Comorbidity between PTSD and Anxiety and Depression

Implications for IAPT Services

Rachel Thomlinson, Steven Muncer, H Dent

Research output: Contribution to journalArticleResearchpeer-review

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Abstract

Objective:
The Improving Access to Psychological Therapies (IAPT) initiative was introduced in the UK to increase access to psychological therapies for those with mild to moderate anxiety and depression. Recent outcome figures suggest recovery rates of 42%. One potential reason for non-recovery is the experience of previous trauma and potential PTSD comorbidity, which has been found to negatively impact treatment for anxiety and depression. This study therefore aimed to investigate trauma levels in IAPT patients.
Method:
A total of 54 participants were recruited at the beginning of therapy within an IAPT service. Participants completed outcome measures for anxiety, depression and trauma.
Results:
Forty (76.9%) participants reported previous trauma. Of these, 15 (28.3%) met tentative diagnostic criteria for PTSD, with only 3 (14.2%) already having a diagnosis of PTSD. Significant positive correlations were found between trauma and anxiety and depression.
Conclusions:
The findings suggest comorbidity between trauma/PTSD and anxiety and depression in IAPT services. The findings also show that PTSD is not always detected in patients referred for other reasons. It is proposed that careful screening for PTSD and an increased focus on trauma in supervision
may increase recovery rates and reduce relapse.
Original languageEnglish
Pages (from-to)14-17
JournalArchives of Depression and Anxiety
Volume3
Issue number1
DOIs
Publication statusPublished - 30 May 2017

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Post-Traumatic Stress Disorders
Comorbidity
Anxiety
Depression
Psychology
Wounds and Injuries
Therapeutics
Outcome Assessment (Health Care)
Recurrence

Cite this

Thomlinson, Rachel ; Muncer, Steven ; Dent, H. / Comorbidity between PTSD and Anxiety and Depression : Implications for IAPT Services. In: Archives of Depression and Anxiety. 2017 ; Vol. 3, No. 1. pp. 14-17.
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Comorbidity between PTSD and Anxiety and Depression : Implications for IAPT Services. / Thomlinson, Rachel; Muncer, Steven; Dent, H.

In: Archives of Depression and Anxiety, Vol. 3, No. 1, 30.05.2017, p. 14-17.

Research output: Contribution to journalArticleResearchpeer-review

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N2 - Objective: The Improving Access to Psychological Therapies (IAPT) initiative was introduced in the UK to increase access to psychological therapies for those with mild to moderate anxiety and depression. Recent outcome figures suggest recovery rates of 42%. One potential reason for non-recovery is the experience of previous trauma and potential PTSD comorbidity, which has been found to negatively impact treatment for anxiety and depression. This study therefore aimed to investigate trauma levels in IAPT patients.Method: A total of 54 participants were recruited at the beginning of therapy within an IAPT service. Participants completed outcome measures for anxiety, depression and trauma.Results: Forty (76.9%) participants reported previous trauma. Of these, 15 (28.3%) met tentative diagnostic criteria for PTSD, with only 3 (14.2%) already having a diagnosis of PTSD. Significant positive correlations were found between trauma and anxiety and depression. Conclusions: The findings suggest comorbidity between trauma/PTSD and anxiety and depression in IAPT services. The findings also show that PTSD is not always detected in patients referred for other reasons. It is proposed that careful screening for PTSD and an increased focus on trauma in supervision may increase recovery rates and reduce relapse.

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