Left behind: A review of therapist and process variables influencing dropout from individual psychotherapy

Roos, Johanna

doi:10.1037/e530142013-001

Cited by 1 publication

(1 citation statement)

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“…The strengths of this study are particularly tied to its relatively large sample size and longitudinal nature. With nearly 4,000 participants and over a decade of data, we were able not only to explore the role of demographics such as age, race, income, and diagnostic clustering in the way other studies have but also to add attention to process variables in the form of looking at both the role and potential predictive value of both overall change and recent change (clinically reliable improvement or deterioration) in predicting the risk of attrition, building on the work of Roos (2011) who similarly brought attention to process variables in better understanding the risk of attrition. We were also able to respond to the call of Corning and Malofeeva (2004) to apply survival analysis to better understand both attrition and termination in psychotherapy.…”

Section: Discussion and Applications To Practicementioning

confidence: 99%

Attrition in Psychotherapy

Roseborough

McLeod

Wright

2016

Research on Social Work Practice

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Purpose: Attrition is a common problem in psychotherapy and can be defined as clients ending treatment before achieving an optimal response. Method: This longitudinal, archival study utilized data for 3,728 clients, using the Outcome Questionnaire 45.2. A Cox regression proportional hazards (hazard ratios) model was used in order to better understand who is likely to attrit when considering (1) demographics, (2) diagnostic categories, and (3) process variables (e.g., recent symptom change). Results: A pattern emerged, with younger clients and those reporting less education and lower incomes being more likely to end. Clients who demonstrated a recent status change were more likely to remain in treatment. Discussion: Consistent with the large-scale STAR*D study, clients with more social and economic challenges demonstrated more risk. Adults diagnosed with a substance or obsessive compulsive disorder-related disorder showed the most elevated risk. Engagement strategies are discussed, with the goal of better supporting recovery.

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Section: Discussion and Applications To Practicementioning

confidence: 99%