{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T14:33:20Z","timestamp":1787582000314,"version":"build-2736575974"},"reference-count":74,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T00:00:00Z","timestamp":1765584000000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Long Covid is a condition affecting multiple organ systems and the mental health of patients. To address this, two National Health Service (NHS) services in the West Midlands developed an integrated long\u2010term conditions (LTCs) pathway, co\u2010produced between a \u2018Post Covid\u2019 service and an NHS Talking Therapy service for anxiety and depression (TTAD). Eligible people with Long Covid were offered person\u2010centred experiential counselling for depression (PCE\u2010CfD) to help improve their mental health. Despite limited evidence for PCE\u2010CfD in managing depression linked to LTCs, it was identified that a humanistic approach could help address the disrupted self\u2010narratives that existed with this cohort of patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This NHS service evaluation investigated outcomes from clients with Long Covid who received PCE\u2010CfD, specifically the impact on reduced depression and anxiety symptoms, and improved social and occupational functioning. It analysed pre\u2010 and post\u2010treatment client\/patient self\u2010reported data using routine outcome measures, including the PHQ\u20109, GAD\u20107 and WSAS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A non\u2010experimental cohort design was used to analyse anonymised routinely collected secondary data. Data that met the inclusion criteria were extracted for treatment delivered between August 2022 and October 2024. Paired\n                      <jats:italic>t<\/jats:italic>\n                      \u2010tests were used to examine whether there were significant improvements between pre\u2010 and post\u2010treatment outcome measures.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      For people with Long Covid that completed treatment (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200931), three\n                      <jats:italic>t<\/jats:italic>\n                      \u2010tests were completed showing a significant reduction from PCE\u2010CfD treatment, in depression (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01), anxiety (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01) and social functioning (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). Cohen's\n                      <jats:italic>d<\/jats:italic>\n                      values indicated a very large effect size for a treatment effect in the reduction of depression (\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20092.1) and anxiety symptoms (\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20091.2). Recovery rates were analysed, using the NHS Talking Therapy recovery rate calculation, which showed that 83.87% of the people with Long Covid who were treated reached \u2018recovery\u2019, a much higher rate than the 48% NHS England\u00a0target.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This NHS service evaluation underscores the effectiveness of PCE\u2010CfD in reducing symptoms of depression and anxiety, as well as improving social and occupational functioning. These improvements observed in routine outcome measures highlight the benefits of offering a humanistic approach to people with Long Covid. These small but significant findings offer valuable insights into future service delivery and research in managing mental health challenges associated with chronic health conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Involvement and Engagement (PPIE) Contribution<\/jats:title>\n                    <jats:p>This NHS service evaluation uses secondary data analysis, meaning PPIE did not take place in advance. However, PPIE discussions could arise when disseminating its findings that could lead to further research in this area.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hex.70517","type":"journal-article","created":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T14:25:21Z","timestamp":1765635921000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["PCE\u2010CfD and Long Covid: An NHS Service Evaluation on the Benefits of Using Person\u2010Centred Experiential Counselling for Depression With People With Long Covid"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-1897-040X","authenticated-orcid":false,"given":"Matthew R.","family":"Leavesley","sequence":"first","affiliation":[{"name":"Shropshire, Telford &amp; Wrekin NHS Talking Therapies Midlands Partnership NHS University Foundation Trust Shrewsbury UK"},{"name":"School of Medicine, Faculty of Medicine &amp; Health Sciences Keele University Keele UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5528-1220","authenticated-orcid":false,"given":"Caroline","family":"Dugen\u2010Williams","sequence":"additional","affiliation":[{"name":"Shropshire, Telford &amp; Wrekin NHS Talking Therapies Midlands Partnership NHS University Foundation Trust Shrewsbury UK"},{"name":"Health and Social Sciences University of West of England Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8457-4148","authenticated-orcid":false,"given":"David","family":"Dobel\u2010Ober","sequence":"additional","affiliation":[{"name":"Research and Innovation Department, St George's Hospital Midlands Partnership NHS University Foundation Trust Stafford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-3647-1686","authenticated-orcid":false,"given":"Alice","family":"Carson","sequence":"additional","affiliation":[{"name":"Shropshire, Telford &amp; Wrekin NHS Talking Therapies Midlands Partnership NHS University Foundation Trust Shrewsbury UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,12,13]]},"reference":[{"key":"e_1_2_14_2_1","unstructured":"WHO Coronavirus Disease (COVID\u201019) Pandemic.2020 accessed January 8 2025 https:\/\/www.who.int\/europe\/emergencies\/situations\/covid\u201019."},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/ene.16321"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckae144.812"},{"key":"e_1_2_14_5_1","unstructured":"NICE Long\u2010Term Effects of Coronavirus (Long COVID) (Updated Version).2022 accessed January 16 2025 https:\/\/cks.nice.org.uk\/topics\/long\u2010term\u2010effects\u2010of\u2010coronavirus\u2010long\u2010covid\/."},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41591\u2010024\u201003173\u20106"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2021.702635"},{"key":"e_1_2_14_8_1","unstructured":"ONS Prevalence of ongoing symptoms following coronavirus (COVID\u201019) infection in the UK: 30 March 2023.2023 accessed January 8 2025 https:\/\/www.ons.gov.uk\/peoplepopulationandcommunity\/healthandsocialcare\/conditionsanddiseases\/bulletins\/prevalenceofongoingsymptomsfollowingcoronaviruscovid19infectionintheuk\/30march2023."},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2021.11.031"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2022.38"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102023\u2010079267"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41591\u2010024\u201002987\u20108"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201500164"},{"key":"e_1_2_14_14_1","volume-title":"Common Mental Health Problems: Identification and Pathways to Care","author":"NICE","year":"2011"},{"key":"e_1_2_14_15_1","volume-title":"Post\u2010Traumatic Stress Disorder","author":"NICE","year":"2018"},{"key":"e_1_2_14_16_1","volume-title":"Depression in Adults: Treatment and Management","author":"NICE","year":"2022"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev\u2010clinpsy\u2010050817\u2010084833"},{"key":"e_1_2_14_18_1","unstructured":"NHSE.The NHS Talking Therapies Manual.NHS England 2024."},{"key":"e_1_2_14_19_1","unstructured":"NHSE.The NHS Long Term Plan.NHS England 2019."},{"key":"e_1_2_14_20_1","unstructured":"A.Lemma A. 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