Ali, Shehzad orcid.org/0000-0002-8042-3630, Rhodes, Laura, Moreea, Omar et al. (6 more authors) (2017) How durable is the effect of low intensity CBT for depression and anxiety?:Remission and relapse in a longitudinal cohort study. Behaviour research and therapy. pp. 1-8. ISSN 1873-622X
Abstract
Background: Depression and anxiety disorders are relapse-prone conditions, even after successful treatment with pharmacotherapy or psychotherapy. Cognitive behavioural therapy (CBT) is known to prevent relapse, but there is little evidence of the durability of remission after low intensity forms of CBT (LiCBT). Method: This study aimed to examine relapse rates 12 months after completing routinely-delivered LiCBT. A cohort of 439 LiCBT completers with remission of symptoms provided monthly depression (PHQ-9) and anxiety (GAD-7) measures during 12 months after treatment. Survival analysis was conducted to model time-to-relapse while controlling for patient characteristics. Results: Overall, 53% of cases relapsed within 1 year. Of these relapse events, the majority (79%) occurred within the first 6 months posttreatment. Cases reporting residual depression symptoms (PHQ-9 = 5 to 9) at the end of treatment had significantly higher risk of relapse (hazard ratio = 1.90, p < 0.001). Conclusions: The high rate of relapse after LiCBT highlights the need for relapse prevention, particularly for those with residual depression symptoms. Key words: depression; anxiety; relapse; cognitive behavioural therapy
Metadata
Item Type: | Article |
---|---|
Authors/Creators: |
|
Copyright, Publisher and Additional Information: | © Elseveier Ltd., 2017. This is an author-produced version of the published paper. Uploaded in accordance with the publisher’s self-archiving policy. |
Dates: |
|
Institution: | The University of York |
Academic Units: | The University of York > Faculty of Sciences (York) > Health Sciences (York) The University of York > Faculty of Sciences (York) > Hull York Medical School (York) |
Depositing User: | Pure (York) |
Date Deposited: | 11 May 2017 10:40 |
Last Modified: | 16 Oct 2024 13:44 |
Published Version: | https://doi.org/10.1016/j.brat.2017.04.006 |
Status: | Published |
Refereed: | Yes |
Identification Number: | 10.1016/j.brat.2017.04.006 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:116285 |
Download
Filename: WYLOW_study_2017_pre_print.pdf
Description: WYLOW_study_2017_pre-print
Licence: CC-BY-NC-ND 2.5