Patient experience of lasting negative effects of psychological interventions for anxiety and depression in secondary mental health care services: a national cross-sectional study

Abstract Background Patients who undergo psychological treatment can report both negative and positive effects, but evidence of factors influencing the likelihood of negative effects is limited. Aims To identify aspects of the organisation and delivery of secondary care psychological treatment servi...

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Autores principales:	Aisling McQuaid, Rahil Sanatinia, Lorna Farquharson, Prisha Shah, Alan Quirk, David S. Baldwin, Mike Crawford
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Psychiatry RC435-571
Acceso en línea:	https://doaj.org/article/f9a7918506f54b60ae8d115555a29054
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spelling	oai:doaj.org-article:f9a7918506f54b60ae8d115555a290542021-11-21T12:05:19ZPatient experience of lasting negative effects of psychological interventions for anxiety and depression in secondary mental health care services: a national cross-sectional study10.1186/s12888-021-03588-21471-244Xhttps://doaj.org/article/f9a7918506f54b60ae8d115555a290542021-11-01T00:00:00Zhttps://doi.org/10.1186/s12888-021-03588-2https://doaj.org/toc/1471-244XAbstract Background Patients who undergo psychological treatment can report both negative and positive effects, but evidence of factors influencing the likelihood of negative effects is limited. Aims To identify aspects of the organisation and delivery of secondary care psychological treatment services that are associated with patient experiences of negative effects. Method Cross-sectional survey of people with anxiety and depression who ended psychological treatment delivered by 50 NHS trusts in England. Respondents were asked about how their treatment was organised and delivered and whether they experienced lasting negative effects. Results Of 662 respondents, 90 (14.1%) reported experiencing lasting negative effects. People over the age of 65 were less likely than younger respondents to report negative effects. There was an association between reporting neutral or negative effects and not being referred at what respondents considered to be the right time (OR = 1.712, 95% CI = 1.078–2.726), not receiving the right number of sessions (OR = 3.105, 95% CI = 1.934–4.987), and not discussing progress with their therapist (OR 2.063, 95% CI = 1.290–3.301). Conclusions One in seven patients who took part in this survey reported lasting negative effects from psychological treatment. Steps should be taken to prepare people for the potential for negative experiences of treatment, and progress reviewed during therapy in an effort to identify and prevent negative effects.Aisling McQuaidRahil SanatiniaLorna FarquharsonPrisha ShahAlan QuirkDavid S. BaldwinMike CrawfordBMCarticlePsychiatryRC435-571ENBMC Psychiatry, Vol 21, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Psychiatry RC435-571
spellingShingle	Psychiatry RC435-571 Aisling McQuaid Rahil Sanatinia Lorna Farquharson Prisha Shah Alan Quirk David S. Baldwin Mike Crawford Patient experience of lasting negative effects of psychological interventions for anxiety and depression in secondary mental health care services: a national cross-sectional study
description	Abstract Background Patients who undergo psychological treatment can report both negative and positive effects, but evidence of factors influencing the likelihood of negative effects is limited. Aims To identify aspects of the organisation and delivery of secondary care psychological treatment services that are associated with patient experiences of negative effects. Method Cross-sectional survey of people with anxiety and depression who ended psychological treatment delivered by 50 NHS trusts in England. Respondents were asked about how their treatment was organised and delivered and whether they experienced lasting negative effects. Results Of 662 respondents, 90 (14.1%) reported experiencing lasting negative effects. People over the age of 65 were less likely than younger respondents to report negative effects. There was an association between reporting neutral or negative effects and not being referred at what respondents considered to be the right time (OR = 1.712, 95% CI = 1.078–2.726), not receiving the right number of sessions (OR = 3.105, 95% CI = 1.934–4.987), and not discussing progress with their therapist (OR 2.063, 95% CI = 1.290–3.301). Conclusions One in seven patients who took part in this survey reported lasting negative effects from psychological treatment. Steps should be taken to prepare people for the potential for negative experiences of treatment, and progress reviewed during therapy in an effort to identify and prevent negative effects.
format	article
author	Aisling McQuaid Rahil Sanatinia Lorna Farquharson Prisha Shah Alan Quirk David S. Baldwin Mike Crawford
author_facet	Aisling McQuaid Rahil Sanatinia Lorna Farquharson Prisha Shah Alan Quirk David S. Baldwin Mike Crawford
author_sort	Aisling McQuaid
title	Patient experience of lasting negative effects of psychological interventions for anxiety and depression in secondary mental health care services: a national cross-sectional study
title_short	Patient experience of lasting negative effects of psychological interventions for anxiety and depression in secondary mental health care services: a national cross-sectional study
title_full	Patient experience of lasting negative effects of psychological interventions for anxiety and depression in secondary mental health care services: a national cross-sectional study
title_fullStr	Patient experience of lasting negative effects of psychological interventions for anxiety and depression in secondary mental health care services: a national cross-sectional study
title_full_unstemmed	Patient experience of lasting negative effects of psychological interventions for anxiety and depression in secondary mental health care services: a national cross-sectional study
title_sort	patient experience of lasting negative effects of psychological interventions for anxiety and depression in secondary mental health care services: a national cross-sectional study
publisher	BMC
publishDate	2021
url	https://doaj.org/article/f9a7918506f54b60ae8d115555a29054
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Patient experience of lasting negative effects of psychological interventions for anxiety and depression in secondary mental health care services: a national cross-sectional study

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