Rethinking Research on Prediction and Prevention of Psychotherapy Dropout: A Mechanism-Oriented Approach.

IF 2 3区 心理学 Q3 PSYCHOLOGY, CLINICAL
Behavior Modification Pub Date : 2023-11-01 Epub Date: 2018-08-05 DOI:10.1177/0145445518792251
Andrew A Cooper, Alexander C Kline, Allison L Baier, Norah C Feeny
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引用次数: 19

Abstract

Dropout is a ubiquitous psychotherapy outcome in clinical practice and treatment research alike, yet it remains a poorly understood problem. Contemporary dropout research is dominated by models of prediction that lack a strong theoretical foundation, often drawing on data from clinical trials that report on dropout in an inconsistent and incomplete fashion. In this article, we assert that dropout is a critical treatment outcome that is worthy of investigation as a mechanistic process. After briefly describing the scope of the dropout problem, we discuss the many factors that limit the field’s present understanding of dropout. We then articulate and illustrate a transdiagnostic conceptual framework for examining psychotherapy dropout in contemporary research, concluding with recommendations for future research. With a more comprehensive understanding of the factors affecting retention, research efforts can shift toward investigating key processes underlying treatment dropout, thus, boosting prediction and informing strategies to mitigate dropout in clinical practice.
心理治疗退出预测与预防研究的反思:一种机制导向的方法。
辍学是临床实践和治疗研究中普遍存在的心理治疗结果,但它仍然是一个鲜为人知的问题。当代的辍学研究主要是缺乏强大理论基础的预测模型,通常借鉴临床试验的数据,这些数据以不一致和不完整的方式报告辍学情况。在这篇文章中,我们断言辍学是一个重要的治疗结果,值得作为一个机制过程进行研究。在简要描述了辍学问题的范围后,我们讨论了限制该领域目前对辍学的理解的许多因素。然后,我们阐明并说明了一个跨诊断的概念框架,用于检查当代研究中的心理治疗辍学,并为未来的研究提出建议。随着对影响保留率的因素有了更全面的了解,研究工作可以转向调查导致治疗失败的关键过程,从而在临床实践中加强预测和告知策略,以减轻失败。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Behavior Modification
Behavior Modification PSYCHOLOGY, CLINICAL-
CiteScore
5.30
自引率
0.00%
发文量
27
期刊介绍: For two decades, researchers and practitioners have turned to Behavior Modification for current scholarship on applied behavior modification. Starting in 1995, in addition to keeping you informed on assessment and modification techniques relevant to psychiatric, clinical, education, and rehabilitation settings, Behavior Modification revised and expanded its focus to include treatment manuals and program descriptions. With these features you can follow the process of clinical research and see how it can be applied to your own work. And, with Behavior Modification, successful clinical and administrative experts have an outlet for sharing their solutions in the field.
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