Evidence map›Paper›PMID 41749061›Full record

ArticlePsychological medicine2026

The effect of adult psychological therapies on employment and earnings: Evidence from England.

Klaudia Rzepnicka, Emma Sharland, Marta Rossa, Ted Dolby, Ekaterina Oparina, Rob Saunders, Daniel Ayoubkhani, Vahé Nafilyan

Abstract read
In one paragraph

Article in Psychological medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
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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

8 authors.

Klaudia Rzepnickahttps://ror.org/021fhft25National Statisticians Analysis Unit, Office for National Statistics, UK.ORCID 0009-0008-8391-8808
Emma Sharlandhttps://ror.org/021fhft25National Statisticians Analysis Unit, Office for National Statistics, UK.ORCID 0000-0001-6674-4844
Marta Rossahttps://ror.org/021fhft25National Statisticians Analysis Unit, Office for National Statistics, UK.ORCID 0009-0000-3940-8677
Ted Dolbyhttps://ror.org/021fhft25National Statisticians Analysis Unit, Office for National Statistics, UK.
Ekaterina OparinaCentre for Economic Performance, https://ror.org/0090zs177London School of Economics, UK.ORCID 0000-0002-1544-8751
Rob SaundersCORE Data Lab, Centre for Outcomes and Research Effectiveness, Research Department of Clinical, Educational and Health Psychology, https://ror.org/02jx3x895University College London, UK.ORCID 0000-0002-7077-8729
Daniel Ayoubkhanihttps://ror.org/021fhft25National Statisticians Analysis Unit, Office for National Statistics, UK.ORCID 0000-0001-6352-0394
Vahé Nafilyanhttps://ror.org/021fhft25National Statisticians Analysis Unit, Office for National Statistics, UK.ORCID 0000-0003-0160-217X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeople suffering from common mental disorders (CMDs), such as depression and anxiety, are more likely to be inactive in the labor market. Psychological therapies are highly effective at treating CMDs, but less is known about their impact on long-term labor market outcomes.

methodsUsing national treatment program data in England, NHS Talking Therapies (NHSTT), with unique linkage to administration data on employment and census records, we estimated the effects of NHSTT on employment and earnings. We used an event study approach using individual fixed effects to capture time-invariant confounders and natural recovery.

resultsOverall, completing treatment led to a maximum average increase of £17 in monthly earnings (year 2) and a likelihood of paid employment by 1.5 percentage points (year 7). Those 'Not working, seeking work' saw a maximum average increase in pay of £63 per month (year 7) and a likelihood of paid employment by 3.1 percentage points (year 4). Patients in the younger age groups (25-34 years) saw the largest effect on the likelihood of paid employment by 2.3 percentage points (year 7), followed by those aged 35-44 years with 2.0 percentage points (year 5).

conclusionsCompletion of psychological treatment for CMDs through the national NHSTT program leads to sustained increases in both employment and earnings up to 7 years after the start of treatment. Our findings demonstrate the economic benefits of treating CMDs and how investing in mental health can impact labor market participation.

Indexed as

EmploymentIncomeMental DisordersPsychotherapyAdultEnglandFemaleHumansMaleMiddle AgedYoung Adultearningsemploymentlabor market outcomesmental healthNHS Talking Therapiespsychological therapies

Identifiers

PMID41749061
PMCPMC12973244

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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.