Who will stay and who will go? Identifying risk factors for psychotherapy dropout

IF 1.2 Q3 PSYCHOLOGY, CLINICAL

Counselling & Psychotherapy Research Pub Date : 2024-06-17 DOI:10.1002/capr.12783

Christopher McGovern, Alison Athey, Eleanor E. Beale, James C. Overholser, Stephanie H. Gomez, Christiana Silva

{"title":"Who will stay and who will go? Identifying risk factors for psychotherapy dropout","authors":"Christopher McGovern, Alison Athey, Eleanor E. Beale, James C. Overholser, Stephanie H. Gomez, Christiana Silva","doi":"10.1002/capr.12783","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objective</h3>\n \n <p>Dropout from psychotherapy remains an issue across various treatment modalities and psychological disorders, with roughly 20% of clients failing to complete treatment. Dropping out of psychotherapy is associated with worse psychological and physical health outcomes. This study aimed to use a clinically generalisable definition of dropout to identify risk factors for dropping out of psychotherapy.</p>\n </section>\n \n <section>\n \n <h3> Method</h3>\n \n <p>Retrospective chart review methods were used to collect data on 203 clients seen at a community-based clinical psychology doctoral training clinic.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Independent samples <i>t</i>-tests and chi-squared tests for independence indicated that clients who dropped out of psychotherapy were more likely to be non-students, live farther away from the treatment clinic and no-show at least once in the first four sessions of therapy.</p>\n </section>\n \n <section>\n \n <h3> Discussion</h3>\n \n <p>To address dropout risk, it is important that clinicians be attuned to possible indicators of structural and motivational barriers to treatment engagement.</p>\n </section>\n </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":1.2000,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12783","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Counselling & Psychotherapy Research","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/capr.12783","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}

引用次数: 0

Abstract

Objective

Dropout from psychotherapy remains an issue across various treatment modalities and psychological disorders, with roughly 20% of clients failing to complete treatment. Dropping out of psychotherapy is associated with worse psychological and physical health outcomes. This study aimed to use a clinically generalisable definition of dropout to identify risk factors for dropping out of psychotherapy.

Method

Retrospective chart review methods were used to collect data on 203 clients seen at a community-based clinical psychology doctoral training clinic.

Results

Independent samples t-tests and chi-squared tests for independence indicated that clients who dropped out of psychotherapy were more likely to be non-students, live farther away from the treatment clinic and no-show at least once in the first four sessions of therapy.

Discussion

To address dropout risk, it is important that clinicians be attuned to possible indicators of structural and motivational barriers to treatment engagement.

查看原文本刊更多论文

谁会留下，谁会离开？识别心理治疗辍学的风险因素

目标在各种治疗模式和心理障碍中，心理治疗的辍学仍然是一个问题，大约有 20% 的患者无法完成治疗。心理治疗的辍学与心理和生理健康状况的恶化有关。本研究旨在使用具有临床普遍性的辍学定义来识别心理治疗辍学的风险因素。方法采用回顾性病历审查方法，收集在社区临床心理学博士培训诊所就诊的 203 名客户的数据。结果独立样本 t 检验和秩方检验表明，心理治疗中途退出的客户更有可能是非学生、居住地离治疗诊所较远以及在治疗的前四个疗程中至少有一次没有出现。讨论为了应对辍学风险，临床医生必须注意可能存在的阻碍参与治疗的结构性和动机性障碍指标。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Counselling & Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

4.40

自引率

12.50%

发文量

期刊介绍： Counselling and Psychotherapy Research is an innovative international peer-reviewed journal dedicated to linking research with practice. Pluralist in orientation, the journal recognises the value of qualitative, quantitative and mixed methods strategies of inquiry and aims to promote high-quality, ethical research that informs and develops counselling and psychotherapy practice. CPR is a journal of the British Association of Counselling and Psychotherapy, promoting reflexive research strongly linked to practice. The journal has its own website: www.cprjournal.com. The aim of this site is to further develop links between counselling and psychotherapy research and practice by offering accessible information about both the specific contents of each issue of CPR, as well as wider developments in counselling and psychotherapy research. The aims are to ensure that research remains relevant to practice, and for practice to continue to inform research development.