Delgadillo, J., Dawson, A., Gilbody, S. et al. (1 more author) (2017) The impact of long term medical conditions on the outcomes of psychological therapy for depression and anxiety. British Journal of Psychiatry, 210 (1). pp. 47-53. ISSN 0007-1250
Abstract
Background: Long term conditions (LTC) often coexist with depression and anxiety. Aims: To assess the effectiveness of stepped care psychological therapies for patients with LTC. Method: Data from 28498 patients were analysed using regression to model depression (PHQ-9) and anxiety (GAD-7) outcomes. Post-treatment symptoms and effect sizes (d) were estimated for cases with and without LTC, controlling for covariates. The likelihood of access and response to intensive psychological interventions was also examined. Results: Higher post-treatment symptoms were predicted for patients with musculoskeletal problems (d = .22 to .27), COPD (d = .26 to .33), diabetes (d = .05 to .13) and psychotic disorders (d = .50 to .58). Most LTC were associated with greater odds of accessing high intensity therapies (HIT), yet HIT cases continued to have higher average post-treatment symptoms. Conclusions: Some LTC are associated with greater intensity of care and poorer outcomes after therapy.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © The Royal College of Psychiatrists 2016. This is an author produced version of a paper subsequently published in British Journal of Psychology. Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | Long term conditions; depression; anxiety; stepped care; IAPT |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Science (Sheffield) > Department of Psychology (Sheffield) |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 10 Oct 2016 15:30 |
Last Modified: | 17 Nov 2017 01:38 |
Published Version: | https://doi.org/10.1192/bjp.bp.116.189027 |
Status: | Published |
Publisher: | Royal College of Psychiatrists |
Refereed: | Yes |
Identification Number: | 10.1192/bjp.bp.116.189027 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:105778 |