Department of Psychology, University of Sheffield, United Kingdom.
School of Health and Related Research, University of Sheffield, United Kingdom.
Psychother Res. 2020 Apr;30(4):546-554. doi: 10.1080/10503307.2019.1649500. Epub 2019 Jul 31.
Socioeconomic deprivation is known to be associated with depression and anxiety symptoms. This study aimed to investigate the influence of several domains of neighbourhood deprivation on psychological treatment outcomes. Healthcare records from 44805 patients who accessed psychological treatment were analyzed. Patient-level depression (PHQ-9) and anxiety (GAD-7) outcome measures were linked to their neighbourhood statistics, including area-level indices of income, unemployment, education, health and disability, crime, housing quality, and quality of the local environment. Linear regressions were applied to examine associations between these domains and post-treatment symptom severity after controlling for patient-level and service-level variables. Neighbourhood income and crime rates were associated with depression and anxiety symptoms after controlling for covariates, explaining 4% to 5% of variability in treatment outcomes. Patients living in low-income areas required a higher number of treatment sessions to benefit from therapy. Patients living in economically deprived neighbourhoods tend to have poorer depression and anxiety treatment outcomes and require lengthier interventions.
社会经济贫困与抑郁和焦虑症状有关。本研究旨在调查多个邻里贫困领域对心理治疗结果的影响。分析了 44805 名接受心理治疗的患者的医疗记录。将患者的抑郁（PHQ-9）和焦虑（GAD-7）的治疗结果与他们的邻里统计数据联系起来，包括收入、失业、教育、健康和残疾、犯罪、住房质量和当地环境质量的区域水平指数。应用线性回归来检查这些领域与治疗后症状严重程度之间的关联，在控制患者水平和服务水平变量后。在控制了协变量后，邻里收入和犯罪率与抑郁和焦虑症状有关，解释了治疗结果的 4%至 5%的可变性。生活在低收入地区的患者需要更多的治疗次数才能从治疗中受益。生活在经济贫困社区的患者往往抑郁和焦虑治疗效果较差，需要更长时间的干预。
