ArticleBJPsych open2018
Evaluation of reliable improvement rates in depression and anxiety at the end of treatment in adolescents.
Article in BJPsych open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
11 citing papers in PubMed.
- Trial
- Diagnostic Trends of Minors in Psychiatric Emergency Care: An Observational Study.Actas espanolas de psiquiatria · 2026Observational
- Exploring the barriers and facilitators of discharging children and young people from child and adolescent mental health services.Clinical child psychology and psychiatry · 2025Article
- Article
- Online arts and culture for mental health in young people: a qualitative interview study.BMJ open · 2023Article
- A Systematic Review and Lived-Experience Panel Analysis of Hopefulness in Youth Depression Treatment.Adolescent research review · 2022Review
- Cumulative risk exposure and emotional symptoms among early adolescent girls.BMC women's health · 2021Article
- Assessing recovery in treatment as usual provided by community child and adolescent mental health services.BJPsych open · 2021Article
- Predicting mental health improvement and deterioration in a large community sample of 11- to 13-year-olds.European child & adolescent psychiatry · 2020Article
- Trajectories of change of youth depressive symptoms in routine care: shape, predictors, and service-use implications.European child & adolescent psychiatry · 2019Article
- 'I Just Stopped Going': A Mixed Methods Investigation Into Types of Therapy Dropout in Adolescents With Depression.Frontiers in psychology · 2019Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLiterature has focused on effect sizes rather than individual-level improvement rates to determine how effectively services address burgeoning numbers of adolescents with anxiety and depression.AimsTo consider how many adolescents report reliable improvement in anxiety, depression and comorbid depression and anxiety by end of treatment.
methodThe primary outcome was reliable improvement (i.e. change greater than likely the result of measurement error) in self-reported anxiety and depression for N = 4464 adolescents (mean age 14.5 years, s.d. = 1.9; 75% female; 61% White) seen in specialist mental health services in England.
resultsIn total, 53% of those with anxiety, 44% with depression, and 35% with comorbid depression and anxiety showed reliable improvement.
conclusionsImprovement rates were higher than previously reported, but lower than generally used in advice to the public. There may be a need to set more realistic expectations, including with young people who seek help.Declaration of interestAll authors were involved in the programme of service transformation that this report draws on. M.W. led the outcomes and evaluation group that agreed the approach to measurement used in the initiative.
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