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Ethnicity as a predictor of outcomes of psychological therapies for anxiety and depression: a retrospective cohort analysis

Published online by Cambridge University Press:  06 February 2023

Federica Amati Open the ORCID record for Federica Amati [Opens in a new window] ,
John Green ,
Lauren Kitchin ,
Hilary Watt ,
Sophie Jones ,
Noor AlRubaye ,
Lucy McCann  and
Geva Greenfield
Federica Amati*
Affiliation:
NIHR CLAHRC NWL, Department of Primary Care and Public Health, School of Public Health, Imperial College London, London W6 8RP, UK
John Green
Affiliation:
Centre for Anxiety, Stress and Trauma, CNWL NHS Foundation Trust, Department of Clinical Health Psychology, Clarence Wing, St Mary’s Hospital, London W2 1NY, UK
Lauren Kitchin
Affiliation:
Centre for Anxiety, Stress and Trauma, CNWL NHS Foundation Trust, Department of Clinical Health Psychology, Clarence Wing, St Mary’s Hospital, London W2 1NY, UK
Hilary Watt
Affiliation:
NIHR CLAHRC NWL, Department of Primary Care and Public Health, School of Public Health, Imperial College London, London W6 8RP, UK
Sophie Jones
Affiliation:
Centre for Anxiety, Stress and Trauma, CNWL NHS Foundation Trust, Department of Clinical Health Psychology, Clarence Wing, St Mary’s Hospital, London W2 1NY, UK
Noor AlRubaye
Affiliation:
NIHR CLAHRC NWL, Department of Primary Care and Public Health, School of Public Health, Imperial College London, London W6 8RP, UK
Lucy McCann
Affiliation:
Newham University Hospital, Barts Health NHS Trust, London, UK
Geva Greenfield
Affiliation:
NIHR CLAHRC NWL, Department of Primary Care and Public Health, School of Public Health, Imperial College London, London W6 8RP, UK
*
*Corresponding author. Email: f.amati@imperial.ac.uk, federica.amati@gmail.com
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Abstract

Background:

Studies on predictors of outcomes of treatment for common mental health disorders (CMDs) in community mental health settings are scarce, and sample sizes are often small. Research on the impact of identifying as a member of an ethnic minority group on treatment outcomes is limited.

Aims:

To ascertain whether ethnicity is an independent predictor of outcome and the extent to which any association is mediated by other sociodemographic factors.

Method:

Retrospective observational study of anonymised treatment data collected for routine clinical purposes. Data were analysed from nine Improving Access to Psychological Therapy (IAPT) services from 2009 to 2016. Social functioning, ethnic group, age, gender, occupation and baseline severity of the mental health disorder were analysed as predictors of outcome.

Results:

Outcomes varied with ethnic group. Levels of occupation, social deprivation, initial morbidity and social functioning varied between ethnic groups at baseline. After adjustment for these factors the impact of ethnicity was attenuated and only some ethnic groups remained as significant independent predictors of treatment outcome.

Conclusions:

Ethnic minority status is a marker for multiple disadvantages. Some of the differences in outcome seen between ethnic groups may be the result of more general factors present in all ethnic groups but at greater intensity in some ethnic minority groups.

Keywords

ethnicityIAPTpsychotherapyrecovery
Type
Main
Information
Behavioural and Cognitive Psychotherapy , Volume 51 , Issue 2 , March 2023 , pp. 164 - 173
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of the British Association for Behavioural and Cognitive Psychotherapies

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