Dropouts versus completers among chronically depressed outpatients

Early termination of cognitive-behavioural interventions: literature review

“…In a study of early discontinuation of CBT for bulimia, 23 higher level of borderline and dissociative symptomatology was associated with discontinuation. These findings are not supported by Arnow et al's study, 11 in which comorbid personality disorders were equally prevalent in those who completed the treatment and those who dropped out, and only anxiety disorder correlated to the latter. The severity of the depressive symptomatology seems to be correlated with early discontinuation rates.…”

“…In general, it seems that younger service users with low education level and of lower social class background are more likely to drop out of CBT. 4,9,11 In a randomised controlled trial by Arnow et al, 11 those of ethnic minority background are reported to have significantly higher drop-out rates. However, in a cohort study of group CBT for depression, 7 age and education level did not statistically differ between those who dropped out, whether early or late, and those who completed the therapy.…”

“…[3][4][5][6][7][8][9][10][11] The difficulty in establishing a precise figure lies in the fact that there is no uniformity in the definition of treatment discontinuation. 3 Some researchers define early treatment discontinuation as terminating the treatment without previous agreement with the therapist, others use the number of visits or the length of time as criteria.…”

Psychological and Exercise Intervention Training for Hemodialysis Patients: A Pilot Study

“…However, psychotherapy studies indicate that early drop-out is common, with a quarter withdrawing before the first session, and half withdrawing before the fifth [23]. Possible predictors of non-adherence drawn from these studies include lower self-efficacy [24], younger age [25], lower self-rated importance of initiating psychotherapy [26], co-morbidities [24,125] and provider characteristics (for example therapeutic alliance) [24]. Validation studies need to be performed to confirm these reported findings.…”

Psychologists partnering with obstetricians and gynecologists: Meeting the need for patient-centered models of women’s health care delivery.

“…Women's health psychologists are in a unique position to improve engagement and outcomes of underserved women. While the majority of individuals with behavioral health needs are undertreated, women who live in poverty, are African American, or are young are even less likely to receive adequate behavioral health treatment than other groups (Arnow et al, 2007;Gadalla, 2008;Miranda & Cooper, 2004;Simon & Ludman, 2010). Moreover, underserved women are more likely to go to their ob/gyn provider for help with their behavioral health needs than to a specialty behavioral health setting (Alvidrez & Azocar, 1999;Scholle & Kelleher, 2003).…”