An investigation of treatment return after psychological therapy for depression and anxiety.
Behav Cogn Psychother
; 52(2): 149-162, 2024 Mar.
Article
em En
| MEDLINE
| ID: mdl-37563726
ABSTRACT
BACKGROUND:
Some patients return for further psychological treatment in routine services, although it is unclear how common this is, as scarce research is available on this topic.AIMS:
To estimate the treatment return rate and describe the clinical characteristics of patients who return for anxiety and depression treatment.METHOD:
A large dataset (N=21,029) of routinely collected clinical data (2010-2015) from an English psychological therapy service was analysed using descriptive statistics.RESULTS:
The return rate for at least one additional treatment episode within 1-5 years was 13.7%. Furthermore, 14.5% of the total sessions provided by the service were delivered to treatment-returning patients. Of those who returned, 58.0% continued to show clinically significant depression and/or anxiety symptoms at the end of their first treatment, while 32.0% had experienced a demonstrable relapse before their second treatment.CONCLUSIONS:
This study estimates that approximately one in seven patients return to the same service for additional psychological treatment within 1-5 years. Multiple factors may influence the need for additional treatment, and this may have a major impact on service activity. Future research needs to further explore and better determine the characteristics of treatment returners, prioritise enhancement of first treatment recovery, and evaluate relapse prevention interventions.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Ansiedade
/
Depressão
Limite:
Humans
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article