Effect of time-limited psychotherapy on patient dropout rates

Sledge, William H.; Moras, Karla; Hartley, Dianna; Levine, Michael S.

doi:10.1176/ajp.147.10.1341

Cited by 108 publications

(13 citation statements)

References 6 publications

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“…Even though the dropout frequency found (31%) was not easily comparable to that found in other studies because of several methodologic problems (as discussed in the Introduction), it is consistent with previous evaluations of this phenomenon [44]. Inclusion criteria used for sample selection should be considered; in fact, severely malnourished patients and those who had already tried some kind of treatment were excluded from the study.…”

Section: Discussionsupporting

confidence: 76%

Dropout from Brief Psychotherapy in Anorexia nervosa

Fassino

Abbate-Daga

Pierò

et al. 2002

Psychother Psychosom

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Background: Dropout from psychotherapy is an important issue that has received little systematic attention. This study investigated the phenomenon of dropout from brief psychotherapy for anorexia nervosa (AN). Methods: 99 outpatients suffering from AN of the restrictor type (n = 53) or binge/purging type (n = 46) were evaluated. Their clinical and personal characteristics were recorded, and body mass index was calculated for participants. They were administered the Eating Disorder Inventory-II (EDI-II), the State-Trait Anger Expression Inventory (STAXI) and the Temperament and Character Inventory (TCI). Results: Significant differences in some baseline psychopathologic (EDI-II, STAXI) and personality (TCI) variables emerged from the comparison between dropouts and completers. Patients who dropped out of the treatment showed higher levels of anger temperament, anger expression-in and expression-out and lower scores for the dimensions of character (low self-directedness and low cooperativeness). No differences were found between the two groups regarding sociodemographic and clinical variables. Conclusions: Dropout from brief psychotherapy seems to be related to either psychopathologic or personality aspects, such as the tendency to repress anger, which is encountered also in psychosomatic disorders, and the presence of more compromised dimensions of character, typical of subjects with personality disorders. This study of dropout from brief psychotherapy in AN provided interesting results that will need further confirmation. Possible implications for treatment are addressed.

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Section: Discussionsupporting

confidence: 76%

Dropout from Brief Psychotherapy in Anorexia nervosa

Fassino

Abbate-Daga

Pierò

et al. 2002

Psychother Psychosom

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“…For a wide variety of reasons, brief and ultra-brief interventions are going to become the new normal in integrated care settings. Brief interventions are associated with lower rates of treatment refusal and therapy dropouts (Sledge, Moras, Hartley, & Levine, 1990). They are far cheaper to deliver and are more likely to be accepted and used by non-mental-health-trained health-care professionals.…”

Section: Briefer Is Bettermentioning

confidence: 99%

Adapting empirically supported treatments in the era of integrated care: A roadmap for success.

Strosahl¹,

Robinson²

2018

Clinical Psychology: Science and Practice

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The emerging era of integrated care represents a major opportunity for clinical psychology to migrate empirically supported treatments (ESTs) into the mainstream of public health. To succeed will require us to modify current ESTs to make them brief, cost‐effective, patient‐centered and acceptable to and easily learned by both the mental health and health‐care professionals that will deliver them. Changes to the recently modified standards for designating ESTs are proposed that will facilitate adoption of a population health model of treatment development and testing, designed to promote rapid dissemination of empirically supported interventions that are a “good fit” for integrated settings. Defining characteristics of the “new look” for ESTs are examined.

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“…For instance, therapy in RCTs tends to be more highly structured, problem-focused, and time-limited (Hunt and Andrews 1992; Sledge et al 1990); by contrast, treatment in outpatient community centers tends to be unstructured and eclectic (Weersing and Weisz 2002). Further, providers in RCTs typically receive extensive training and increased supervision compared to community-based providers.…”

mentioning

confidence: 99%

Predictors of Treatment Attrition Among an Outpatient Clinic Sample of Youths With Clinically Significant Anxiety

González

Weersing

Warnick³

et al. 2010

Adm Policy Ment Health

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Predictors of treatment attrition were examined in a sample of 197 youths (ages 5–18) with clinically-significant symptoms of anxiety seeking psychotherapy services at a community-based outpatient mental health clinic (OMHC). Two related definitions of attrition were considered: (a) clinician-rated dropout (CR), and (b) CR dropout qualified by phase of treatment (pre, early, or late phases) (PT). Across both definitions, rates of attrition in the OMHC sample were higher than those for anxious youths treated in randomized controlled trials, and comorbid depression symptoms predicted dropout, with a higher rate of depressed youths dropping out later in treatment (after 6 sessions). Using the PT definition, minority status also predicted attrition, with more African-American youths lost pre-treatment. Other demographic (age, gender, single parent status) and clinical (externalizing symptoms, anxiety severity) characteristics were not significantly associated with attrition using either definition. Implications for services for anxious youths in public service settings are discussed. Results highlight the important role of comorbid depression in the treatment of anxious youth and the potential value of targeted retention efforts for ethnic minority families early in the treatment process.

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Effect of time-limited psychotherapy on patient dropout rates

Cited by 108 publications

References 6 publications

Dropout from Brief Psychotherapy in Anorexia nervosa

Dropout from Brief Psychotherapy in Anorexia nervosa

Adapting empirically supported treatments in the era of integrated care: A roadmap for success.

Predictors of Treatment Attrition Among an Outpatient Clinic Sample of Youths With Clinically Significant Anxiety

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