring reduces depressive symptoms. The paper only designed the intervention and says its feasibility, acceptability, and effectiveness have not yet been established.