No-shows, drop-outs and completers in psychotherapeutic treatment: Demographic and clinical predictors in a large sample of non-psychotic patients

Fenger, Morten; Mortensen, Erik Lykke; Poulsen, Stig; Lau, Marianne Engelbrecht

doi:10.3109/08039488.2010.515687

Cited by 60 publications

(100 citation statements)

References 39 publications

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“…The relationship between level of education and outcome could be explained by the cognitive ability of the individuals who have left school at an earlier age. Studies in this area have already hypothesized that the behavioral monitoring and cognitive challenge required for CBT therapy needs a certain degree of intellectual ability, particularly if the treatment has a group format [61,62]. This suggests that patients at risk of dropout from therapy should be offered specialized, individual therapy rather than group CBT.…”

Section: Discussionmentioning

confidence: 99%

Predictors of Outcome among Pathological Gamblers Receiving Cognitive Behavioral Group Therapy

et al. 2015

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Aims: The aim of this study was to evaluate posttreatment changes of individuals with a diagnosis of gambling disorder (GD) treated with group cognitive behavioral therapy (CBT), to assess the potential moderator effect of sex on CBT outcome, and to explore the best predictors of posttreatment changes, relapse, and dropout rates. Methods: A cohort design was applied with a prospective follow-up. The sample comprised 440 patients and the CBT intervention consisted of 16 weekly outpatient group sessions and a 3-month follow-up period. Results: Patients showed significant improvements in both the level of psychopathology and the severity of the gambling behavior. High self-transcendence and the involvement of the spouse or partner in the therapy predicted a higher risk of relapse. Younger age and low education predicted a higher risk of dropout. Conclusion: Many patients with GD can be treated with strategies to improve self-control and emotional regulation, but other techniques should be incorporated to address the individual characteristics of each patient. This is particularly important in group therapy, in which the same treatment is applied to several patients simultaneously. The involvement of a family member needs to be carefully considered since it may have a negative effect on the response to treatment if not adequately managed.

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Section: Discussionmentioning

confidence: 99%

Predictors of Outcome among Pathological Gamblers Receiving Cognitive Behavioral Group Therapy

et al. 2015

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“…Although various patient, therapeutic, and social characteristics have been associated with increased risk of patient non-attendance and dropout, research is in large part still inconclusive and sometimes even conflicting, particularly with regards to patient characteristics [12,4]. For example age has been associated with non-attendance in some studies [e.g., 13] but not others DEVELOPMENT OF THE TAP 5 [e.g., 14], as has gender and level of education among others variables [e.g., 12,14,13,15].…”

Section: Non-attendance and Dropoutmentioning

confidence: 99%

The Therapy Attitudes and Process Questionnaire: A Brief Measure of Factors Related to Psychotherapy Appointment Attendance

Clough

Nazareth

Casey

2016

Patient

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Objectives: Patient non-attendance and dropout remains problematic in mental health settings [1,2]. The Theory of Planned Behaviour (TPB) has proved useful in understanding such challenges in a variety of healthcare settings, but the absence of an adequate measure has hampered research in mental health. The aim of the current study was to develop and conduct an initial psychometric investigation of a brief measure, the Therapy Attitudes and Process (TAP) Questionnaire, utilising the TPB to understand factors associated with attendance in mental health settings.Design: A quantitative survey based design was utilised. Methods:The TAP was administered to 178 adult participants, who were engaged in individual or group psychotherapy. A subsample also provided data to assess validity and reliability.Results: A four-factor solution was revealed through Exploratory Factor Analysis and accounted for approximately 75% of the variance in scores. Factors corresponded to those predicted by the TPB. Analyses supported the reliability, validity, and internal consistency of the measure. Conclusions:Results suggest that the TAP may provide a useful measure for examining patients' attitudes and beliefs about attending psychotherapy appointments. The TAP can be used to better understand patients' intentions, attitudes, perceptions of behavioural control, and subjective norms relating to psychotherapy attendance. This understanding may facilitate improved outcomes for patients and clinicians. Key Points for Decision Makers:DEVELOPMENT OF THE TAP 3  Non-attendance and dropout is a substantial problem in psychotherapy settings. There is a need to better understand and tailor interventions in accordance with the individual patient barriers. The TAP was developed based on the Theory of Planned Behaviour, and is designed to assess attitudes, subjective norms, perceived behavioural control, and behavioural intentions regarding appointment attendance. Initial investigation of the TAP indicates it has sound psychometric properties and can be used to increase the delivery of patient centered services

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“…-misserfolg im ambulanten Rahmen [Arndt et al, 2011;Haynes et al, 2008]. Ebenso existieren nur wenige Studien, die bei der Erfassung von Risikofaktoren für therapeutischen Misserfolg und Therapieabbrüche Alkoholmissbrauch als möglichen Prädiktor miteinbezogen haben [Fenger et al, 2011;Jensen et al, 2014] [Franke, 2000]) von allen Patienten beantwortet. Das BSI besteht aus 53 Items, die die psychischen Symptome der vergangenen 7 Tage erfassen.…”

Section: Theoretischer Hintergrundunclassified

Häufigkeit und Risikofaktoren des Therapieabbruchs in einer verhaltenstherapeutischen Hochschulambulanz: Der Einfluss von riskantem Alkoholkonsum zu Therapiebeginn

Schawohl¹,

Odenwald²

2018

Verhaltenstherapie

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Hintergrund: Zu Therapieabbrüchen in der ambulanten Verhaltenstherapie und damit verbundenen Risikofaktoren existieren bisher nur wenige und gemischte Ergebnisse. In dieser Studie wurden Risikofaktoren für Therapieabbrüche erfasst und untersucht, ob sich ein riskanter Alkoholkonsum (bei Therapiebeginn) auf die Therapieabbrüche in einer verhaltenstherapeutischen Hochschulambulanz auswirkt. Patienten und Methoden: 178 Patienten wurden unterteilt in a) Completer (reguläre Beendigung der Psychotherapie) und b) Dropouts (vorzeitiger Abbruch). Als Risikofaktoren wurden soziodemografische und klinische Variablen untersucht (z.B. Brief-Symptom-Inventar, Beck-Depressions-Inventar, Alcohol Use Disorders Identification Test (AUDIT) usw.). Ergebnisse: 93 Patienten (52%) schlossen die Psychotherapie regulär ab (Completer), 85 (48%) brachen vorzeitig ab (Dropouts; davon 45 in Probatorik und 40 danach). Die Dropouts waren bei Therapiebeginn älter als die Completer (M = 35,33 vs. M = 29.08 Jahre; p = 0,001), waren häufiger beschäftigt (64 vs. 45%; p = 0,014), hatten häufiger komorbide Diagnosen (55 vs. 34%; p = 0,005), waren stärker psychisch belastet (Global Severity Index: M = 1,25 vs. 1,01; p = 0,007) und wiesen einen riskanteren Alkoholkonsum auf (AUDIT: M = 10,49 vs. M = 5,01; p ≤ 0,001). Das Alkoholkonsum-Verhalten bei Therapiebeginn prädizierte einen vorzeitigen Therapieabbruch (b = 0,11; p = 0,001). Ein riskantes Alkoholkonsum-Verhalten war mit einem Dropout in der Probatorik assoziiert (p = 0,005). Schlussfolgerungen: Ein riskanter Alkoholkonsum ist bei ambulanten Psychotherapiepatienten mit vorzeitigem Therapieabbruch korreliert. Komorbides riskantes Trinkverhalten sollte zu Beginn der ambulanten Psychotherapie erfasst und inhaltlich thematisiert werden.

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No-shows, drop-outs and completers in psychotherapeutic treatment: Demographic and clinical predictors in a large sample of non-psychotic patients

Abstract: No-show was predicted by both demographic and clinical factors, whereas drop-out was predicted by demographic factors and substance abuse as the only clinical factor. Results and strategies to reduce non-attendance are discussed.

Cited by 60 publications

References 39 publications

Predictors of Outcome among Pathological Gamblers Receiving Cognitive Behavioral Group Therapy

Predictors of Outcome among Pathological Gamblers Receiving Cognitive Behavioral Group Therapy

The Therapy Attitudes and Process Questionnaire: A Brief Measure of Factors Related to Psychotherapy Appointment Attendance

Häufigkeit und Risikofaktoren des Therapieabbruchs in einer verhaltenstherapeutischen Hochschulambulanz: Der Einfluss von riskantem Alkoholkonsum zu Therapiebeginn

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