A meta-analysis of dropout rates in acceptance and commitment therapy

Ong, Clarissa W.; Lee, Eric B.; Twohig, Michael P.

doi:10.1016/j.brat.2018.02.004

Cited by 57 publications

(47 citation statements)

References 84 publications

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“…ACT aims to improve psychological flexibility through six processes or skills, with the ultimate aim of increasing effective or meaningful action. The ACT processes include: acceptance, defusion, contact with the present moment, selfas-context, values, and committed action (6). Ultimately, ACT increases psychological flexibility (7).…”

mentioning

confidence: 99%

The Effectiveness of Acceptance and Commitment Therapy on Insomnia Patients (A Single-arm Trial Plan)

Zakiei¹,

Khazaie²

2019

jtsm

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mentioning

confidence: 99%

The Effectiveness of Acceptance and Commitment Therapy on Insomnia Patients (A Single-arm Trial Plan)

Zakiei¹,

Khazaie²

2019

jtsm

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“…Además, las tasas de deserción no variaron según las características del paciente o la calidad metodológica del estudio. Sin embargo, los clínicos / terapeutas de nivel de maestría (media ponderada = 29.9%, IC: 17.6%, 43.8%) se asociaron con una mayor deserción que los psicólogos (media ponderada = 12.4%, IC 95%: 6.7%, 19.4%) (Ong, Lee y Twohig, 2018).…”

Section: Revisiones Y Metaanálisis De La úLtima Décadaunclassified

“…Se han realizado numerosas revisiones metaanalíticas específicas sobre el abandono de la psicoterapia con estimaciones que van del 15.9 % al 60 % a través de varios tipos de tratamiento específicos como psicoterapia cognitiva conductual, intervenciones basadas en la aceptación y psicoterapia interpersonal entre otras Ong et al, 2018;Swift y Greenberg, 2012) y diagnósticos del paciente como trastornos de la alimentación, trastornos de ansiedad, trastornos de la personalidad (Gersh et al, 2017;McMurran, Huband y Overton, 2010).…”

Section: Conclusiónunclassified

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Contradicciones de la psiquiatría médica

Ortega¹

2020

rdp

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Este texto no trata sobre una nueva psiquiatría o un manifiesto de ruptura con el abordaje actual de los trastornos mentales. Más bien trata de poner de relieve el alejamiento sistemático de lo genuino del individuo, por un proceder basto, impreciso, pero a la vez implacable, característico de la psiquiatría médica imperante. Me cuestiono si esta aproximación al padecimiento existencial no contribuye, por el contrario, a la cronificación de dicho sufrimiento al verse forzado el sujeto a identificarse, sin opción, a una posición pasiva que lo sitúa como enfermo mental. Desde la mirada de un psiquiatra al uso se resaltan contradicciones evidentes, tanto en la teoría como en la práctica, y se indaga sobre el núcleo del aferramiento, terco, a las mismas.

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“…If ACT is successful in mobilizing individuals via the treatment process, we expect that this would prevent premature termination and thus ACT would result in lower dropout rates compared to other interventions. To date, only one meta-analysis on dropout has included ACT (Ong, Lee, & Twohig, 2018). This study found that only therapist experience significantly predicted dropout, specifically that when ACT was provided by master's level therapists higher dropout rates were observed, compared to other levels of therapists' experience (e.g., PhD level psychologist, MD physician, graduate student).…”

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confidence: 98%

The Phenomenon of Treatment Dropout, Reasons and Moderators in Acceptance and Commitment Therapy and Other Active Treatments: A Meta-Analytic Review

Karekla

Constantinou²,

Ιωάννου

et al. 2019

CPE

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Treatment dropout is one of the most crucial issues that a therapist has to face on a daily basis. The negative effects of premature termination impact the client who is usually found to demonstrate poorer treatment outcomes. This meta-analysis reviewed and systematically examined dropout effects of Acceptance and Commitment Therapy (ACT) as compared to other active treatments. The goals of this study were to compare treatment dropout rates and dropout reasons, examine the influence of demographic variables and identify possible therapy moderators associated with dropout. The current meta-analysis reviewed 76 studies of ACT reporting dropout rates for various psychological and health-related conditions. Across reviewed studies (N = 76), the overall weighted mean dropout rate was 17.95% (ACT = 17.35% vs. comparison conditions = 18.62%). Type of disorder, recruitment setting and therapists’ experience level were significant moderators of dropout. The most frequently reported reasons for dropout from ACT were lost contact, personal and transportation difficulties, whereas for comparative treatments they were lost contact, therapy factors and time demands. Given that most moderators of influence are not amenable to direct changes by clinicians, mediation variables should also be explored. Overall, results suggest that ACT appears to present some benefits in dropout rates for specific disorders, settings and therapists. There was no difference in dropout rate between ACT and control conditions (17.35% vs.18.62%). Significant moderators were client disorder, therapists’ experience level and recruitment and setting. Comparison condition frequently reported therapy related dropout factors, suggesting that ACT may be a more acceptable option. There was no difference in dropout rate between ACT and control conditions (17.35% vs.18.62%). Significant moderators were client disorder, therapists’ experience level and recruitment and setting. Comparison condition frequently reported therapy related dropout factors, suggesting that ACT may be a more acceptable option.

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A meta-analysis of dropout rates in acceptance and commitment therapy

Cited by 57 publications

References 84 publications

The Effectiveness of Acceptance and Commitment Therapy on Insomnia Patients (A Single-arm Trial Plan)

The Effectiveness of Acceptance and Commitment Therapy on Insomnia Patients (A Single-arm Trial Plan)

Contradicciones de la psiquiatría médica

The Phenomenon of Treatment Dropout, Reasons and Moderators in Acceptance and Commitment Therapy and Other Active Treatments: A Meta-Analytic Review

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