Delgadillo, Jaime, Dawson, Alexander, Gilbody, Simon Martin orcid.org/0000-0002-8236-6983 et al. (1 more author) (2016) Impact of long-term medical conditions on the outcomes of psychological therapy for depression and anxiety. The British journal of psychiatry. ISSN 1472-1465
Abstract
BACKGROUND: Long-term conditions often coexist with depression and anxiety. AIMS: To assess the effectiveness of stepped-care psychological therapies for patients with long-term conditions. METHOD: Data from 28 498 patients were analysed using regression to model depression (Patient Health Questionnaire (PHQ-9)) and anxiety (Generalised Anxiety Disorder scale (GAD-7)) outcomes. Post-treatment symptoms and effect sizes (d) were estimated for individuals with and without long-term conditions, 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 = 0.22-0.27), chronic obstructive pulmonary disease (d = 0.26-0.33), diabetes (d = 0.05-0.13) and psychotic disorders (d = 0.50-0.58). Most long-term conditions were associated with greater odds of accessing high-intensity therapies, yet individuals who accessed these continued to have higher average post-treatment symptoms. CONCLUSIONS: Some long-term conditions are associated with greater intensity of care and poorer outcomes after therapy.
Metadata
Item Type: | Article |
---|---|
Authors/Creators: |
|
Copyright, Publisher and Additional Information: | © The Royal College of Psychiatrists 2016. This is an author-produced version of the published paper. Uploaded in accordance with the publisher’s self-archiving policy. Further copying may not be permitted; contact the publisher for details |
Dates: |
|
Institution: | The University of York |
Academic Units: | The University of York > Faculty of Sciences (York) > Hull York Medical School (York) |
Depositing User: | Pure (York) |
Date Deposited: | 19 Dec 2016 14:30 |
Last Modified: | 16 Oct 2024 13:26 |
Published Version: | https://doi.org/10.1192/bjp.bp.116.189027 |
Status: | Published |
Refereed: | Yes |
Identification Number: | 10.1192/bjp.bp.116.189027 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:109709 |
Download
Filename: BJP_2016_189027_revision.pdf
Description: BJP-2016-189027-revision