The impact of comorbid personality difficulties on response to IAPT treatment for @entity308 and XXXX .

@entity1314 @entity308 @entity148
UNASSIGNED: The UK's Improving Access to Psychological Therapies (IAPT) initiative provides evidence-based psychological interventions for mild to moderate common mental health problems in a primary care setting. Predictors of treatment response are unclear. This study examined the impact of @entity1314 status on outcome in a large IAPT service. We hypothesised that the presence of probable @entity1314 would adversely affect treatment response. METHOD: We used a prospective cohort design to study a consecutive sample of individuals (n  =  1249). RESULTS: Higher scores on a screening measure for @entity1314 were associated with poorer outcome on measures of @entity308 , @entity148 and social functioning, and reduced recovery rates at the end of treatment. These associations were not confounded by demographic status, initial symptom severity nor number of treatment sessions. The presence of personality difficulties independently predicted reduced absolute change on all outcome measures. CONCLUSIONS: The presence of co-morbid personality difficulties adversely affects treatment outcome among individuals attending for treatment in an IAPT service. There is a need to routinely assess for the presence of personality difficulties on all individuals referred to IAPT services. This information will provide important prognostic data and could lead to the provision of more effective, personalised treatment in IAPT.
