Evaluation of reliable improvement rates in depression and anxiety at the end of treatment in adolescents

Background Literature has focused on effect sizes rather than individual-level improvement rates to determine how effectively services address burgeoning numbers of adolescents with anxiety and depression. Aims To consider how many adolescents report reliable improvement in anxiety, depression and...

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Main Authors: Edbrooke-Childs, J, Wolpert, M, Zamperoni, V, Napoleone, E, Bear, H
Format: Journal article
Language:English
Published: Cambridge University Press 2018
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author Edbrooke-Childs, J
Wolpert, M
Zamperoni, V
Napoleone, E
Bear, H
author_facet Edbrooke-Childs, J
Wolpert, M
Zamperoni, V
Napoleone, E
Bear, H
author_sort Edbrooke-Childs, J
collection OXFORD
description Background Literature has focused on effect sizes rather than individual-level improvement rates to determine how effectively services address burgeoning numbers of adolescents with anxiety and depression. Aims To consider how many adolescents report reliable improvement in anxiety, depression and comorbid depression and anxiety by end of treatment. Method The primary outcome was reliable improvement (i.e. change greater than likely the result of measurement error) in self-reported anxiety and depression for N = 4464 adolescents (mean age 14.5 years, s.d. = 1.9; 75% female; 61% White) seen in specialist mental health services in England. Results In total, 53% of those with anxiety, 44% with depression, and 35% with comorbid depression and anxiety showed reliable improvement. Conclusions Improvement rates were higher than previously reported, but lower than generally used in advice to the public. There may be a need to set more realistic expectations, including with young people who seek help.
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spelling oxford-uuid:00b5a8ee-77b1-49f8-a5f5-c2464b5ddb102022-03-26T08:31:00ZEvaluation of reliable improvement rates in depression and anxiety at the end of treatment in adolescentsJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:00b5a8ee-77b1-49f8-a5f5-c2464b5ddb10EnglishSymplectic ElementsCambridge University Press2018Edbrooke-Childs, JWolpert, MZamperoni, VNapoleone, EBear, HBackground Literature has focused on effect sizes rather than individual-level improvement rates to determine how effectively services address burgeoning numbers of adolescents with anxiety and depression. Aims To consider how many adolescents report reliable improvement in anxiety, depression and comorbid depression and anxiety by end of treatment. Method The primary outcome was reliable improvement (i.e. change greater than likely the result of measurement error) in self-reported anxiety and depression for N = 4464 adolescents (mean age 14.5 years, s.d. = 1.9; 75% female; 61% White) seen in specialist mental health services in England. Results In total, 53% of those with anxiety, 44% with depression, and 35% with comorbid depression and anxiety showed reliable improvement. Conclusions Improvement rates were higher than previously reported, but lower than generally used in advice to the public. There may be a need to set more realistic expectations, including with young people who seek help.
spellingShingle Edbrooke-Childs, J
Wolpert, M
Zamperoni, V
Napoleone, E
Bear, H
Evaluation of reliable improvement rates in depression and anxiety at the end of treatment in adolescents
title Evaluation of reliable improvement rates in depression and anxiety at the end of treatment in adolescents
title_full Evaluation of reliable improvement rates in depression and anxiety at the end of treatment in adolescents
title_fullStr Evaluation of reliable improvement rates in depression and anxiety at the end of treatment in adolescents
title_full_unstemmed Evaluation of reliable improvement rates in depression and anxiety at the end of treatment in adolescents
title_short Evaluation of reliable improvement rates in depression and anxiety at the end of treatment in adolescents
title_sort evaluation of reliable improvement rates in depression and anxiety at the end of treatment in adolescents
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