Evidence map›Paper›PMID 36313148›Full record

ArticleEClinicalMedicine2022

Effectiveness of primary care psychological therapy services for the treatment of depression and anxiety in people living with dementia: Evidence from national healthcare records in England.

Georgia Bell, Celine El Baou, Rob Saunders, Joshua E J Buckman, Georgina Charlesworth, Marcus Richards, Barbara Brown, Shirley Nurock, Stuart Michael, Paul Ware and 6 more

Open access · goldAbstract read
In one paragraph

Article in EClinicalMedicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 8% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
  6. Observational
  7. Effectiveness of psychological therapies for depression and anxiety in atypical dementia.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  8. Article
  9. Article
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

16 authors at 5 institutions in 1 country.

Georgia BellAdapt Lab, Research Department of Clinical, Educational and Health Psychology, UCL, London, UK.
Celine El BaouAdapt Lab, Research Department of Clinical, Educational and Health Psychology, UCL, London, UK.
Rob SaundersAdapt Lab, Research Department of Clinical, Educational and Health Psychology, UCL, London, UK.
Joshua E J BuckmanCentre for Outcomes Research and Effectiveness, Research Department of Clinical, Educational and Health Psychology, UCL, London, UK.
Georgina CharlesworthAdapt Lab, Research Department of Clinical, Educational and Health Psychology, UCL, London, UK.
Marcus RichardsMRC Unit for Lifelong Health and Ageing at UCL, UCL, London, UK.
Barbara BrownAdapt Lab, Research Department of Clinical, Educational and Health Psychology, UCL, London, UK.
Shirley NurockAdapt Lab, Research Department of Clinical, Educational and Health Psychology, UCL, London, UK.
Stuart MichaelAdapt Lab, Research Department of Clinical, Educational and Health Psychology, UCL, London, UK.
Paul WareAdapt Lab, Research Department of Clinical, Educational and Health Psychology, UCL, London, UK.
Elisa AguirreNorth East London NHS Foundation Trust (NELFT), London, UK.
Miguel RioDepartment of Electronic and Electrical Engineering, UCL, London, UK.
Claudia CooperCentre for Psychiatry and Mental Health, Wolfson Institute for Population Health, Queen Mary University of London, London, UK.
Stephen PillingCentre for Outcomes Research and Effectiveness, Research Department of Clinical, Educational and Health Psychology, UCL, London, UK.
Amber JohnAdapt Lab, Research Department of Clinical, Educational and Health Psychology, UCL, London, UK.
Joshua StottAdapt Lab, Research Department of Clinical, Educational and Health Psychology, UCL, London, UK.
University College London · GBNorth East London NHS Foundation Trust · GBSt Pancras Hospital · GBMRC Unit for Lifelong Health and Ageing · GBQueen Mary University of London · GB

Funding

Medical Research Council MC_UU_00019/1Medical Research Council MC_UU_00019/3Wellcome Trust
6 · The paper itself

Abstract

Background: Depression and anxiety are common and deleterious in people living with dementia (PLWD). It is currently unknown whether routinely provided psychological therapy can help reduce these symptoms in PLWD. This study aimed to investigate improvements in depression and anxiety symptoms over the course of therapy offered in primary care psychological therapy services in PLWD and to compare outcomes to people without dementia. Methods: National data from Improving Access to Psychological Therapies services (IAPT) across England linked with Hospital Episode Statistics data, the Mental Health Services Dataset, and HES-ONS mortality data were used to identify 1,549 PLWD who completed a course of psychological treatment in IAPT between 2012-2019 and a propensity score matched control group without identified dementia. Outcome measures included pre-post intervention changes in depression (PHQ-9) and anxiety (GAD-7) symptoms and therapy outcomes (reliable improvement, recovery, deterioration). Findings: Symptoms of depression ( Interpretation: Psychological therapy may be beneficial for PLWD with depression or anxiety, but it is currently not as effective as for people without dementia. More research is needed to improve access to psychological therapies and to understand this discrepancy and how therapies can be adapted to further improve outcomes. Funding: This work was supported by the Alzheimer's Society.

Indexed as

AnxietyDementiaDepressionNational healthcare data

Identifiers

PMID36313148
PMCPMC9596302
OpenAlexW4306166148

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.