Understanding the psychological therapy treatment outcomes for young adults who are not in education, employment, or training (NEET), moderators of outcomes, and what might be done to improve them

被引：13

作者：

Buckman, Joshua E. J. ^{[1
,2
]}

Stott, Joshua ^{[3
]}

Main, Nicole ^{[4
]}

Antonie, Daniela M. ^{[5
]}

Singh, Satwant ^{[6
]}

Naqvi, Syed A. ^{[7
]}

Aguirre, Elisa ^{[8
]}

Wheatley, Jon ^{[9
]}

Cirkovic, Mirko ^{[9
]}

Leibowitz, Judy ^{[2
]}

Cape, John ^{[1
]}

Pilling, Stephen ^{[1
]}

Saunders, Rob ^{[1
]}

机构：

[1] UCL, Ctr Outcomes Res & Effectiveness CORE, Res Dept Clin Educ & Hlth Psychol, 1-19 Torrington Pl, London WC1E 7HB, England

[2] Camden & Islington NHS Fdn Trust, iCope, St Pancras Hosp, London NW1 0PE, England

[3] UCL, Res Dept Clin Educ & Hlth Psychol, ADAPT Lab, Gower St, London, England

[4] Barnet Enfield & Haringey Mental Hlth Trust, Enfield & Haringey Psychol Therapies Serv, Lets Talk IAPT Barnet, London, England

[5] East London NHS Fdn Trust, Newham Talking Therapies, Vicarage Lane Hlth Ctr, London E15 4ES, England

[6] North East London Fdn Trust, Waltham Forest Talking Therapies, Thorne House, London E11 4HU, England

[7] North East London Fdn Trust, Barking & Dagenham & Havering IAPT Serv, Church Elm Lane Hlth Ctr, Dagenham RM10 9RR, Essex, England

[8] North East London NHS Fdn Trust, Redbridge Talking Therapies Serv, London, England

[9] Homerton Univ Hosp NHS Fdn Trust, Talk Changes City & Hackney IAPT Serv, London, England

来源：

PSYCHOLOGICAL MEDICINE | 2023年 / 53卷 / 07期

基金：

英国惠康基金;

关键词：

Anxiety disorders; community mental health services; depressive disorder; psychotherapy outcome research; young adults; COGNITIVE-BEHAVIORAL THERAPY; MAJOR DEPRESSIVE DISORDER; MENTAL-HEALTH; PERSONALITY DIFFICULTIES; ANXIETY; IMPACT; AGE; INTERVENTIONS; TRAJECTORIES; ADOLESCENCE;

D O I：

10.1017/S0033291721004773

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Background To determine: whether young adults (aged 18-24) not in education, employment or training (NEET) have different psychological treatment outcomes to other young adults; any socio-demographic or treatment-related moderators of differential outcomes; and whether service-level changes are associated with better outcomes for those who are NEET. Methods A cohort was formed of 20 293 young adults treated with psychological therapies in eight Improving Access to Psychological Therapies services. Pre-treatment characteristics, outcomes, and moderators of differential outcomes were compared for those who were and were not NEET. Associations between outcomes and the following were assessed for those that were NEET: missing fewer sessions, attending more sessions, having a recorded diagnosis, and waiting fewer days between referral and starting treatment. Results Those who were NEET had worse outcomes: odds ratio (OR) [95% confidence interval (CI)] for reliable recovery = 0.68 (0.63-0.74), for deterioration = 1.41 (1.25-1.60), and for attrition = 1.31 (1.19-1.43). Ethnic minority participants that were NEET had better outcomes than those that were White and NEET. Living in deprived areas was associated with worse outcomes. The intensity of treatment (high or low) did not moderate outcomes, but having more sessions was associated with improved outcomes for those that were NEET: odds (per one-session increase) of reliable recovery = 1.10 (1.08-1.12), deterioration = 0.94 (0.91-0.98), and attrition = 0.68 (0.66-0.71). Conclusions Earlier treatment, supporting those that are NEET to attend sessions, and in particular, offering them more sessions before ending treatment might be effective in improving clinical outcomes. Additional support when working with White young adults that are NEET and those in more deprived areas may also be important.

引用

页码：2808 / 2819

页数：12

共 2 条

[1] From high school to postsecondary education, training, and employment: Predicting outcomes for young adults with autism spectrum disorder
Yamamoto, Scott H.
Alverson, Charlotte Y.
[J]. AUTISM & DEVELOPMENTAL LANGUAGE IMPAIRMENTS, 2022, 7
[2] Developing a hope-focused intervention to prevent mental health problems and improve social outcomes for young women who are not in education, employment, or training (NEET): A qualitative co-design study in deprived coastal communities in South-East England
Berry, Clio
Fountain, Julia
Forbes, Lindsay
Bogen-Johnston, Leanne
Thomson, Abigail
Zylko, Yelena
Tunks, Alice
Hotham, Sarah
Michelson, Daniel
[J]. PLOS ONE, 2024, 19 (05):

← 1 →