ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2013
Improving Access to Psychological Therapies and antidepressant prescribing rates in England: a longitudinal time-series analysis.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Cost-effectiveness analysis of a randomized study of depression treatment options in primary care suggests stepped-care treatment may have economic benefits.BMC psychiatry · 2019Trial
- The PAPER Study (Prescribing Antidepressants in Primary care: Ethnic inequalities in tReatment): a study protocol.BJGP open · 2025Article
- Treatment of depression in the first primary care consultation: A qualitative study.Journal of family medicine and primary care · 2022Article
- Influences on antidepressant prescribing trends in the UK: 1995-2011.Social psychiatry and psychiatric epidemiology · 2017Article
- Variation and ethnic inequalities in treatment of common mental disorders before, during and after pregnancy: combined analysis of routine and research data in the Born in Bradford cohort.BMC psychiatry · 2016Article
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Authors and funding
5 authors.
Funding
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Abstract
backgroundAntidepressant prescribing rates in England have been increasing since the 1970s. The impact of the Improving Access to Psychological Therapies (IAPT) initiative on antidepressant prescribing rates is unknown.
aimTo investigate the impact of the establishment of IAPT services on antidepressant prescribing rates in primary care trusts (PCTs) in England. DESIGN AND
settingA longitudinal time-series analysis, using PCT-level data from 2008 to 2011 set in England.
methodA time-series analysis was conducted using PCT-level prescription data, dates of establishment of IAPT services, and covariate data for age, sex, and socioeconomic status. Statistical analysis was carried out using analysis of variance and a random-effect negative binomial model.
resultsAntidepressant prescribing rates in England increased by 10% per year during the study period (adjusted rate ratio = 1.10, 95% CI = 1.09 to 1.10). The implementation of IAPT services had no significant effect on antidepressant prescribing (adjusted rate ratio = 0.99, 95% CI = 0.99 to 1.00).
conclusionIntroduction of a large-scale initiative to increase provision of psychological therapies has not curbed the long-term increased prescribing of antidepressants in England.
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