The British journal of clinical psychology · 2024
The influence of therapy quality on outcomes from behavioural activation and guided self-help treatments for depression in adults with intellectual disabilities.
СтатьяРандомизированное исследованиеНазвание и аннотация: Перевод пока не подготовлен
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Dagnan Dave, Thompson Paul, Hastings Richard P, Hatton Chris, Melville Chris, Cooper Sally-Ann, McMeekin Nicola, Fulton Lauren, Jones Rob S P, McConnachie Alex, Jahoda Andrew
Аннотация
OBJECTIVES: We report the effect of quality of therapy delivery on outcomes in a randomized, controlled trial of behavioural activation (BA) and guided self-help (GSH) for depression in adults with intellectual disabilities.
METHODS: A study specific measure of quality was used in a linear mixed effect model to determine the effects therapy and therapy quality on therapy outcome.
RESULTS: There was a significant interaction between quality and treatment type, with lower quality therapy associated with better outcome for GSH but poorer outcome for BA, with little difference in outcomes at higher levels of therapy quality.
CONCLUSIONS: Factors suggesting high quality in individualized BA may indicate problematic engagement for GSH. More research into processes in therapy for people with intellectual disabilities is required.
METHODS: A study specific measure of quality was used in a linear mixed effect model to determine the effects therapy and therapy quality on therapy outcome.
RESULTS: There was a significant interaction between quality and treatment type, with lower quality therapy associated with better outcome for GSH but poorer outcome for BA, with little difference in outcomes at higher levels of therapy quality.
CONCLUSIONS: Factors suggesting high quality in individualized BA may indicate problematic engagement for GSH. More research into processes in therapy for people with intellectual disabilities is required.