2024
Clinical effectiveness and cost-effectiveness of a brief accessible cognitive behavioural therapy programme for stress in school-aged adolescents (BESST): a cluster randomised controlled trial in the UK
Brown J, James K, Lisk S, Shearer J, Byford S, Stallard P, Deighton J, Saunders D, Yarrum J, Fonagy P, Weaver T, Sclare I, Day C, Evans C, Carter B. Clinical effectiveness and cost-effectiveness of a brief accessible cognitive behavioural therapy programme for stress in school-aged adolescents (BESST): a cluster randomised controlled trial in the UK. The Lancet Psychiatry 2024, 11: 504-515. PMID: 38759665, DOI: 10.1016/s2215-0366(24)00101-9.Peer-Reviewed Original ResearchTreatment-as-usualCognitive behavioral therapyTreatment-as-usual groupCluster randomised controlled trialCognitive behavioral therapy workshopRandomised controlled trialsCognitive behavioural therapy programmeSymptoms of depressionBehavioural therapy programmePrimary intention-to-treat analysisSchools TrialIndex of Multiple DeprivationBehavioral therapyDepressive symptomsHealth Technology Assessment programmeSchool-aged adolescentsControlled trialsSelf-referral systemIntention-to-treat populationDiscover interventionsFull school yearMental healthDepressionTherapy programmeIntention-to-treat analysisThe complexity of treatment-resistant depression: A data-driven approach
Rost F, Booker T, Gonsard A, de Felice G, Asseburg L, Malda-Castillo J, Koutoufa I, Ridsdale H, Johnson R, Taylor D, Fonagy P. The complexity of treatment-resistant depression: A data-driven approach. Journal Of Affective Disorders 2024, 358: 292-301. PMID: 38697222, DOI: 10.1016/j.jad.2024.04.093.Peer-Reviewed Original ResearchTreatment-resistant depressionPersonality disorderSuicide attemptsChronic course of depressionCourse of depressionCo-occurring problemsDuration of illnessPhysical health problemsAdverse childhood experiencesPhysical health conditionsDepressive illnessPsychiatric diagnosisSuicidal ideationOccupational functioningPersistent depressionSeverely impaired quality of lifeQuality of lifeChildhood experiencesPragmatic randomized controlled trialDepressionChronic courseSuicideRecall biasClinical descriptionImpaired quality of lifeYouth adversity and trajectories of depression/anxiety symptoms in adolescence in the context of intersectionality in the United Kingdom.
Havers L, Shuai R, Fonagy P, Fazel M, Morgan C, Fancourt D, McCrone P, Smuk M, Bhui K, Shakoor S, Hosang G. Youth adversity and trajectories of depression/anxiety symptoms in adolescence in the context of intersectionality in the United Kingdom. Psychological Medicine 2024, 1-11. PMID: 38623689, DOI: 10.1017/s0033291724000795.Peer-Reviewed Original ResearchDepression/anxiety symptomsAnxiety symptomsDevelopment of depressionPersistence of depressionSymptoms of depressionModerating effectContext of intersectionalityIndividual characteristicsLatent trajectoriesAdvantaged groupsSocietal groupsAnxietyDepressionMagnitude of effectAdversityAssociated with persistenceSymptomsModeratelyAdolescentsUnited KingdomIntersecting profilesYouthSESPersistent symptomsIntersectionEvaluating the 20-day Dynamic Interpersonal Therapy (DIT) training programme: a mixed methods investigation to identify characteristics associated with successful outcomes of DIT
Khalastchy J, Abrahams D, Saunders R, Fonagy P. Evaluating the 20-day Dynamic Interpersonal Therapy (DIT) training programme: a mixed methods investigation to identify characteristics associated with successful outcomes of DIT. Psychoanalytic Psychotherapy 2024, 38: 95-120. DOI: 10.1080/02668734.2024.2340447.Peer-Reviewed Original ResearchDynamic Interpersonal TherapyPatient Health Questionnaire-9Interpersonal therapyPatient-therapist relationshipBaseline Patient Health Questionnaire-9Training programmeAnna Freud CentrePatient outcomesPsychodynamic therapyNovice therapistsTherapists' perspectivesAssociated with successful outcomesSuperordinate themesTherapistsPatient complexityThematic analysisSuccessful outcomesImprovement of patientsReliable recoveryPositive outcomesInvestigate factorsOutcomesTrainingDepressionProgramme“You can’t really have a relationship with them because they just ask you questions”: understanding adolescent dropout – an empirical single case study
Cirasola A, Szegedi D, Fonagy P, Midgley N. “You can’t really have a relationship with them because they just ask you questions”: understanding adolescent dropout – an empirical single case study. Frontiers In Psychology 2024, 15: 1381901. PMID: 38533210, PMCID: PMC10963658, DOI: 10.3389/fpsyg.2024.1381901.Peer-Reviewed Original ResearchAlliance rupturesPsychoanalytic psychotherapyTherapeutic allianceShort-term psychoanalytic psychotherapyYouth psychotherapyHigh dropout ratesTherapeutic relationshipAdolescent dropoutsPsychotherapyLongitudinal frameworkSingle case studySession recordingsAdolescent engagementParental involvementAdolescent involvementEngaging adolescentsDropout ratesAdolescentsParental engagementTherapistsAllianceSporadic attendanceDropoutClinical improvementDepressionVariation in symptoms of common mental disorders in the general population during the COVID-19 pandemic: longitudinal cohort study
Saunders R, Buckman J, Suh J, Fonagy P, Pilling S, Bu F, Fancourt D. Variation in symptoms of common mental disorders in the general population during the COVID-19 pandemic: longitudinal cohort study. BJPsych Open 2024, 10: e45. PMID: 38344903, PMCID: PMC10897705, DOI: 10.1192/bjo.2024.2.Peer-Reviewed Original ResearchClinically significant symptomsSymptoms of depressionMental health servicesMental disordersTrajectory classesClinically significant symptoms of depressionSignificant symptoms of depressionClinically significant symptom levelsSignificant symptomsHigher neuroticism scoresPersonality-related characteristicsGrowth mixture modelingMental health disordersMental health diagnosesNeuroticism scoresSymptom levelsGeneral populationClinical rangeExperience depressionAnxietyHealth disordersCOVID-19 Social StudyDepressionHealth diagnosisHealth services
2023
The online world as a means of connection and disconnection during the COVID-19 pandemic: A test of the interpersonal-connections-behaviour framework
Tibber M, Milne G, Fonagy P, Dekker T. The online world as a means of connection and disconnection during the COVID-19 pandemic: A test of the interpersonal-connections-behaviour framework. Journal Of Affective Disorders 2023, 347: 533-540. PMID: 38070743, DOI: 10.1016/j.jad.2023.12.006.Peer-Reviewed Original ResearchConceptsAssociated with poor mental healthPoor mental healthMental healthMental health risksSample of UK adultsSocial comparisonCross-sectional samplePeriod of social isolationIndividual-level moderatorsSocial isolationDirection of causalityClinical perspectiveItem questionsLonelinessLongitudinal analysisOnline socialisationUK adultsHigher levelsAnxietyDepressionDisconnectionHealthModeratelyItemsCOVID-19 pandemic