Megan Finegan1, Nick Firth2, Jaime Delgadillo3. 1. Department of Psychology, University of Sheffield, United Kingdom. 2. School of Health and Related Research, University of Sheffield, United Kingdom. 3. Clinical Psychology Unit, Department of Psychology, University of Sheffield, United Kingdom.
Abstract
Aim: 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. Method: 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. Results: 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. Conclusions: Patients living in economically deprived neighbourhoods tend to have poorer depression and anxiety treatment outcomes and require lengthier interventions.
Aim: 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. Method: 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. Results: 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. Conclusions: Patients living in economically deprived neighbourhoods tend to have poorer depression and anxiety treatment outcomes and require lengthier interventions.
Authors: Nick Firth; Michael Barkham; Jaime Delgadillo; Kai Allery; Jonathan Woodward; Alicia O'Cathain Journal: Adm Policy Ment Health Date: 2021-11-27
Authors: Boadie W Dunlop; Jeffrey J Rakofsky; David Mischoulon; Helen S Mayberg; Becky Kinkead; Andrew A Nierenberg; Thomas R Ziegler; Maurizio Fava; Mark H Rapaport Journal: Pers Med Psychiatry Date: 2022-01-12