Trajectories of depression and anxiety symptom change during psychological therapy

Journal of Affective Disorders
Rob SaundersStephen Pilling

Abstract

Forty-percent of the variance in psychological treatment outcomes is estimated to be explained by symptom change by the third treatment session. However, change may not be uniform across patient groups and symptom domains. This study aimed to identify subgroups of patients with different trajectories of depression and anxiety symptom change during psychological therapy and identify baseline patient characteristics associated with these trajectories. 4394 patients attending two psychological treatment services completed sessional, self-report depression and anxiety measures. Trajectories of symptom change were investigated using latent class growth analysis. Multinomial logistic regression was used to explore associations between baseline patient characteristics and trajectory classes. A number of distinct trajectories were identified. Anxiety symptom trajectories could be distinguished by the third treatment session, but for depression symptoms there was a class displaying limited change until session six followed by rapid improvement in symptoms thereafter. Compared to the non-responding trajectories, depression and anxiety trajectories indicating treatment response were associated with lower baseline severity, better social f...Continue Reading

Citations

Jan 3, 2021·Journal of Autism and Developmental Disorders·Tyler C McFaydenLee D Cooper
Feb 11, 2021·Family & Community Health·Rachel TamblingMorica Hutchison
Feb 23, 2021·Cognitive Behaviour Therapist·Rob SaundersJoshua E J Buckman
Mar 8, 2021·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Chaoyang YanJing Wang
Aug 10, 2020·Journal of Psychiatric Research·Hyuntaek OhMichelle A Patriquin
Oct 30, 2021·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Katharina SengerJens Heider
Feb 4, 2022·Journal of Youth and Adolescence·Rineke BossenbroekAnna Lichtwarck-Aschoff

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