Evaluation of a non-diagnostic 'Psychology of Emotions' group intervention within a UK youth IAPT service: a mixed-methods approach.


Journal

Behavioural and cognitive psychotherapy
ISSN: 1469-1833
Titre abrégé: Behav Cogn Psychother
Pays: United States
ID NLM: 9418292

Informations de publication

Date de publication:
Mar 2020
Historique:
pubmed: 25 6 2019
medline: 5 9 2020
entrez: 25 6 2019
Statut: ppublish

Résumé

A novel CBT-based intervention, tailored for young people, was developed in response to concerns about traditional diagnostically based approaches. Psychology of Emotions workshops use a normative approach to emotional difficulty instead of a diagnostic framework. To evaluate the acceptability and efficacy of Psychology of Emotions workshops within an IAPT service for young people aged 16-25 years. This was a mixed-methods study, evaluating routinely collected self-report measures of depression and anxiety, and qualitative feedback forms. The main outcomes were rates of attendance, change in symptom severity, and participant views of the intervention. From January to September 2016, 595 young people were invited to attend the Psychology of Emotions workshops, of whom 350 (58.8%) attended at least one session. Young people who attended all six sessions (8.1%) experienced significant reductions in self-reported anxiety (d = .72) and depression (d = .58) and 35.5% were classified as recovered at completion. Those who attended at least two sessions (41.3%) reported smaller but significant improvements in anxiety (d = .42) and depression (d = .45); 22.0% were classified as recovered at the last session attended. Participants provided largely positive feedback about the intervention. Psychology of Emotions is a promising treatment option, delivered outside of a diagnostic framework, for young people with mild to moderate mental health difficulties seen within IAPT services. Better understanding reasons for non-attendance might enable the intervention to be made accessible to more young people.

Sections du résumé

BACKGROUND BACKGROUND
A novel CBT-based intervention, tailored for young people, was developed in response to concerns about traditional diagnostically based approaches. Psychology of Emotions workshops use a normative approach to emotional difficulty instead of a diagnostic framework.
AIMS OBJECTIVE
To evaluate the acceptability and efficacy of Psychology of Emotions workshops within an IAPT service for young people aged 16-25 years.
METHOD METHODS
This was a mixed-methods study, evaluating routinely collected self-report measures of depression and anxiety, and qualitative feedback forms. The main outcomes were rates of attendance, change in symptom severity, and participant views of the intervention.
RESULTS RESULTS
From January to September 2016, 595 young people were invited to attend the Psychology of Emotions workshops, of whom 350 (58.8%) attended at least one session. Young people who attended all six sessions (8.1%) experienced significant reductions in self-reported anxiety (d = .72) and depression (d = .58) and 35.5% were classified as recovered at completion. Those who attended at least two sessions (41.3%) reported smaller but significant improvements in anxiety (d = .42) and depression (d = .45); 22.0% were classified as recovered at the last session attended. Participants provided largely positive feedback about the intervention.
CONCLUSION CONCLUSIONS
Psychology of Emotions is a promising treatment option, delivered outside of a diagnostic framework, for young people with mild to moderate mental health difficulties seen within IAPT services. Better understanding reasons for non-attendance might enable the intervention to be made accessible to more young people.

Identifiants

pubmed: 31230599
pii: S1352465819000407
doi: 10.1017/S1352465819000407
doi:

Types de publication

Clinical Trial Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

129-141

Auteurs

Lawrence Howells (L)

Norfolk and Suffolk NHS Foundation Trust.

Alice Rose (A)

University of East Anglia, Norwich, UK.

Brioney Gee (B)

Norfolk and Suffolk NHS Foundation Trust.
University of East Anglia, Norwich, UK.

Tim Clarke (T)

Norfolk and Suffolk NHS Foundation Trust.
University of East Anglia, Norwich, UK.

Ben Carroll (B)

Norfolk and Suffolk NHS Foundation Trust.

Sam Harbrow (S)

Norfolk and Suffolk NHS Foundation Trust.

Clio Oliver (C)

Norfolk and Suffolk NHS Foundation Trust.

Jon Wilson (J)

Norfolk and Suffolk NHS Foundation Trust.
University of East Anglia, Norwich, UK.

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Classifications MeSH