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英国焦虑症协会心理治疗服务结果评估。

An evaluation of Anxiety UK's psychological therapy service outcomes.

机构信息

Anxiety UK, Nunes House, 447 Chester Road, Manchester M16 9HA, UK.

Anxiety UK, Nunes House, 447 Chester Road, Manchester M16 9HA, UK.

出版信息

J Affect Disord. 2022 Mar 15;301:478-485. doi: 10.1016/j.jad.2022.01.016. Epub 2022 Jan 4.

Abstract

BACKGROUND

Anxiety and depression are highly prevalent. The aim was to examine the effectiveness of Anxiety UK's national psychological therapy service; benchmarking against NHS IAPT data.

METHODS

We examined psychological therapy outcome data for Anxiety UK clients who completed therapy between April 2019 - March 2020 and benchmarked this against NHS Improving Access to Psychological Therapies (IAPT) outcome data for the same period. Anxiety UK clients completed validated measures of anxiety and depression at two time points: the first and last therapy session. Caseness, recovery, reliable improvement and reliable recovery rates were based on IAPT definitions.

RESULTS

957 clients completed at least two psychological therapy sessions with an Anxiety UK Approved Therapist. Recovery, reliable improvement, and reliably recovered rates exceeded IAPT targets. Depression and anxiety reduced from first to last session. Cognitive behavioural therapy produced the greatest change in anxiety over time compared to counselling and hypnotherapy. The more therapy sessions attended, the greater the change in anxiety and depression scores from the first to last session.

LIMITATIONS

For some clients, anxiety and depression levels may have alleviated without therapy. No outcome data were collected following therapy cessation. Therefore, conclusions regarding maintenance and long-term effects of therapy cannot be made.

CONCLUSION

Anxiety UK provide highly effective psychological therapies for anxiety and depression. Flexibility in the number of therapy sessions provided is recommended for NHS services and those of external organisations.

摘要

背景

焦虑和抑郁的发病率很高。本研究旨在检验 Anxiety UK 的全国心理治疗服务的有效性,并与 NHS IAPT 的数据进行基准比较。

方法

我们分析了 2019 年 4 月至 2020 年 3 月期间完成治疗的 Anxiety UK 客户的心理治疗结果数据,并与同期 NHS Improving Access to Psychological Therapies(IAPT)的结果数据进行了基准比较。Anxiety UK 客户在两个时间点完成了焦虑和抑郁的有效测量:第一次和最后一次治疗。根据 IAPT 的定义,确定了病例、恢复、可靠改善和可靠恢复的比率。

结果

957 名客户完成了至少两次与 Anxiety UK 认可治疗师的心理治疗。恢复、可靠改善和可靠恢复的比率超过了 IAPT 的目标。抑郁和焦虑从第一次治疗到最后一次治疗都有所减轻。认知行为疗法在时间上对焦虑的改变最大,而与咨询和催眠疗法相比。参加的治疗次数越多,从第一次到最后一次治疗,焦虑和抑郁评分的变化就越大。

局限性

对于一些客户,焦虑和抑郁水平可能在没有治疗的情况下已经缓解。治疗结束后没有收集结果数据。因此,无法就治疗的维持和长期效果得出结论。

结论

Anxiety UK 为焦虑和抑郁提供了高效的心理治疗。为 NHS 服务和外部组织提供的治疗次数的灵活性是值得推荐的。

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