Arundell, Laura-Louise C;
Saunders, Rob;
Buckman, Joshua EJ;
Lewis, Glyn;
Stott, Joshua;
Singh, Satwant;
Jena, Renuka;
... Pilling, Stephen; + view all
(2024)
Differences in psychological treatment outcomes by ethnicity and gender: an analysis of individual patient data.
Social Psychiatry and Psychiatric Epidemiology
10.1007/s00127-024-02610-8.
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Abstract
Purpose There are discrepancies in mental health treatment outcomes between ethnic groups, which may differ between genders. NHS Talking Therapies for anxiety and depression provide evidence-based psychological therapies for common mental disorders. This study examines the intersection between ethnicity and gender as factors associated with psychological treatment outcomes. Aims were to explore by gender: (1) differences in psychological treatment outcomes for minoritized ethnic people compared to White-British people, (2) whether differences are observed when controlling for clinical and socio-demographic factors associated with outcomes, and (3) whether organization-level factors moderate differences in outcomes between ethnic groups. Methods Patient data from eight NHS Talking Therapies for anxiety and depression services (n = 98,063) was used to explore associations between ethnicity and outcomes, using logistic regression. Stratified subsamples were used to separately explore factors associated with outcomes for males and females. Results In adjusted analyses, Asian (OR = 0.82 [95% CI 0.78; 0.87], p < .001, ‘Other’ (OR = 0.79 [95%CI 0.72–0.87], p < .001) and White-other (0.93 [95%CI 0.89–0.97], p < .001) ethnic groups were less likely to reliably recover than White-British people. Asian (OR = 1.48 [95% CI 1.35–1.62], p < .001), Mixed (OR = 1.18 [95% CI 1.05–1.34], p = .008), ‘Other’ (OR = 1.60 [95% CI 1.38–1.84], p < .001) and White-other (OR = 1.18 [95% CI 1.09–1.28], p < .001) groups were more likely to experience a reliable deterioration in symptoms. Poorer outcomes for these groups were consistent across genders. There was some evidence of interactions between ethnic groups and organization-level factors impacting outcomes, but findings were limited. Conclusions Across genders, Asian, ‘Other’ and White-other groups experienced worse treatment outcomes across several measures in adjusted models. Reducing waiting times or offering more treatment sessions might lead to increased engagement and reduced drop-out for some patient groups.
| Type: | Article |
|---|---|
| Title: | Differences in psychological treatment outcomes by ethnicity and gender: an analysis of individual patient data |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1007/s00127-024-02610-8 |
| Publisher version: | http://dx.doi.org/10.1007/s00127-024-02610-8 |
| Language: | English |
| Additional information: | Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. |
| Keywords: | Ethnicity, Gender, Anxiety, Depression, Psychological therapy, Outcome measures |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology |
| URI: | https://discovery-pp.ucl.ac.uk/id/eprint/10186798 |
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