Couple therapy for depression –effectiveness monitoring

1. Couple therapy for depression –effectiveness monitoring

2. Main questions: • Do we see improvement in client scores on depression and anxiety? • Do we see improvement in clients’ relationship satisfaction? • Is improvement in relationship important for recovery from depression and anxiety?

3. Data • 53 therapists were asked to provide the data about their clients’ scores on measures of depression, anxiety and couple satisfaction at intake, session 4 and end of therapy • N=37 therapists provided usable data (i.e., data including at least intake and the end-therapy scores). • In total the sample used for the analysis included the data from n=218 clients. • Average number of sessions: 16.86 (max=25, /min=3)

4. Patient Health Questionnaire (PHQ9) Scoring: • 5-9 some mild depression; • 10-14 moderate depression; • 15-19 moderately severe; • 20-27 severe • Caseness: 10 or above

5. Total sample

7. Generalized Anxiety Disorder (GAD7) Scoring: • 0-4 normal; • 5-9 mild anxiety; • 10-14 moderate; • 15-21 severe • -IAPT-high Intensity uses score 8 and above as an indication of caseness

8. Total sample

10. Couples Satisfaction Index (CSI-32) • Min-0 / Max-180; Higher scores denote higher relationship satisfaction • Distressed relationships cutoff: below 104.5

11. Total sample

12. Recovery rate Depression: • At intake 61.4% of clients had depression scores within the clinical range; out of those (n=127) who were in the clinical range at intake, 73.2% recovered at the end of therapy. Anxiety: • At intake 62.3% of clients had anxiety scores within the clinical range; out of those (n=137) who were in the clinical range at intake, 75.1% recovered at the end of therapy. Depression & Anxiety (IAPT criterion): • Out of n=201 clients who had data at intake and end of therapy for both measures n=96 (47.76%) reported recovery for both – depression and anxiety.

13. Does improvement in relationship satisfaction predict recovery?

14. Conclusions • There is evidence for statistically significant improvement in clients depression, anxiety and relationship satisfaction • There is evidence that the improvement in relationship satisfaction predicted recovery