Christopher McGovern, Alison Athey, Eleanor E. Beale, James C. Overholser, Stephanie H. Gomez, Christiana Silva
{"title":"谁会留下,谁会离开?识别心理治疗辍学的风险因素","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":"{\"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}","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}
Who will stay and who will go? Identifying risk factors for psychotherapy dropout
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.
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.