Introduction: Prevalence of common mental disorders such as depression and anxiety is highest among those aged 45-54, and lowest in those aged 75 or older. Method: Longitudinal analyses of secondary data were conducted using the data collected routinely in a London-based Improving Access to Psychological Therapy (IAPT) Service (N=77; f=39; m=38). Data were collected by IAPT clinicians and staff over a period of 4 years between 2008 and 2012. Demographical data, information regarding engagement with low intensity treatment as well as clinical outcome measures (PHQ-9, GAD7, W&SAS) were included in analyses. Findings: T-tests reveal significant improvement on scores of depression on the PHQ-9 (t=3.101; p=.003), anxiety on the GAD 7 (t = 3.623; p=.001). Wilcoxon signed-rank tests were run for W&SAS scores of functioning (r=2.507; p=.011), showing significant improvement from assessment to end of treatment. Linear regression showed that the type of treatment is a predictor of recovery from depression (t = 3.836, p=.000), but not from anxiety (t= -.307, p = .760). MBCT and Behavioural Activation seem to be the most engaging therapeutic options, while guided self-help, psycho-education and workshops on stress and anger have the highest rates of drop-out and failure to engage. Conclusions: Low intensity treatments offered to older adults referred to the IAPT service prove efficacious in decreasing anxiety and depression symptoms and increasing overall functioning in people who engage with the treatment. Engagement of older adults with the service may improve by further exploring the acceptability of low intensity treatments in this population while adaptations and adjustments may be needed in order to increase participation. Future investigations might need to consider the characteristics of people who fail to engage or drop out and reasons for disengagement with treatment.
| Identifer | oai:union.ndltd.org:bl.uk/oai:ethos.bl.uk:634197 |
| Date | January 2014 |
| Creators | Alba, Anca |
| Contributors | Jolley, Suzanne ; Browning, Sophie |
| Publisher | King's College London (University of London) |
| Source Sets | Ethos UK |
| Detected Language | English |
| Type | Electronic Thesis or Dissertation |
| Source | https://kclpure.kcl.ac.uk/portal/en/theses/the-role-of-emotion-regulation-in-affective-disturbance-and-psychoticlike-experiences-in-adolescent-inpatients(caaccbdf-62ef-4b1d-a505-6c4fe8f6c51e).html |
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