June 1, 2026 · The British journal of psychiatry : the journal of mental science · DOI: 10.1192/bjp.2026.10630

Cognitive and behavioural skills to prevent major depression among adults with subthreshold depression: 50-week follow-up analysis of smartphone CBT randomised trials (RESiLIENT trial)

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The authors aimed to evaluate the long-term effects of smartphone-delivered cognitive behavioral therapy (CBT) skills on preventing major depression and reducing the total burden of depression in adults with subthreshold depression over a 50-week period. The study found that specific combinations of CBT skills, particularly behavioral activation with assertion training and cognitive restructuring, significantly reduced the onset of major depression and overall depressive symptoms. These results suggest that smartphone-based CBT is a promising and accessible preventive intervention for at-risk individuals.

Tatsuo Akechi, Hisashi Noma, Aran Tajika, Rie Toyomoto, Masatsugu Sakata, Yan Luo, Masaru Horikoshi, Norito Kawakami, Takeo Nakayama, Naoki Kondo, Shingo Fukuma, Toshi A Furukawa

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