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Evaluation of a non-diagnostic ‘Psychology of Emotions’ group intervention within a UK youth IAPT service: a mixed-methods approach

Published online by Cambridge University Press:  24 June 2019

Lawrence Howells ,
Alice Rose ,
Brioney Gee ,
Tim Clarke ,
Ben Carroll ,
Sam Harbrow ,
Clio Oliver  and
Jon Wilson
Lawrence Howells*
Affiliation:
Norfolk and Suffolk NHS Foundation Trust
Alice Rose
Affiliation:
University of East Anglia, Norwich, UK
Brioney Gee
Affiliation:
Norfolk and Suffolk NHS Foundation Trust University of East Anglia, Norwich, UK
Tim Clarke
Affiliation:
Norfolk and Suffolk NHS Foundation Trust University of East Anglia, Norwich, UK
Ben Carroll
Affiliation:
Norfolk and Suffolk NHS Foundation Trust
Sam Harbrow
Affiliation:
Norfolk and Suffolk NHS Foundation Trust
Clio Oliver
Affiliation:
Norfolk and Suffolk NHS Foundation Trust
Jon Wilson
Affiliation:
Norfolk and Suffolk NHS Foundation Trust University of East Anglia, Norwich, UK
*
*Corresponding author. Email: [email protected]
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Abstract

Background:

A novel CBT-based intervention, tailored for young people, was developed in response to concerns about traditional diagnostically based approaches. Psychology of Emotions workshops use a normative approach to emotional difficulty instead of a diagnostic framework.

Aims:

To evaluate the acceptability and efficacy of Psychology of Emotions workshops within an IAPT service for young people aged 16–25 years.

Method:

This was a mixed-methods study, evaluating routinely collected self-report measures of depression and anxiety, and qualitative feedback forms. The main outcomes were rates of attendance, change in symptom severity, and participant views of the intervention.

Results:

From January to September 2016, 595 young people were invited to attend the Psychology of Emotions workshops, of whom 350 (58.8%) attended at least one session. Young people who attended all six sessions (8.1%) experienced significant reductions in self-reported anxiety (d = .72) and depression (d = .58) and 35.5% were classified as recovered at completion. Those who attended at least two sessions (41.3%) reported smaller but significant improvements in anxiety (d = .42) and depression (d = .45); 22.0% were classified as recovered at the last session attended. Participants provided largely positive feedback about the intervention.

Conclusion:

Psychology of Emotions is a promising treatment option, delivered outside of a diagnostic framework, for young people with mild to moderate mental health difficulties seen within IAPT services. Better understanding reasons for non-attendance might enable the intervention to be made accessible to more young people.

Keywords

adolescentsmental healthpsycho-educationtrans-diagnosticyouth
Type
Main
Information
Behavioural and Cognitive Psychotherapy , Volume 48 , Issue 2 , March 2020 , pp. 129 - 141
Copyright
© British Association for Behavioural and Cognitive Psychotherapies 2019 

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References

Allgaier, A.-K., Pietsch, K., Frühe, B., Sigl-Glöckner, J., & Schulte-Körne, G. (2012). Screening for depression in adolescents: validity of the Patient Health Questionnaire in pediatric care. Depression and Anxiety, 29, 906–913. https://doi.org/10.1002/da.21971 CrossRefGoogle ScholarPubMed
American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders (DSM-5). American Psychiatric Publishing.Google Scholar
Baruch, G., Vrouva, I., & Fearon, P. (2009). A follow-up study of characteristics of young people that dropout and continue psychotherapy: service implications for a clinic in the community. Child and Adolescent Mental Health, 14, 69–75.CrossRefGoogle Scholar
Bilek, E. L., & Ehrenreich-May, J. (2012). An open trial investigation of a transdiagnostic group treatment for children with anxiety and depressive symptoms. Behavior Therapy, 43, 887–897.CrossRefGoogle ScholarPubMed
Clark, D. M., Layard, R., Smithies, R., Richards, D. A., Suckling, R., & Wright, B. (2009). Improving access to psychological therapy: Initial evaluation of two UK demonstration sites. Behaviour Research and Therapy, 47, 910–920. https://doi.org/10.1016/j.brat.2009.07.010 CrossRefGoogle ScholarPubMed
Collins, R., Notley, C., Clarke, T., Wilson, J., & Fowler, D. (2017). Participation in developing youth mental health services: ‘Cinderella service’ to service re-design. Journal of Public Mental Health, 16, 159–168.CrossRefGoogle Scholar
Crowe, K., & McKay, D. (2017). Efficacy of cognitive-behavioral therapy for childhood anxiety and depression. Journal of Anxiety Disorders, 49, 76–87.CrossRefGoogle ScholarPubMed
Department of Health (2008). Improving Access to Psychological Therapies Implementation Plan: National Guidelines for Regional Delivery. London. https://doi.org/10.3399/bjgp09X454043 CrossRefGoogle Scholar
Department of Health (2010). Mental Health Clustering Booklet 2010/11.Google Scholar
Department of Health (2011). Talking Therapies: A Four-Year Plan of Action. Available at: http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_123759 Google Scholar
Gale, N. K., Heath, G., Cameron, E., Rashid, S., & Redwood, S. (2013). Using the framework method for the analysis of qualitative data in multi-disciplinary health research. BMC Medical Research Methodology, 13, 1. https://doi.org/10.1186/1471-2288-13-117 CrossRefGoogle ScholarPubMed
Gilbody, S., Richards, D., Brealey, S., & Hewitt, C. (2007). Screening for depression in medical settings with the Patient Health Questionnaire (PHQ): a diagnostic meta-analysis. Journal of General Internal Medicine, 22, 1596–1602.CrossRefGoogle ScholarPubMed
Harvey, A. G., Watkins, E., & Mansell, W. (2004). Cognitive Behavioural Processes Across Psychological Disorders: A Transdiagnostic Approach to Research and Treatment. USA: Oxford University Press.CrossRefGoogle Scholar
Hofmann, S.G., Asnaani, A., Vonk, I.J., Sawyer, A.T., & Fang, A. (2012). The efficacy of cognitive behavioral therapy: a review of meta-analyses. Cognitive Therapy and Research, 36, 427–440.CrossRefGoogle ScholarPubMed
Howells, L. (2018). CBT for Adolescents and Young Adults: An Emotion Regulation Approach. London, UK: Routledge.Google Scholar
Huntley, A. L., Araya, R., & Salisbury, C. (2012). Group psychological therapies for depression in the community: systematic review and meta-analysis. British Journal of Psychiatry, 200, 184–190. https://doi.org/10.1192/bjp.bp.111.092049 CrossRefGoogle ScholarPubMed
IBM (2013). SPSS Statistics for Windows.Google Scholar
Kingsbury, S., Rayment, B., Fleming, I., Thompson, P., & York, A. (2015). ‘Delivering With and Delivering Well’: CYP IAPT Principles in Child & Adolescent Mental Health Services. Available at: https://www.england.nhs.uk/wp-content/uploads/2014/12/delvr-with-delvrng-well.pdf Google Scholar
Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001). The PHQ-9: validity of a brief depression severity measure. Journal of General Internal Medicine, 16, 606–13. https://doi.org/10.1046/j.1525-1497.2001.016009606.x CrossRefGoogle ScholarPubMed
Kroenke, K., Spitzer, R. L., Williams, J. B. W., & Löwe, B. (2010). The Patient Health Questionnaire Somatic, Anxiety, and Depressive Symptom Scales: a systematic review. General Hospital Psychiatry, 32, 345–359. https://doi.org/10.1016/j.genhosppsych.2010.03.006 CrossRefGoogle ScholarPubMed
Löwe, B., Decker, O., Müller, S., Brähler, E., Schellberg, D., Herzog, W., & Herzberg, P. Y. (2008). Validation and standardization of the Generalized Anxiety Disorder Screener (GAD-7) in the general population. Medical Care, 46, 266–274.CrossRefGoogle ScholarPubMed
McGorry, P. D., Purcell, R., Hickie, I. B., Yung, A. R., Pantelis, C., & Jackson, H. J. (2007). Clinical staging: a heuristic model for psychiatry and youth mental health. Medical Journal of Australia, 187, S40.CrossRefGoogle ScholarPubMed
McManus, S., Bebbington, P., Jenkins, R., & Brugha, T. (2016). Mental Health and Wellbeing in England: Adult Psychiatric Morbidity Survey 2014.Google Scholar
Mossman, S. A., Luft, M. J., Schroeder, H. K., Varney, S. T., Fleck, D. E., Barzman, D. H., … & Strawn, J. R. (2017). The Generalized Anxiety Disorder 7-item scale in adolescents with generalized anxiety disorder: signal detection and validation. Annals of Clinical Psychiatry, 29, 227–234A.Google Scholar
Newbold, A., Hardy, G., & Byng, R. (2013). Staff and patient experience of improving access to psychological therapy group interventions for anxiety and depression. Journal of Mental Health, 22, 456–464. https://doi.org/10.3109/09638237.2013.815333 CrossRefGoogle ScholarPubMed
Newby, J. M., McKinnon, A., Kuyken, W., Gilbody, S., & Dalgleish, T. (2015). Systematic review and meta-analysis of transdiagnostic psychological treatments for anxiety and depressive disorders in adulthood. Clinical Psychology Review, 40, 91–110. https://doi.org/10.1016/j.cpr.2015.06.002 CrossRefGoogle ScholarPubMed
NHS Digital (2017). Improving Access to Psychological Therapies (IAPT) Statistical Release. Available at: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/610567/iapt-month-jan-2017-exec-sum.pdf Google Scholar
Norton, P. J., & Barrera, T. L. (2012). Transdiagnostic versus diagnosis-specific CBT for anxiety disorders: a preliminary randomized controlled noninferiority trial. Depression and Anxiety, 29, 874–882.CrossRefGoogle ScholarPubMed
Patel, V., Flisher, A. J., Hetrick, S., & McGorry, P. (2007). Mental health of young people: a global public-health challenge. The Lancet, 369, 1302–1313.CrossRefGoogle ScholarPubMed
Plaistow, J., Masson, K., Koch, D., Wilson, J., Stark, R. M., Jones, P. B., & Lennox, B. R. (2013). Young people’s views of UK mental health services. Early Intervention in Psychiatry, 8, 12–23. https://doi.org/10.1111/eip.12060 CrossRefGoogle ScholarPubMed
Richardson, L. P., McCauley, E., Grossman, D. C., McCarty, C. A., Richards, J., Russo, J. E., … & Katon, W. (2010). Evaluation of the Patient Health Questionnaire-9 Item for detecting major depression among adolescents. Pediatrics, 126, 1117–1123.CrossRefGoogle ScholarPubMed
Spitzer, R. L., Kroenke, K., Williams, J. B. W., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder. Archives of Internal Medicine, 166, 1092–1097. https://doi.org/10.1001/archinte.166.10.1092 CrossRefGoogle ScholarPubMed
Whitfield, G. (2010). Group cognitive-behavioural therapy for anxiety and depression. Advances in Psychiatric Treatment, 16, 219–227. https://doi.org/10.1192/apt.bp.108.005744 CrossRefGoogle Scholar
Wilson, J., Clarke, T., Lower, R., Ugochukwu, U., Maxwell, S., Hodgekins, J., … & Fowler, D. (2017). Creating an innovative youth mental health service in the United Kingdom: The Norfolk Youth Service. Early Intervention in Psychiatry, 12, 740–746. https://doi.org/10.1111/eip.12452 CrossRefGoogle ScholarPubMed
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