Evidence map›Paper›PMID 36191389›Full record

ArticleComprehensive psychiatry2022

Are students less likely to respond to routinely delivered psychological treatment? A retrospective cohort analysis.

Phoebe Barnett, Rob Saunders, Joshua E J Buckman, Ana Cardoso, Mirko Cirkovic, Judy Leibowitz, Nicole Main, Syed A Naqvi, Satwant Singh, Joshua Stott and 3 more

Registry-linked trialOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Comprehensive psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06350877 (One-on-one and Group-based Physical Activity Intervention Compared to a Wait-list Control for Post-secondary Student Mental Health and Well-being), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.0field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06350877 naunknown statusnot on this mapstarted 2024, after this paper: background citation

One-on-one and Group-based Physical Activity Intervention Compared to a Wait-list Control for Post-secondary Student Mental Health and Well-being: A 3-arm Parallel Randomized Controlled Trial

TypeinterventionalSponsorUniversity of TorontoRan2024 to 2025Enrolled93ConditionsPhysical Activity, Mental Health IssueArmsPhysical Activity Intervention
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 9 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 1 country.

Phoebe BarnettCentre for Outcomes Research and Effectiveness, Research Department of Clinical, Educational, & Health Psychology, University College London, London, UK; National Collaborating Centre for Mental Health, Royal College of Psychiatrists, London, UK. Electronic address: Phoebe.barnett@ucl.ac.uk.
Rob SaundersCentre for Outcomes Research and Effectiveness, Research Department of Clinical, Educational, & Health Psychology, University College London, London, UK.
Joshua E J BuckmanCentre for Outcomes Research and Effectiveness, Research Department of Clinical, Educational, & Health Psychology, University College London, London, UK; iCope - Camden & Islington Psychological Therapies Services, Camden and Islington NHS Foundation Trust, London, UK.
Ana CardosoNorth East London NHS Foundation Trust (NELFT), London, UK.
Mirko CirkovicTalk Changes: City & Hackney IAPT Service, Homerton University Hospital NHS Foundation Trust, London, UK.
Judy LeibowitziCope - Camden & Islington Psychological Therapies Services, Camden and Islington NHS Foundation Trust, London, UK.
Nicole MainLet's Talk IAPT-Barnet, Enfield & Haringey Psychological Therapies Service, Barnet, Enfield & Haringey Mental Health Trust, London, UK.
Syed A NaqviNorth East London NHS Foundation Trust (NELFT), London, UK.
Satwant SinghWaltham Forest Talking Therapies-North East London Foundation Trust, Thorne House, London E11 4HU, UK.
Joshua StottCentre for Outcomes Research and Effectiveness, Research Department of Clinical, Educational, & Health Psychology, University College London, London, UK; Ageing, Dementia And Psychological Therapies (ADAPT) Lab, Research department of Clinical, Educational, & Health Psychology, University College London, UK.
Lila VarsaniLet's Talk IAPT-Barnet, Enfield & Haringey Psychological Therapies Service, Barnet, Enfield & Haringey Mental Health Trust, London, UK.
Jon WheatlyTalk Changes: City & Hackney IAPT Service, Homerton University Hospital NHS Foundation Trust, London, UK.
Stephen PillingCentre for Outcomes Research and Effectiveness, Research Department of Clinical, Educational, & Health Psychology, University College London, London, UK; National Collaborating Centre for Mental Health, Royal College of Psychiatrists, London, UK; Camden and Islington NHS Foundation Trust, London, UK.
North East London NHS Foundation Trust · GBUniversity College London · GBBarnet Enfield and Haringey Mental Health Trust · GBCamden and Islington NHS Foundation Trust · GBHomerton University Hospital NHS Foundation Trust · GBCentre for Mental Health · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDepression and anxiety disorders are increasingly prevalent among university students, making the provision of effective treatment in this population a priority. Whilst campus-based services provide some psychological treatments, many students are treated by routine adult psychological treatment services which have no focus or adaptations to treatment for student populations. We aimed to compare psychological treatment outcomes between university students and young adults (aged 18-25) in employment to explore whether routinely delivered psychological interventions are equally effective for these groups, or whether students report poorer outcomes.

methodsA retrospective cohort was formed of 19,707 patients treated by eight National Health Service (NHS) Improving Access to Psychological Therapies (IAPT) services in England. Associations between student status (compared to same-age employed adults) and psychological treatment outcomes were explored using logistic regression models. Models were adjusted for important treatment, clinical and demographic characteristics, and propensity score matching was used to explore the robustness of effects.

resultsStudents and the employed comparison group were similar on baseline characteristics at assessment, but students were less likely to reliably recover (OR = 0.90 [95% CI = 0.83;0.96]) and reliably improve (OR = 0.91 [95% CI = 0.84;0.98]) by the end of treatment in fully adjusted models. Students and the employed group did not differ regarding the likelihood of deterioration (OR = 0.89 [95% CI = 0.78;1.02]) or treatment dropout (OR = 1.01 [95% CI = 0.93;1.11]).

conclusionsStudents appear at risk of poorer outcomes compared to employed younger adults when treated in routine psychological treatment services. Students may require additional support and treatment adaptations that account for student-specific stressors as this might improve psychological treatment outcomes.

Indexed as

Anxiety DisordersState MedicineAdolescentAdultCohort StudiesHumansRetrospective StudiesStudentsYoung AdultAnxietyCohortDepressionMental healthPsychological treatmentStudent

Identifiers

PMID36191389
PMCPMC9760567
OpenAlexW4298009519

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.