Adverse impact of neighbourhood socioeconomic deprivation on psychological treatment outcomes: the role of area-level income and crime.

Psychotherapy Research : Journal of the Society for Psychotherapy Research
Megan FineganJaime Delgadillo

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.

References

Mar 1, 1975·Proceedings of the National Academy of Sciences of the United States of America·R M Pratt, G R Martin
Sep 15, 2001·Journal of General Internal Medicine·K KroenkeJ B Williams
May 2, 2002·The British Journal of Psychiatry : the Journal of Mental Science·James C MundtJohn H Greist
Apr 30, 2003·Social Psychiatry and Psychiatric Epidemiology·Tom FryersRachel Jenkins
Jan 4, 2006·American Journal of Community Psychology·John M BollandCecelia M Formichella
Mar 7, 2007·Annals of Internal Medicine·Kurt KroenkeBernd Löwe
Jul 10, 2007·Social Science & Medicine·Richard G Wilkinson, Kate E Pickett
Jun 3, 2009·The American Journal of Orthopsychiatry·Lydia Falconnier
Jan 16, 2010·IEEE Transactions on Pattern Analysis and Machine Intelligence·Juan Diego RodríguezJose Antonio Lozano
Jul 24, 2010·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Louise C Hawkley, John T Cacioppo
Dec 24, 2011·Personality and Social Psychology Review : an Official Journal of the Society for Personality and Social Psychology, Inc·Heather J SmithSilvana Bialosiewicz
Apr 24, 2012·Social Science & Medicine·Kafui Adjaye-Gbewonyo, Ichiro Kawachi
May 10, 2012·Depression and Anxiety·Natalie A CortNancy L Talbot
Dec 6, 2012·Social Psychiatry and Psychiatric Epidemiology·R van der LemF G Zitman
Jan 7, 2015·The Journal of Clinical Psychiatry·J MacLaren KellyMichael H Bloch
Nov 3, 2016·The British Journal of Psychiatry : the Journal of Mental Science·Jaime DelgadilloSimon Gilbody
Nov 20, 2016·The British Journal of Psychiatry : the Journal of Mental Science·Jaime DelgadilloJan R Böhnke
Oct 21, 2017·The British Journal of Psychiatry : the Journal of Mental Science·Charlotte WoodheadRosalind Raine

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Citations

Jul 16, 2020·Social Psychiatry and Psychiatric Epidemiology·Deeksha Elwadhi, Alex Cohen
Jun 18, 2021·Social Science & Medicine·Gergő BaranyiJamie Pearce
Oct 8, 2021·Psychology and Psychotherapy·James TaitJaime Delgadillo
Dec 9, 2021·JAMA Psychiatry·Jaime DelgadilloMichael Barkham

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Methods Mentioned

BETA
cognitive behavioural therapy

Software Mentioned

LASSO

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