ArticleSocial psychiatry and psychiatric epidemiology2024
Differences in psychological treatment outcomes by ethnicity and gender: an analysis of individual patient data.
Article in Social psychiatry and psychiatric epidemiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Effectiveness of psychological therapies for depression and anxiety in adults with and without ADHD in England: a retrospective cohort study.The Lancet regional health. Europe · 2026Article
- Investigating differences in common mental health symptom expression and co-occurrence across ethnicities.BMC global and public health · 2026Article
- Routine Outcome Changes Associated with Brief Psychological Interventions Delivered by Assistant Psychologists and Trainee Associate Psychology Practitioners in a Crisis Resolution and Home Treatment Team.Community mental health journal · 2026Article
- Cultural psychiatry in Flanders, Belgium: an exploratory focus group study and position statement.European psychiatry : the journal of the Association of European Psychiatrists · 2026Article
- Digital Twin Brain: Generating Multitask Behavior from Connectomes for Personalized Therapy.BME frontiers · 2026Article
- Physical long-term conditions and the effectiveness of England's NHS Talking Therapies programme for working-age adults: findings from a South London borough.BMJ mental health · 2025Article
- Exploring perspectives on how to improve psychological treatment for women from minoritised ethnic communities: qualitative study with psychological therapists.BJPsych open · 2025Article
- A significant atypical U-shaped relationship exists between Lipid Accumulation Product and depression prevalence among Chinese middle-aged and elderly men: a cross-sectional study based on CHARLS.Frontiers in nutrition · 2025Article
- Exploring perspectives on how to improve psychological treatment for women from minoritised ethnic communities: A qualitative study with service users.The International journal of social psychiatry · 2024Article
- The bi-directional influence of social functioning and mental health symptoms during psychological treatment: A cross-lagged analysis in young adults.International journal of clinical and health psychology : IJCHPArticle
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Authors and funding
10 authors.
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Abstract
purposeThere are discrepancies in mental health treatment outcomes between ethnic groups, which may differ between genders. NHS Talking Therapies for anxiety and depression provide evidence-based psychological therapies for common mental disorders. This study examines the intersection between ethnicity and gender as factors associated with psychological treatment outcomes. Aims were to explore by gender: (1) differences in psychological treatment outcomes for minoritized ethnic people compared to White-British people, (2) whether differences are observed when controlling for clinical and socio-demographic factors associated with outcomes, and (3) whether organization-level factors moderate differences in outcomes between ethnic groups.
methodsPatient data from eight NHS Talking Therapies for anxiety and depression services (n = 98,063) was used to explore associations between ethnicity and outcomes, using logistic regression. Stratified subsamples were used to separately explore factors associated with outcomes for males and females.
resultsIn adjusted analyses, Asian (OR = 0.82 [95% CI 0.78; 0.87], p < .001, 'Other' (OR = 0.79 [95%CI 0.72-0.87], p < .001) and White-other (0.93 [95%CI 0.89-0.97], p < .001) ethnic groups were less likely to reliably recover than White-British people. Asian (OR = 1.48 [95% CI 1.35-1.62], p < .001), Mixed (OR = 1.18 [95% CI 1.05-1.34], p = .008), 'Other' (OR = 1.60 [95% CI 1.38-1.84], p < .001) and White-other (OR = 1.18 [95% CI 1.09-1.28], p < .001) groups were more likely to experience a reliable deterioration in symptoms. Poorer outcomes for these groups were consistent across genders. There was some evidence of interactions between ethnic groups and organization-level factors impacting outcomes, but findings were limited.
conclusionsAcross genders, Asian, 'Other' and White-other groups experienced worse treatment outcomes across several measures in adjusted models. Reducing waiting times or offering more treatment sessions might lead to increased engagement and reduced drop-out for some patient groups.
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