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NHS Talking Therapies for anxiety and depression provide evidence-based psychological therapies for common mental disorders. This study examines the intersection between ethnicity and gender as factors associated with psychological treatment outcomes. Aims were to explore by gender: (1) differences in psychological treatment outcomes for minoritized ethnic people compared to White-British people, (2) whether differences are observed when controlling for clinical and socio-demographic factors associated with outcomes, and (3) whether organization-level factors moderate differences in outcomes between ethnic groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Patient data from eight NHS Talking Therapies for anxiety and depression services (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200998,063) was used to explore associations between ethnicity and outcomes, using logistic regression. Stratified subsamples were used to separately explore factors associated with outcomes for males and females.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In adjusted analyses, Asian (OR\u2009=\u20090.82 [95% CI 0.78; 0.87],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001, \u2018Other\u2019 (OR\u2009=\u20090.79 [95%CI 0.72\u20130.87],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001) and White-other (0.93 [95%CI 0.89\u20130.97],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001) ethnic groups were less likely to reliably recover than White-British people. Asian (OR\u2009=\u20091.48 [95% CI 1.35\u20131.62],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001), Mixed (OR\u2009=\u20091.18 [95% CI 1.05\u20131.34],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.008), \u2018Other\u2019 (OR\u2009=\u20091.60 [95% CI 1.38\u20131.84],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001) and White-other (OR\u2009=\u20091.18 [95% CI 1.09\u20131.28],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001) groups were more likely to experience a reliable deterioration in symptoms. Poorer outcomes for these groups were consistent across genders. There was some evidence of interactions between ethnic groups and organization-level factors impacting outcomes, but findings were limited.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Across genders, Asian, \u2018Other\u2019 and White-other groups experienced worse treatment outcomes across several measures in adjusted models. Reducing waiting times or offering more treatment sessions might lead to increased engagement and reduced drop-out for some patient groups.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00127-024-02610-8","type":"journal-article","created":{"date-parts":[[2024,2,6]],"date-time":"2024-02-06T13:09:15Z","timestamp":1707224955000},"page":"1519-1531","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Differences in psychological treatment outcomes by ethnicity and gender: an analysis of individual patient data"],"prefix":"10.1007","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2325-7752","authenticated-orcid":false,"given":"Laura-Louise C.","family":"Arundell","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rob","family":"Saunders","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua E. 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