Cited by 225Psychotherapy Techniques and ApplicationsMental Health Treatment and AccessPsychiatric care and mental health services

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Patient experience of negative effects of psychological treatment: results of a national survey

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Crawford, Mike J., Thana, Lavanya, Farquharson, Lorna, Palmer, Lucy, Hancock, Elizabeth, Bassett, Paul, Clarke, Jeremy, Parry, Glenys D.·2016·British Journal of Psychiatry

DOI 10.1192/bjp.bp.114.162628

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Abstract

Background: To make informed choices, patients need information about negative as well as positive effects of treatments. There is little information about negative effects of psychological interventions. Aims: To determine the prevalence of and risk factors for perceived negative effects of psychological treatment for common mental disorders. Method: Cross-sectional survey of people receiving psychological treatment from 184 services in England and Wales. Respondents were asked whether they had experienced lasting bad effects from the treatment they received. Results: Of 14 587 respondents, 763 (5.2%) reported experiencing lasting bad effects. People aged over 65 were less likely to report such effects and sexual and ethnic minorities were more likely to report them. People who were unsure what type of therapy they received were more likely to report negative effects (odds ratio (OR) = 1.51, 95% CI 1.22–1.87), and those that stated that they were given enough information about therapy before it started were less likely to report them (OR = 0.65, 95% CI 0.54–0.79). Conclusions: One in 20 people responding to this survey reported lasting bad effects from psychological treatment. Clinicians should discuss the potential for both the positive and negative effects of therapy before it starts.

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Authors: Crawford, M. J., Thana, L., Farquharson, L., Palmer, L., Hancock, E., Bassett, P., Clarke, J., & Parry, G. D.
Affiliations: Imperial College London (GB)
Centre for Mental Health (GB)
Royal Holloway University of London (GB)
Corresponding author: Crawford, Mike J.
ORCID: Crawford, Mike J.
Thana, Lavanya
Farquharson, Lorna
Palmer, Lucy
Hancock, Elizabeth
Bassett, Paul
Clarke, Jeremy
Parry, Glenys D.
Venue: British Journal of Psychiatry
Publisher: Royal College of Psychiatrists
Published: 2016-03
Volume: 208
Issue: 3
Pages: 260-265
ISSN: 0007-1250 (ISSN-L)
1472-1465
DOI: 10.1192/bjp.bp.114.162628
OpenAlex: W2291190402
Semantic Scholar: 6f3337294312bf51796eb05860b5746209d6a4b9
Cited by: 225
References: 15
Citations by year: 2026: 5 · 2025: 23 · 2024: 19 · 2023: 27 · 2022: 26 · 2021: 29 · 2020: 27 · 2019: 22 · 2018: 18 · 2017: 18 · 2016: 11
FWCI: 30.75
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.cambridge.org/core/terms (unspecified, 672 d)
Locations: The British Journal of Psychiatry (publishedVersion)
PubMed (publishedVersion)
Spiral (Imperial College London) (submittedVersion)
Funders: National Institute for Health and Care Research
Topics: Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
Keywords: adverse effects, patient experience, common mental disorders, psychotherapy, prevalence, risk factors, older adults, informed consent, patient information
MeSH terms: Adolescent, Adult, Aged, Mental Disorders, Cross-Sectional Studies, England, Female, Humans, Male, Middle Aged, Minority Groups, Psychotherapy, Risk Factors, Wales, Multivariate Analysis, Logistic Models, Outcome Assessment, Health Care, Young Adult, Self Report

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