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Effectiveness of transdiagnostic seminars to support patients with common mental disorders: a multi-service practice research network study

Published online by Cambridge University Press:  12 March 2021

Chris Gaskell Open the ORCID record for Chris Gaskell [Opens in a new window] ,
Ryan Askey-Jones Open the ORCID record for Ryan Askey-Jones [Opens in a new window] ,
Martin Groom Open the ORCID record for Martin Groom [Opens in a new window]  and
Jaime Delgadillo Open the ORCID record for Jaime Delgadillo [Opens in a new window]
Chris Gaskell*
Affiliation:
Clinical Psychology Unit, University of Sheffield, Sheffield, UK
Ryan Askey-Jones
Affiliation:
First Step Cumbria, Northumberland Tyne and Wear NHS Trust, Cumbria, UK
Martin Groom
Affiliation:
Leeds Mental Well-Being Service, Leeds Community Healthcare Trust, Leeds, UK
Jaime Delgadillo
Affiliation:
Clinical Psychology Unit, University of Sheffield, Sheffield, UK
*
*Corresponding author. Email: cgaskell1@sheffield.ac.uk
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Abstract

Background:

This was a multi-site evaluation of psycho-educational transdiagnostic seminars (TDS) as a pre-treatment intervention to enhance the effectiveness and utilisation of high-intensity cognitive behavioural therapy (CBT).

Aims:

To evaluate the effectiveness of TDS combined with high-intensity CBT (TDS+CBT) versus a matched sample receiving CBT only. Second, to determine the consistency of results across participating services which employed CBT+TDS. Finally, to determine the acceptability of TDS across patients with different psychological disorders.

Method:

106 patients across three services voluntarily attended TDS while on a waiting list for CBT (TDS+CBT). Individual and pooled service pre–post treatment effect sizes were calculated using measures of depression, anxiety and functional impairment. Effectiveness and completion rates for TDS+CBT were compared with a propensity score matched sample from an archival dataset of cases who received high-intensity CBT only.

Results:

Pre–post treatment effect sizes for TDS+CBT were comparable to the matched sample. Recovery rates were greater for the group receiving TDS; however, this was not statistically significant. Greater improvements were observed during the waiting-list period for patients who had received TDS for depression (d = 0.49 compared with d = 0.07) and anxiety (d = 0.36 compared with d = 0.04).

Conclusions:

Overall, this new evidence found a trend for TDS improving symptoms while awaiting CBT across three separate IAPT services. The effectiveness of TDS now warrants further exploration through an appropriately sized randomised control trial.

Keywords

attritionCBTIAPTinterventionpre-treatmentwaiting list
Type
Main
Information
Behavioural and Cognitive Psychotherapy , Volume 49 , Issue 4 , July 2021 , pp. 495 - 507
Copyright
© British Association for Behavioural and Cognitive Psychotherapies 2021

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