Clarke, Katherine;
(2024)
Maintaining recovery after depression: what are relapses and how might they
be prevented?
Doctoral thesis (Ph.D), UCL (University College London).
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Abstract
Depression is a prevalent and often disabling mental health condition, and relapses are of major concern for patients, health professionals and researchers. There are several interventions that, when offered after recovery from an episode of depression, can reduce the risk of relapse. The mechanisms by which these interventions operate are not well-understood. It may be that they target one part of what is a complex and interactive system, and there are several possible routes to relapse prevention. The PRotect intervention was developed to be offered after recovery from depression, and designed to provide people with self-help relapse prevention options in a brief format that would be practical for routine delivery in an NHS psychological therapies service. It focusses on increasing wellbeing and maintaining recovery, which in turn may reduce the risk that a person experiences a relapse. It was tested in a pilot randomised trial and was feasible to deliver. Participants reported changes in behaviour that they attributed to the intervention, and their clinical outcomes were better than those who were not offered the PRotect intervention, although the sample size was not large enough for effectiveness to be tested. Staff experienced the intervention as being different to their normal practice, with a focus on wellbeing and a ‘level playing field’ between clinicians and patients. The trial was small and was not powered to detect a significant difference in clinical outcomes, but the findings warrants consideration for testing in a full-scale trial.
| Type: | Thesis (Doctoral) |
|---|---|
| Qualification: | Ph.D |
| Title: | Maintaining recovery after depression: what are relapses and how might they be prevented? |
| Language: | English |
| Additional information: | Copyright © The Author 2024. Original content in this thesis is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) Licence (https://creativecommons.org/licenses/by-nc/4.0/). Any third-party copyright material present remains the property of its respective owner(s) and is licensed under its existing terms. Access may initially be restricted at the author’s request. |
| 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/10193903 |
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