Should face-to-face in-person therapy be preserved for some clients with anxiety? Evaluation of Anxiety UK's psychological therapy services before and during the COVID-19 pandemic
2024

Impact of Remote Therapy on Anxiety Treatment During COVID-19

Sample size: 2323 publication 10 minutes Evidence: moderate

Author Information

Author(s): Paton Lewis W., Bee Penny, Bosanquet Kate, Bower Peter, Fell Jason, Gellatly Judith, Lidbetter Nicky, Lukoseviciute Beatrice, McMillan Dean, Smithson Dave, Tiffin Paul A.

Primary Institution: Hull York Medical School, University of York, York, UK

Hypothesis

Did the forced switch to remote therapy during the COVID-19 pandemic affect treatment outcomes for clients with anxiety?

Conclusion

Anxiety UK services remained effective throughout the pandemic, with no evidence that any demographic group had worse outcomes following the switch to remote therapy.

Supporting Evidence

  • Outcomes from therapy were stable across the pandemic period.
  • Only the number of therapy sessions was a significant predictor of outcomes.
  • Demographic profiles of clients remained unchanged before and after the pandemic.

Takeaway

The study found that switching to online therapy during the pandemic didn't hurt people's mental health, and many still got better.

Methodology

Data from 2323 individuals who accessed Anxiety UK services were analyzed using regression models to assess therapy outcomes pre- and post-pandemic.

Potential Biases

Potential bias due to missing data and reliance on self-reported measures.

Limitations

Missing demographic data and inability to distinguish between therapy preferences and actual delivery methods.

Participant Demographics

{"male_percentage":38.7,"lgbt_percentage":15.5,"bme_percentage":14.6,"mean_age":34.1}

Statistical Information

P-Value

0.02

Confidence Interval

[1.01, 1.99]

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1192/bjo.2024.738

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