Physical long-term conditions and psychological treatment outcomes in NHS Talking Therapies: Prevalence, impact, and moderators.

IF 2.3 3区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Clinical Psychology Pub Date : 2026-06-01 Epub Date: 2026-02-11 DOI:10.1111/bjc.70040

Irini Laura Verbist, Ben Lorimer

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引用次数: 0

Abstract

Objective: This study examined the impact of having one or multiple physical long-term conditions (LTCs) on treatment outcomes and engagement with NHS Talking Therapies (NHS-TT), focusing on clinical and treatment-related moderators.

Methods: A retrospective cohort design was applied to routine data from 44,957 patients discharged from seven NHS-TT services in Northwest England between September 2021 and September 2024. Logistic regression analyses assessed the impact of LTC status (none, one or multiple LTCs) on reliable recovery-defined as clinically significant improvement in both depression and anxiety scores-and treatment engagement, operationalised as planned discharge versus dropout. Moderation analyses explored the influence of provisional diagnosis, baseline functional impairment, treatment intensity and mode of therapy delivery.

Results: LTCs were reported by 47.5% of patients, with 9.4% reporting multiple LTCs. Patients with LTCs had lower odds of reliable recovery (OR = 0.83), with further reductions among those with multimorbidity (OR = 0.71). Conversely, LTC status was associated with higher odds of planned discharge (OR = 1.28). The negative association with reliable recovery was attenuated among patients with depression (OR = 1.21) but exacerbated for those with mixed anxiety and depression (OR = 0.71), who also had lower odds of planned discharge (OR = 0.66).

Conclusion: Multimorbidity is associated with poorer clinical outcomes despite higher treatment engagement. Tailored care pathways are needed to better support patients with LTCs.

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NHS谈话疗法的生理长期状况和心理治疗结果：患病率、影响和调节因素。

目的：本研究考察了一种或多种身体长期状况（LTCs）对治疗结果和参与NHS谈话疗法（NHS- tt）的影响，重点关注临床和治疗相关的调节因素。方法：采用回顾性队列设计，对2021年9月至2024年9月期间从英格兰西北部7家NHS-TT服务机构出院的44,957例患者的常规数据进行分析。Logistic回归分析评估了LTC状态（无LTC、一个或多个LTC）对可靠恢复（定义为抑郁和焦虑评分的临床显著改善）和治疗参与（计划出院与退出）的影响。适度分析探讨了临时诊断、基线功能损害、治疗强度和治疗方式的影响。结果：47.5%的患者报告LTCs，其中9.4%报告多发LTCs。LTCs患者的可靠恢复几率较低（OR = 0.83），多病患者的可靠恢复几率进一步降低（OR = 0.71）。相反，LTC状态与计划出院的几率较高相关（OR = 1.28）。抑郁患者与可靠康复的负相关减弱（OR = 1.21），但焦虑和抑郁混合患者与可靠康复的负相关加剧（OR = 0.71），他们计划出院的几率也较低（OR = 0.66）。结论：多病与较差的临床结果相关，尽管治疗参与度较高。需要量身定制的护理途径来更好地支持LTCs患者。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

British Journal of Clinical Psychology PSYCHOLOGY, CLINICAL-

CiteScore

5.80

自引率

3.20%

发文量

期刊介绍： The British Journal of Clinical Psychology publishes original research, both empirical and theoretical, on all aspects of clinical psychology: - clinical and abnormal psychology featuring descriptive or experimental studies - aetiology, assessment and treatment of the whole range of psychological disorders irrespective of age group and setting - biological influences on individual behaviour - studies of psychological interventions and treatment on individuals, dyads, families and groups