Associations between socioeconomic status and psychological therapy outcomes: A systematic review and meta-analysis.

Abstract:

BACKGROUND:Socioeconomic deprivation is associated with higher prevalence of mental health problems; however, the influence of socioeconomic status (SES) on psychological therapy outcomes is as yet unclear. AIM:To review published evidence on the association between indicators of SES (income, education, employment, neighborhood deprivation, social position) and the outcomes of psychological interventions for depression and anxiety. METHODS:Systematic review and meta-analysis of outcomes research studies published in the last 10 years. RESULTS:Seventeen studies including 165,574 patients measured at least one indicator of SES and its relationship with psychological therapy outcomes. Twelve of these studies found significant relationships between SES measures and mental health outcomes. Six studies focusing on employment status offered sufficient quantitative information to conduct meta-analysis. The overall effect of employment was not significant (-0.66, confidence of interval (CI) -1.33, 0.02). A sensitivity analysis (k = 5) showed a small effect (-0.22, CI -0.36, -0.09) of employment on treatment outcomes. CONCLUSIONS:There is some evidence to indicate that socioeconomic deprivation is associated with poorer treatment outcomes, although limitations of the available data warrant treating this as a preliminary conclusion.

journal_name

Depress Anxiety

journal_title

Depression and anxiety

authors

Finegan M,Firth N,Wojnarowski C,Delgadillo J

doi

10.1002/da.22765

subject

Has Abstract

pub_date

2018-06-01 00:00:00

pages

560-573

issue

6

eissn

1091-4269

issn

1520-6394

journal_volume

35

pub_type

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