Effectiveness of self-help materials for anxiety adapted for use in prison – a pilot study

Maunder, Lesley; Cameron, Lorna; Moss, Mark; Muir, David L.; Evans, Neil; Paxton, Roger; Jones, Holly

doi:10.1080/09638230802522478

Cited by 17 publications

(18 citation statements)

References 12 publications

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“…The main themes identified were posttreatment follow-up and institutional constraints. The most common theme was difficulties with posttreatment follow-up ( Chandiramani, Verma, & Dhar, 2000 ; Cole et al, 2007 ; Gussak, 2007 ; Maunder et al, 2009 ; Perkins, 1998 ; Valentine & Smith, 2001 ) because of high rates of release ( Chandiramani et al, 2000 ), rapid turnover of prisoners ( Sleed et al, 2013 ), short duration of stay ( Gold et al, 2014 ), with difficulties in ensuring continuity of care ( Mitchell et al, 2011 ; Wolff et al, 2015 ).…”

Section: Resultsmentioning

confidence: 99%

Outcomes of psychological therapies for prisoners with mental health problems: A systematic review and meta-analysis.

Yoon

Slade

Fazel

2017

Journal of Consulting and Clinical Psychology

119

118

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ObjectivePrisoners worldwide have substantial mental health needs, but the efficacy of psychological therapy in prisons is unknown. We aimed to systematically review psychological therapies with mental health outcomes in prisoners and qualitatively summarize difficulties in conducting randomized clinical trials (RCTs).MethodWe systematically identified RCTs of psychological therapies with mental health outcomes in prisoners (37 studies). Effect sizes were calculated and meta-analyzed. Eligible studies were assessed for quality. Subgroup and metaregression analyses were conducted to examine sources of between-study heterogeneity. Thematic analysis reviewed difficulties in conducting prison RCTs.ResultsIn 37 identified studies, psychological therapies showed a medium effect size (0.50, 95% CI [0.34, 0.66]) with high levels of heterogeneity with the most evidence for CBT and mindfulness-based trials. Studies that used no treatment (0.77, 95% CI [0.50, 1.03]) or waitlist controls (0.71, 95% CI [0.43, 1.00]) had larger effect sizes than those that had treatment-as-usual or other psychological therapies as controls (0.21, 95% CI [0.01, 0.41]). Effects were not sustained on follow-up at 3 and 6 months. No differences were found between group and individual therapy, or different treatment types. The use of a fidelity measure was associated with lower effect sizes. Qualitative analysis identified difficulties with follow-up and institutional constraints on scheduling and implementation of trials.ConclusionsCBT and mindfulness-based therapies are modestly effective in prisoners for depression and anxiety outcomes. In prisons with existing psychological therapies, more evidence is required before additional therapies can be recommended.

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Section: Resultsmentioning

confidence: 99%

Outcomes of psychological therapies for prisoners with mental health problems: A systematic review and meta-analysis.

Yoon

Slade

Fazel

2017

Journal of Consulting and Clinical Psychology

119

118

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“…There is often no service available for prisoners experiencing depression and anxiety or in instances where services are provided, they tend to be patchy and poorly resourced with pharmacological interventions often being the only treatment available. This inadequate situation prevails despite growing evidence that psychological interventions, including 'low-intensity' treatments, appear to be as effective for prisoners as they are for individuals in the community (Leigh-Hunt & Perry, 2014;Maunder et al, 2009).…”

Section: Introductionmentioning

confidence: 86%

Evaluation of the improving access to psychological therapies for offenders programme at HMP Lincoln: a three year prospective cohort study

Adamson

Gibbs²,

McLaughlin

2014

The Journal of Forensic Psychiatry & Psychology

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The mental health needs of prisoners are significant with a high incidence of common mental health problems including anxiety and depression. Extending national initiatives such as the National Health Service Improving Access of Psychological Therapies programme to people in prison offers a valuable opportunity to address these mental health problems and improve continuity of care from prison to the community. This study adopts an observational, prospective cohort design and evaluates an IAPT for offenders service over the first three years of operation within a male Category B prison holding remand/convicted prisoners. The evaluation found large effect sizes for changes in anxiety and depression with clinical recovery being achieved in 55% of depression and 52% of anxiety cases. On average, prisoners were treated in less than five sessions employing a low-intensity cognitive-behavioural approach. The lack of established formal diagnoses and a control group limits the findings.

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“…In total, 14 studies were included in the final review. Eleven of these were psychological interventions (Bichescu et al, 2007;Bradley & Follingstad, 2003;Gussak, 2007;Hilkey et al, 1982;Holt et al, 2009;Maunder et al, 2009;Nguyen, 2005;Richards et al, 2000;Valentine & Smith, 2001;Wilson, 1990;Zlotnick et al, 2009), two were pharmacological interventions (Brick et al, 1966;Gottschalk et al, 1973), and one was an exercise intervention (Cashin, Potter, Stevens, et al, 2008). Most of the studies were from the last decade, though one dated back as far as 1966.…”

Section: Resultsmentioning

confidence: 99%

“…For nine of the papers (Bichescu, Neuner, Schauer, & Elbert, 2007;Bradley & Follingstad, 2003;Gottschalk, Covi, Uliana, & Bates, 1973;Hilkey, Wilhelm, & Horne, 1982;Maunder et al, 2009;Nguyen, 2005;Valentine & Smith, 2001;Wilson, 1990;Zlotnick, Johnson, & Najavits, 2009), the means, standard deviations, and number of individuals in the intervention and control groups necessary to calculate a Hedges g effect size were published, and therefore figures could be derived. Where an effect size was published, a re-calculation was made to ensure accuracy of figures, and if an alternative method of calculating effect sizes was given, a Hedges g calculation was undertaken providing all the summary statistics were available to do so.…”

Section: Discussionmentioning

confidence: 99%

“…One study (Maunder et al, 2009) that examined the use of self-help booklets in a medium-security prison measured anxiety symptoms using the Hospital and Anxiety Depression Scale (HADS; Zigmond & Snaith, 1983) at the end of a 4-week intervention period. Symptoms were reduced compared to baseline for the treatment group but not for the control, though standard deviations were larger than the observed reduction.…”

Section: Interventions For Anxietymentioning

confidence: 99%

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A Systematic Review of Interventions for Anxiety, Depression, and PTSD in Adult Offenders

Leigh-Hunt

Perry

2014

Int J Offender Ther Comp Criminol

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There is a high prevalence of anxiety and depression in offender populations but with no recent systematic review of interventions to identify what is effective. This systematic review was undertaken to identify randomised controlled trials of pharmacological and non-pharmacological interventions in adult offenders in prison or community settings. A search of five databases identified 14 studies meeting inclusion criteria, which considered the impact of psychological interventions, pharmacological agents, or exercise on levels of depression and anxiety. A narrative synthesis was undertaken and Hedges g effect sizes calculated to allow comparison between studies. Effect sizes for depression interventions ranged from 0.17 to 1.41, for anxiety 0.61 to 0.71 and for posttraumatic stress disorder 0 to 1.41. Cognitive behavioural therapy interventions for the reduction of depression and anxiety in adult offenders appear effective in the short term, though a large-scale trial of sufficient duration is needed to confirm this finding.

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Effectiveness of self-help materials for anxiety adapted for use in prison – a pilot study

Cited by 17 publications

References 12 publications

Outcomes of psychological therapies for prisoners with mental health problems: A systematic review and meta-analysis.

Outcomes of psychological therapies for prisoners with mental health problems: A systematic review and meta-analysis.

Evaluation of the improving access to psychological therapies for offenders programme at HMP Lincoln: a three year prospective cohort study

A Systematic Review of Interventions for Anxiety, Depression, and PTSD in Adult Offenders

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