Clinical characteristics of patients assessed within an Improving Access to Psychological Therapies (IAPT) service: results from a naturalistic cohort study (Predicting Outcome Following Psychological Therapy; PROMPT)

Hepgul, Nilay; King, Sinead; Amarasinghe, Myanthi; Breen, Gerome; Grant, Nina; Grey, Nick; Hotopf, Matthew; Moran, Paul; Pariante, Carmine M.; Tylee, André; Wingrove, Janet; Young, Allan H.; Cleare, Anthony J.

doi:10.1186/s12888-016-0736-6

Cited by 64Psychotherapy Techniques and ApplicationsAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesMental Health Treatment and Access

Clinical characteristics of patients assessed within an Improving Access to Psychological Therapies (IAPT) service: results from a naturalistic cohort study (Predicting Outcome Following Psychological Therapy; PROMPT)

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Hepgul, Nilay, King, Sinead, Amarasinghe, Myanthi, Breen, Gerome, Grant, Nina, Grey, Nick, Hotopf, Matthew, Moran, Paul +5 more·2016·BMC Psychiatry

DOI 10.1186/s12888-016-0736-6PMC PMC4769576

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Abstract

BACKGROUND: A substantial number of patients do not benefit from first line psychological therapies for the treatment of depression and anxiety. Currently, there are no clear predictors of treatment outcomes for these patients. The PROMPT project aims to establish an infrastructure platform for the identification of factors that predict outcomes following psychological treatment for depression and anxiety. Here we report on the first year of recruitment and describe the characteristics of our sample to date. METHODS: One hundred and forty-seven patients awaiting treatment within an Improving Access to Psychological Therapies (IAPT) service were recruited between February 2014 and February 2015 (representing 48 % of those eligible). Baseline assessments were conducted to collect information on a variety of clinical, psychological and social variables including a diagnostic interview using the Mini International Neuropsychiatric Interview (MINI). RESULTS: Our initial findings showed that over a third of our sample were not presenting to IAPT services for the first time, and 63 % had been allocated to receive higher intensity IAPT treatments. Approximately half (46 %) were taking prescribed psychotropic medication (most frequently antidepressants). Co-morbidity was common: 72 % of the sample met criteria for 2 or more current MINI diagnoses. Our initial data also indicated that 16 % met criteria for borderline personality disorder and 69 % were at high risk of personality disorder. Sixty-one percent scored above the screening threshold for bipolarity. Over half of participants (55 %) reported experiencing at least one stressful life event in the previous 12 months, whilst 67 % reported experiencing at least one form of childhood trauma. CONCLUSIONS: Our results to date highlight the complex nature of patients seen within an urban IAPT service, with high rates of psychiatric comorbidity, personality disorder, bipolarity and childhood trauma. Whilst there are significant challenges associated with researching IAPT populations, we have also confirmed the feasibility of undertaking such research.

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Treatment adherence and recovery rates can be low.
“However, treatment adherence and recovery rates can be low [10].”
From Psychological and pharmacological interventions for posttraumatic stress disorder and comorbid mental health problems following complex traumatic events: Systematic review and component network meta-analysis (2020) · cites this paper as [10]
The Background reports a 45% IAPT recovery rate and says approximately half of patients did not meet the definition of recovery at the end of treatment. It says more than half of those referred entered treatment, but does not establish that adherence to treatment was low; the Discussion's recruitment difficulties concern participation in research, not treatment adherence. Page numbers are unavailable in our copy. (LLM, conf=0.88)
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A Brief Measure for Assessing Generalized Anxiety Disorder: The GAD-7
Spitzer, R. L., Kroenke, K., Williams, J. B. W., & Löwe, B. (2006) · Archives of Internal Medicine · doi:10.1001/archinte.166.10.1092 · Cited by 31,765 · see citing works
Untitled work
(1998) · The Journal of Clinical Psychiatry · Cited by 19,139 · see citing works
Untitled work
(1998) · PubMed · Cited by 10,216 · see citing works
Development and validation of a brief screening version of the Childhood Trauma Questionnaire
Bernstein, D. P., Stein, J. A., Newcomb, M. D., Walker, E., Pogge, D., Ahluvalia, T., Stokes, J., Handelsman, L., Medrano, M., Desmond, D., et al. (2003) · Child Abuse & Neglect · doi:10.1016/s0145-2134(02)00541-0 · Cited by 6,419 · see citing works
The PHQ-9: A New Depression Diagnostic and Severity Measure
Kroenke, K., & Spitzer, R. L. (2002) · Psychiatric Annals · doi:10.3928/0048-5713-20020901-06 · Cited by 5,898 · see citing works
The mini international neuropsychiatric interview
Lecrubier, Y., Sheehan, D. V., Hergueta, T., & Weiller, E. (1998) · European Psychiatry · doi:10.1016/s0924-9338(99)80239-9 · Cited by 5,882 · see citing works
Childhood Maltreatment Predicts Unfavorable Course of Illness and Treatment Outcome in Depression: A Meta-Analysis
Nanni, V., Uher, R., & Danese, A. (2012) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2011.11020335 · Cited by 1,480 · see citing works
The List of Threatening Experiences: a subset of 12 life event categories with considerable long-term contextual threat
Brugha, T. S., Bebbington, P., Tennant, C., & Hurry, J. (1985) · Psychological Medicine · doi:10.1017/s003329170002105x · Cited by 1,108 · see citing works
Treatment of bipolar disorder
Geddes, J. R., & Miklowitz, D. J. (2013) · The Lancet · doi:10.1016/s0140-6736(13)60857-0 · Cited by 848 · see citing works
The International Society for Bipolar Disorders (ISBD) Task Force Report on Antidepressant Use in Bipolar Disorders
Pacchiarotti, I., Bond, D. J., Baldessarini, R. J., Nolen, W. A., Grunze, H., Licht, R. W., Post, R. M., Berk, M., Goodwin, G. M., Sachs, G. S., et al. (2013) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2013.13020185 · Cited by 770 · see citing works
Self-citation
Implementing NICE guidelines for the psychological treatment of depression and anxiety disorders: The IAPT experience
Clark, D. M. (2011) · International Review of Psychiatry · doi:10.3109/09540261.2011.606803 · Cited by 699 · see citing works
Criteria for the "soft" bipolar spectrum: treatment implications.
Akiskal, H. S., & Mallya, G. K. (1987) · PubMed · Cited by 664 · see citing works
Improving access to psychological therapy: initial evaluation of two UK demonstration sites
Clark, D. M., Layard, R., Smithies, R., Richards, D. A., Suckling, R., & Wright, B. (2009) · Behaviour Research and Therapy · doi:10.1016/j.brat.2009.07.010 · Cited by 599 · see citing works
Cognitive–behavioural therapy for severe and recurrent bipolar disorders: Randomised controlled trial
Scott, J., Paykel, E., Morriss, R., Bentall, R., Kinderman, P., Johnson, T., Abbott, R., & Hayhurst, H. (2006) · British Journal of Psychiatry · doi:10.1192/bjp.188.4.313 · Cited by 566 · see citing works
Childhood Maltreatment Associated With Adult Personality Disorders: Findings From the Collaborative Longitudinal Personality Disorders Study
Battle, C. L., Shea, M. T., Johnson, D. M., Yen, S., Zlotnick, C., Zanarini, M. C., Sanislow, C. A., Skodol, A. E., Gunderson, J. G., Grilo, C. M., et al. (2004) · Journal of Personality Disorders · doi:10.1521/pedi.18.2.193.32777 · Cited by 462 · see citing works
Standardised Assessment of Personality – Abbreviated Scale (SAPAS): Preliminary validation of a brief screen for personality disorder
Moran, P., Leese, M., Lee, T., Walters, P., Thornicroft, G., & MANN, A. H. (2003) · The British Journal of Psychiatry · doi:10.1192/bjp.183.3.228 · Cited by 449 · see citing works
Self-citation
Prospectively Ascertained Child Maltreatment and Its Association With DSM-IV Mental Disorders in Young Adults
Scott, K. M., Smith, D. R., & Ellis, P. M. (2010) · Archives of General Psychiatry · doi:10.1001/archgenpsychiatry.2010.71 · Cited by 381 · see citing works
Impact of childhood life events and trauma on the course of depressive and anxiety disorders
Hovens, J. G. F. M., Giltay, E. J., Wiersma, J. E., Spinhoven, P., Penninx, B. W. J. H., & Zitman, F. G. (2012) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2011.01828.x · Cited by 328 · cited 1× · see citing works
“This is not surprising as the association between childhood trauma and increased risk for adult psychopathology (especially depression) is well documented [29–31].”
Background
The specificity of childhood adversities and negative life events across the life span to anxiety and depressive disorders
Spinhoven, P., Elzinga, B. M., Hovens, J. G. F. M., Karin Roelofs, A., Zitman, F. G., van Oppen, P., & Penninx, B. W. J. H. (2010) · Journal of Affective Disorders · doi:10.1016/j.jad.2010.02.132 · Cited by 324 · see citing works
The Health Status of Nonparticipants in a Population-based Health Study: The Hordaland Health Study
Knudsen, A. K., Hotopf, M., Skogen, J. C., Overland, S., & Mykletun, A. (2010) · American Journal of Epidemiology · doi:10.1093/aje/kwq257 · Cited by 322 · see citing works
Self-citation
The Depression Report: A New Deal for Depression and Anxiety DisordersPreprint
Layard, R. (2006) · RePEc: Research Papers in Economics · Cited by 308 · see citing works
Relapse Prevention in Patients With Bipolar Disorder: Cognitive Therapy Outcome After 2 Years
Lam, D. H., Hayward, P., Watkins, E. R., Wright, K., & Sham, P. (2005) · American Journal of Psychiatry · doi:10.1176/appi.ajp.162.2.324 · Cited by 265 · see citing works
The soft bipolar spectrum redefined: focus on the cyclothymic, anxious-sensitive, impulse-dyscontrol, and binge-eating connection in bipolar II and related conditions
Perugi, G., & Akiskal, H. S. (2002) · Psychiatric Clinics of North America · doi:10.1016/s0193-953x(02)00023-0 · Cited by 239 · see citing works
Cost-benefit analysis of psychological therapy
Layard, R., Clark, D. M., Knapp, M. R. J., & Mayraz, G. (2007) · National Institute Economic Review · doi:10.1177/0027950107086171 · Cited by 234 · see citing works
A Randomized Controlled Trial of Psychoeducation or Cognitive-Behavioral Therapy in Bipolar Disorder: A Canadian Network for Mood and Anxiety Treatments (CANMAT) Study
Parikh, S. V., Zaretsky, A., Beaulieu, S., Yatham, L. N., Young, L. T., Patelis-Siotis, I., MacQueen, G. M., Levitt, A., Arenovich, T., Cervantes, P., et al. (2012) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.11m07343 · Cited by 145 · see citing works
Impact of childhood life events and childhood trauma on the onset and recurrence of depressive and anxiety disorders
Hovens, J. G. F. M., Giltay, E. J., Spinhoven, P., van Hemert, A. M., & Penninx, B. W. J. H. (2015) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.14m09135 · Cited by 135 · see citing works
An open trial of integrative therapy for generalized anxiety disorder.
Newman, M. G., Castonguay, L. G., Borkovec, T. D., Fisher, A. J., & Nordberg, S. S. (2008) · Psychotherapy: Theory, Research, Practice, Training · doi:10.1037/0033-3204.45.2.135 · Cited by 115 · see citing works
The impact of comorbid personality difficulties on response to IAPT treatment for depression and anxiety.
Goddard, E., Wingrove, J., & Moran, P. (2015) · Behaviour Research and Therapy · doi:10.1016/j.brat.2015.07.006 · Cited by 96 · see citing works
Self-citation
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Correa, R., Akiskal, H. S., Gilmer, W. S., Nierenberg, A. A., Trivedi, M. H., & Zisook, S. (2010) · Journal of Affective Disorders · doi:10.1016/j.jad.2010.06.036 · Cited by 86 · see citing works
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Radhakrishnan, M., Hammond, G., Jones, P. B., Watson, A., McMillan-Shields, F., & Lafortune, L. (2013) · Behaviour Research and Therapy · doi:10.1016/j.brat.2012.10.001 · Cited by 69 · see citing works
General Principles for Treating Personality Disorder with a Prominent Inhibitedness Trait: Towards an Operationalizing Integrated Technique
Dimaggio, G., Salvatore, G., Fiore, D., Carcione, A., Nicolò, G., & Semerari, A. (2012) · Journal of Personality Disorders · doi:10.1521/pedi.2012.26.1.63 · Cited by 67 · see citing works
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Fowke, A., Ross, S. M., & Ashcroft, K. (2011) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.752 · Cited by 58 · see citing works
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Forty, L., Kelly, M. J., Jones, L. A., Jones, I. R., Barnes, E., Caesar, S., Fraser, C., Gordon‐Smith, K., Griffiths, E., Craddock, N. J., et al. (2010) · Journal of Affective Disorders · doi:10.1016/j.jad.2010.01.004 · Cited by 47 · see citing works
Predictors of patient non-attendance at Improving Access to Psychological Therapy services demonstration sites
Bona, L. D., Saxon, D. H., Barkham, M., Dent‐Brown, K., & Parry, G. D. (2014) · Journal of Affective Disorders · doi:10.1016/j.jad.2014.08.005 · Cited by 38 · see citing works
Are bipolar disorders underdiagnosed in patients with depressive episodes? Results of the multicenter BRIDGE screening study in Germany
Bschor, T., Angst, J., Azorin, J., Bowden, C. L., Perugi, G., Vieta, E., Young, A. H., & Krüger, S. (2012) · Journal of Affective Disorders · doi:10.1016/j.jad.2012.03.042 · Cited by 34 · see citing works
Self-citation
Predicting outcome following psychological therapy in IAPT (PROMPT): a naturalistic project protocol
Grant, N., Hotopf, M. H., Breen, G. D., Cleare, A. J., Grey, N., Hepgul, N., King, S., Moran, P., Pariante, C. M., Wingrove, J., et al. (2014) · BMC Psychiatry · doi:10.1186/1471-244x-14-170 · Cited by 22 · see citing works
Self-citation
Introduction to the Special Feature on the Integrated Treatment of Personality Disorder
Dimaggio, G., & Livesley, J. (2012) · Journal of Personality Disorders · doi:10.1521/pedi.2012.26.1.1 · Cited by 19 · see citing works

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[7]Centre HSCI Quarterly improving access to psychological therapies dataset report: Final Q2 2014/2015 summary statistics and related information, England, experimental statistics 2015 UK Health & Social Care Information Centre

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Roberts, A. C., de Visser, R. O., Rosten, C., Startup, H. M., & Strauss, C. (2023) · Borderline Personality Disorder and Emotion Dysregulation · doi:10.1186/s40479-023-00225-0 · Cited by 3 · see citing works
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Self-citation
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Self-citation
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Ruth, E. (2023) · Elsevier eBooks · doi:10.1016/b978-0-323-88492-1.00001-4 · Cited by 2 · see citing works
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Newman‐Taylor, K., Maguire, T., Smart, T., Bayford, E., Gosden, E., Addyman, G., Grange, J., Bullard, P., Simmons‐Dauvin, M., Margoum, M., et al. (2025) · BJPsych Open · doi:10.1192/bjo.2025.27 · Cited by 1 · see citing works
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McPherson, S. (2018) · Clinical Psychology Forum · doi:10.53841/bpscpf.2018.1.304.11 · Cited by 1 · see citing works
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Barber, W., Apps, F., Strauss, C., Startup, H. M., & Couche, J. (2021) · The Cognitive Behaviour Therapist · doi:10.1017/s1754470x2100009x · Cited by 2 · see citing works
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Kwan, V. (2016) · doi:10.31979/etd.qk9s-f9m4 · Cited by 1 · see citing works
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Thornicroft, G., & Tylee, A. T. (2018) · The Lancet · doi:10.1016/s0140-6736(18)31893-2
Self-citation
Managing common mental disorders and PTSD in the community.
Wheeler, M. (2018) · Open Access at Essex (University of Essex)
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Steen, S., Hemmings, A., Foster, J., Bedford, J., & Gorbing, S. (2019) · Counselling and Psychotherapy Research · doi:10.1002/capr.12242
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Tylee, A. T., Cohen, A., & Thurston, L. (2021) · BJPsych Bulletin · doi:10.1192/bjb.2021.116
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Brown, J. S. L., Luderowski, A., Namusisi-Riley, J., Moore-Shelley, I., Bolton, M., & Bolton, D. (2019) · doi:10.21203/rs.2.12773/v1
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Moorey, S., Byrne, S., & Ruths, F. A. (2022) · Bohn Stafleu van Loghum eBooks · doi:10.1007/978-90-368-2791-1_19
Assessment en casusconceptualisatie in schematherapie
Green, T. C., & Balfour, A. (2022) · Bohn Stafleu van Loghum eBooks · doi:10.1007/978-90-368-2791-1_1
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Barnhofer, T., Dunn, B. D., Strauss, C., Ruths, F. A., Barrett, B. M., Ryan, M. T., Ladwa, A., Stafford, F., Fichera, R., Baber, H., et al. (2022) · Research Square · doi:10.21203/rs.3.rs-2121883/v1
Self-citation
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Kerr, J., Lorenz, H., Sadler, S., Roberts, V., Steel, C., & Thew, G. R. (2025) · The Cognitive Behaviour Therapist · doi:10.1017/s1754470x25000170
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Rogerson, E., Simmonds‐Buckley, M., Kellett, S., & Delgadillo, J. (2025) · SSRN Electronic Journal · doi:10.2139/ssrn.5253427
Additional file 1 of A randomised controlled trial to investigate the clinical effectiveness and cost effectiveness of Mindfulness-Based Cognitive Therapy (MBCT) for depressed non-responders to Increasing Access to Psychological Therapies (IAPT) high-intensity therapies: study protocol
Barnhofer, T., Dunn, B. D., Strauss, C., Ruths, F. A., Barrett, B. M., Ryan, M. T., Ladwa, A., Stafford, F., Fichera, R., Baber, H., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22601647
Self-citation
Additional file 2 of Non-randomised feasibility study of training workshops for Talking Therapies service high-intensity therapists to optimise depression and anxiety outcomes for individuals with co-morbid personality difficulties: a study protocol
Warbrick, L. A., Dunn, B. D., Moran, P. A., Campbell, J., Kessler, D., Marchant, K., Farr, M., Ryan, M. T., Parkin, M., Sharpe, R., et al. (2024) · Figshare · doi:10.6084/m9.figshare.24257591
Self-citation
Additional file 1 of Non-randomised feasibility study of training workshops for Talking Therapies service high-intensity therapists to optimise depression and anxiety outcomes for individuals with co-morbid personality difficulties: a study protocol
Warbrick, L. A., Dunn, B. D., Moran, P. A., Campbell, J., Kessler, D., Marchant, K., Farr, M., Ryan, M. T., Parkin, M., Sharpe, R., et al. (2023) · Figshare · doi:10.6084/m9.figshare.24257442
Self-citation
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Francis, B., Fino, E., & Heym, N. (2026) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2026.01.002
Predicting outcomes from cognitive behavioural therapy for social anxiety disorder: A Bayesian network analysis
Rogerson, E., Simmonds‐Buckley, M., Kellett, S., & Delgadillo, J. (2026) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2026.103125
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Benzi, I. M. A., Tona, A. L., Zarbo, C., Carone, N., Liotti, M., Smeriglio, R., Compare, A., Nuovo, S. D., Lazzari, D., Camussi, E., et al. (2026) · Community Mental Health Journal · doi:10.1007/s10597-026-01657-y
Psychological Wellbeing Practitioners’ experiences and perspectives of complexity in Talking Therapies for anxiety and depression
Kunorubwe, T., Wynne, J., & O'Leary, C. (2026) · The Cognitive Behaviour Therapist · doi:10.1017/s1754470x26100634

Predicting outcome following psychological therapy in IAPT (PROMPT): a naturalistic project protocol
Grant, N., Hotopf, M. H., Breen, G. D., Cleare, A. J., Grey, N., Hepgul, N., King, S., Moran, P., Pariante, C. M., Wingrove, J., et al. (2014) · BMC Psychiatry · doi:10.1186/1471-244x-14-170 · Cited by 22 · see citing works
Self-citation
The impact of comorbid personality difficulties on response to IAPT treatment for depression and anxiety.
Goddard, E., Wingrove, J., & Moran, P. (2015) · Behaviour Research and Therapy · doi:10.1016/j.brat.2015.07.006 · Cited by 96 · see citing works
Self-citation
Comorbidity between PTSD and Anxiety and Depression: Implications for IAPT Services
Muncer, S. (2017) · Archives of Depression and Anxiety · doi:10.17352/2455-5460.000017 · Cited by 6 · see citing works
Predicting outcome following psychological therapy (PROMPT) in IAPT: A naturalistic project protocol
King, S. (2015) · International Journal of Emergency Mental Health and Human Resilience
Self-citation
Predictors of patient non-attendance at Improving Access to Psychological Therapy services demonstration sites
Bona, L. D., Saxon, D. H., Barkham, M., Dent‐Brown, K., & Parry, G. D. (2014) · Journal of Affective Disorders · doi:10.1016/j.jad.2014.08.005 · Cited by 38 · see citing works

Authors: Hepgul, N., King, S., Amarasinghe, M., Breen, G., Grant, N., Grey, N., Hotopf, M., Moran, P., Pariante, C. M., Tylee, A., Wingrove, J., Young, A. H., & Cleare, A. J.
Affiliations: King's College London (GB)
South London and Maudsley NHS Foundation Trust (GB)
Corresponding author: Hepgul, Nilay
ORCID: Hepgul, Nilay
Amarasinghe, Myanthi
Breen, Gerome
Grant, Nina
Hotopf, Matthew
Moran, Paul
Pariante, Carmine M.
Young, Allan H.
Cleare, Anthony J.
Venue: BMC Psychiatry
Publisher: Springer Science and Business Media LLC
Published: 2016-02-27
Volume: 16
Issue: 1
Pages: 52-52
ISSN: 1471-244X (ISSN-L)
DOI: 10.1186/s12888-016-0736-6
PMC: PMC4769576
OpenAlex: W2275175808
Cited by: 64
References: 38
Citations by year: 2026: 5 · 2025: 5 · 2024: 4 · 2023: 9 · 2022: 7 · 2021: 9 · 2020: 11 · 2019: 3 · 2018: 8 · 2017: 2 · 2016: 1
FWCI: 6.24
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
Locations: BMC Psychiatry (publishedVersion, cc-by)
Europe PMC (PubMed Central) (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
Bristol Research (University of Bristol) (publishedVersion, cc-by)
Research Portal (King's College London) (acceptedVersion, cc-by)
Explore Bristol Research (submittedVersion, cc-by)
Funders: South London and Maudsley NHS Foundation Trust
Wellcome Trust
National Institute for Health and Care Research (NF-SI-0515-10102)
King's College London
Medical Research Council (MR/N029488/1, MR/J002739/1)
Topics: Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Keywords: Improving Access to Psychological Therapies, depression, anxiety, psychotherapy, treatment outcome prediction, prompting, psychiatric comorbidity, borderline personality disorder, bipolarity, childhood trauma, life events, antidepressant use, patient recruitment
MeSH terms: Adolescent, Adult, Aged, Anxiety Disorders, Mental Disorders, Depressive Disorder, Female, Health Services Accessibility, Humans, London, Male, Middle Aged, Cohort Studies, Treatment Outcome, Young Adult

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Clinical characteristics of patients assessed within an Improving Access to Psychological Therapies (IAPT) service: results from a naturalistic cohort study (Predicting Outcome Following Psychological Therapy; PROMPT)

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