Evidence map›Paper›PMID 37869892›Full record

ArticleBehavioural and cognitive psychotherapy2024

The addition of employment support alongside psychological therapy enhances the chance of recovery for clients most at risk of poor clinical outcomes.

Graham R Thew, Ana Popa, Claire Allsop, Elaine Crozier, Josef Landsberg, Samantha Sadler

Open access · hybridAbstract read
In one paragraph

Article in Behavioural and cognitive psychotherapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.7field-weighted citation impact, top 14% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

6 authors at 3 institutions in 1 country.

Graham R ThewDepartment of Experimental Psychology, University of Oxford, Oxford, UK.ORCID https://orcid.org/0000-0003-2851-1315
Ana PopaBerkshire Healthcare NHS Foundation Trust, Bracknell, UK.
Claire AllsopNHS Oxfordshire Talking Therapies, Oxford Health NHS Foundation Trust, Oxford, UK.
Elaine CrozierNHS Buckinghamshire Talking Therapies, Oxford Health NHS Foundation Trust, High Wycombe, UK.
Josef LandsbergNHS Buckinghamshire Talking Therapies, Oxford Health NHS Foundation Trust, High Wycombe, UK.
Samantha SadlerNHS Oxfordshire Talking Therapies, Oxford Health NHS Foundation Trust, Oxford, UK.
Buckinghamshire Healthcare NHS Trust · GBOxford Health NHS Foundation Trust · GBBerkshire Healthcare NHS Foundation Trust · GB

Funding

Wellcome Trust 200796
6 · The paper itself

Abstract

backgroundMany people achieve positive outcomes from psychological therapies for anxiety and depression. However, not everyone benefits and some may require additional support. Previous studies have examined the demographic and clinical characteristics of people starting treatment and identified a patient profile that is associated with poor clinical outcomes.

aimsTo examine whether the addition of employment-related support alongside psychological therapy was associated with a greater chance of recovery for clients belonging to this patient profile.

methodWe analysed 302 clients across three services, who were offered employment-related support alongside psychological therapy. The rate of clinical recovery (falling below clinical thresholds on measures of both anxiety and depression) was compared between individuals who accepted the offer and those who declined, while adjusting for potential confounders.

resultsLogistic regression showed that receiving employment support was significantly associated with clinical recovery after controlling for baseline anxiety and depression scores, the number of psychological treatment sessions, and other clinical and demographic variables. The odds of recovery were 2.54 times greater if clients received employment support; 47% of clients who received employment support alongside psychological therapy were classified as recovered, compared with 27% of those receiving psychological therapy only.

conclusionsProviding employment support alongside therapy may be particularly helpful for clients belonging to this patient profile, who represent approximately 10% of referrals to NHS Talking Therapies for Anxiety and Depression services. Services could consider how to increase the provision and uptake of employment-focused support to enhance clients' clinical outcomes.

Indexed as

Anxiety DisordersEmploymentAnxietyHumansTreatment OutcomeEmployment supportIAPTLatent profile analysisMental health outcomesNHS Talking Therapies for Anxiety and DepressionRecovery

Identifiers

PMID37869892
PMCPMC7615579
OpenAlexW4387865425

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.