Predictors of Early Dropout From Psychotherapy for Depression in Community Practice

Simon, M.P.H. Gregory E.; Ludman, Evette

doi:10.1176/ps.2010.61.7.684

Cited by 55 publications

(58 citation statements)

References 27 publications

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“…Indeed, in the larger psychotherapy literature, it is very common for adults who begin a course of psychotherapy to fail to return for a second visit (Hamilton, Moore, Crane, & Payne, 2011; Simon, Imel, Ludman, & Steinfeld, 2012; Simon & Ludman, 2010). Most of the interventions developed for those with comorbid PTSD/AD population are quite lengthy, which can be challenging with such high drop-out rates.…”

Section: Overview Of Psychotherapy For Comorbid Ptsd and Alcohol And mentioning

confidence: 99%

A controlled examination of two coping skills for daily alcohol use and PTSD symptom severity among dually diagnosed individuals

Stappenbeck

Luterek

Kaysen

et al. 2015

Behaviour Research and Therapy

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Investigations of targeted coping skills could help guide initial treatment decisions for individuals with co-occurring posttraumatic stress disorder (PTSD) and alcohol dependence (AD) who often endorse worse coping skills than those with AD but not PTSD. Although improvement in coping skills is associated with enhanced alcohol use outcomes, no study has evaluated the utility of teaching specific coping skills in the context of comorbid PTSD/AD. We compared the effects of teaching two coping skills (cognitive restructuring [CR] and experiential acceptance [EA]) or an attention control condition on drinking and PTSD symptoms among 78 men and women with comorbid PTSD/AD during a 5-week daily follow-up assessment. Both CR and EA skills were associated with decreased drinking compared to control, and that change in drinking over time did not significantly differ between those who received CR and EA. Individuals who received CR skills, however, consumed less alcohol on a given day than those who received EA skills. Neither CR nor EA was associated with a decrease in PTSD symptom severity. These results provide preliminary support for clinicians to prioritize CR and EA skills during initial treatment sessions when working with individuals with PTSD/AD, and offer ideas for continued investigation and intervention refinement.

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Section: Overview Of Psychotherapy For Comorbid Ptsd and Alcohol And mentioning

confidence: 99%

A controlled examination of two coping skills for daily alcohol use and PTSD symptom severity among dually diagnosed individuals

Stappenbeck

Luterek

Kaysen

et al. 2015

Behaviour Research and Therapy

View full text Add to dashboard Cite

show abstract

“…Community studies have reported that 22% (Simon & Ludman, 2010) to 34% (Miranda et al, 2003) of people referred do not attend an initial or intake session. Across multiple settings, the modal number of sessions attended by patients is one (Phillips, 1985), with 21%–49% of individuals not attending therapy after their initial intake (Garfield, 1994; Simon & Ludman, 2010). Potential reasons for not returning include feeling better, being dissatisfied with treatment, and wanting to solve problems independently.…”

mentioning

confidence: 99%

Text messaging as an adjunct to CBT in low-income populations: A usability and feasibility pilot study.

Aguilera¹,

Muñoz²

2011

Professional Psychology: Research and Practice

152

115

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This article outlines the development and usability–feasibility testing of an automated text-messaging adjunct to cognitive– behavioral therapy (CBT) for depression in a public sector clinic serving low-income patients. The text-messaging adjunct is aimed at increasing homework adherence, improving self-awareness, and helping track patient progress. Daily text messages were sent to patients, inquiring about their mood. Additional daily messages corresponded to themes of a manualized group CBT intervention. These included (1) thought tracking (both positive and negative), (2) tracking of pleasant activities, (3) tracking of positive and negative contacts, and (4) tracking of physical well-being. We tested the adjunct in 2 CBT groups (1 English & 1 Spanish) consisting of 12 patients total during and after treatment. Participants responded at a rate of 65% to text messages, and they reported overall positive experiences. We propose that text messaging has the potential to improve mental health care broadly, and among low-income populations specifically, with cost-effective means.

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“…Our previous research (Simon & Ludman, 2010) also suggested large differences in patterns of dropout between psychotherapy provided by salaried, clinic-based (group model) therapists and that provided by independent contracted (network model) therapists. Risk of dropout prior to the first visit was significantly higher for network model therapists while risk of dropout between the first and second visits was significantly higher for group model therapists.…”

mentioning

confidence: 81%

“…Zivin and colleagues reported that 15% of members calling to request services from a university-based managed mental health care organization did not attend an initial visit within 90 days (Zivin, et al, 2009). Our previous research in a small sample of health plan members found that almost 25% of adults calling to request psychotherapy for depression did not attend an initial visit (Simon & Ludman, 2010). …”

mentioning

confidence: 99%

Early Dropout from Psychotherapy for Depression with Group- and Network-model Therapists

Simon

Ding

Hubbard

et al. 2011

Adm Policy Ment Health

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Administrative data were used to examine early dropout among 16,451 health plan members calling to request psychotherapy for depression. Compared to members referred to group-model therapists, those referred to network-model therapists were more likely to drop out before the initial visit (OR 2.33, 95% CI 2.17 – 2.50) but less likely to drop out after the first visit (OR 0.45, 95% CI 0.43 – 0.48). These differences were unaffected by adjustment for neighborhood income and educational attainment, antidepressant use, or generosity of insurance coverage. Efforts to increase the effectiveness of psychotherapy may required different strategies in group- and network-model practice.

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Predictors of Early Dropout From Psychotherapy for Depression in Community Practice

Cited by 55 publications

References 27 publications

A controlled examination of two coping skills for daily alcohol use and PTSD symptom severity among dually diagnosed individuals

A controlled examination of two coping skills for daily alcohol use and PTSD symptom severity among dually diagnosed individuals

Text messaging as an adjunct to CBT in low-income populations: A usability and feasibility pilot study.

Early Dropout from Psychotherapy for Depression with Group- and Network-model Therapists

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