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BMC Psychiatry

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01-12-2021 | Mood Disorders | Research

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

Authors: Aisling McQuaid, Rahil Sanatinia, Lorna Farquharson, Prisha Shah, Alan Quirk, David S. Baldwin, Mike Crawford

Published in: BMC Psychiatry | Issue 1/2021

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.

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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
Authors: Aisling McQuaid
Rahil Sanatinia
Lorna Farquharson
Prisha Shah
Alan Quirk
David S. Baldwin
Mike Crawford
Publication date: 01-12-2021
Publisher: BioMed Central
Keywords: Mood Disorders
Care
Affective Disorder
Anxiety
Published in: BMC Psychiatry / Issue 1/2021
Electronic ISSN: 1471-244X
DOI: https://doi.org/10.1186/s12888-021-03588-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

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

Aims

Method

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Aims

Method

Results

Conclusions

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