Premature Termination from Treatment among Children Referred for Antisocial Behavior

Abstract

The present study examined differences between children and families who complete treatment versus those who terminated prematurely. Children (N = 81, ages 7-13 years) referred to outpatient treatment for severe antisocial behavior and their families participated. It was predicted that families who terminate treatment prematurely would show greater dysfunction in four domains: child severity and breadth of antisocial behavior, maternal stress, maternal psychopathology, and socioeconomic disadvantage. The results indicated that among cases who terminate treatment prematurely children evinced more severe conduct disorder symptoms and more delinquent behaviors; mothers reported greater stress from their relations with the child, their own role functioning, and life events; and families were at greater socioeconomic disadvantage than those who remained in treatment. The implications of the present findings for the design and implementation of treatment of antisocial children and their families are discussed.

Interventions that target improvements in mental health for parents of children with autism spectrum disorders: A narrative review

“…Benn et al (2012) utilized a wait-list control in comparison to stress reduction and relaxation therapy, and noted that treatment and control group participants did not differ significantly at baseline. However, an analysis of parents who did not complete follow-up assessments indicated a higher baseline rate of depression, stress, and anxiety, which is common among participants who drop out of mental health interventions (Kazdin, 1990). Dykens et al (2014) chose not to use an inactive control condition by testing a two-arm intervention of mindfulness versus positive psychology.…”

Modèle de l’engagement et de l’abandon de traitement de l’adolescent avec trouble de personnalité limite

“…Les troubles externalisés, dont les troubles des conduites et l'abus de substance sont les diagnostics qui ont été les plus associés à l'abandon du traitement chez la clientèle pédopsychiatrique (Baruch, Gerber, & Fearon, 1998;Dierker et al, 2001;El-Badri & McArdle, 1998;Kaminer et al, 1992;Kazdin, 1990;Kazdin, Mazurick, & Bass, 1993;Pagnin, de Queiroz, & Saggese, 2005;. Ces résultats n'ont toutefois pas été reproduits par qui constatent au contraire que ceux présentant des troubles de comportement ont assisté à deux fois et demie plus de séances que ceux qui ne présentent pas ces symptômes.…”

“…Celle-ci n'a toutefois pas été associée de manière constante à l'abandon. Certaines études ont trouvé une corrélation positive (King et al, 1997;Siegel, Norris, & Escobar, 1994) tandis que d'autres n'ont pas trouvé d'association (Dierker et al, 2001;Kaminer et al, 1992;Kazdin, 1990).…”

A predictive model of adolescent persistence in counseling

“…Concurrent with results in adolescent attrition , premature termination in children was found to be more likely among children with more severe delinquent behaviors, conduct disorder, and externalizing behaviors (Baruch et al, 1998;Kazdin, 1990). …”

“…Although found SES and parent relationship status were not associated with continuity of treatment, several researchers have found socioeconomic disadvantage and single parent relationship status to be associated with premature termination in children (Kazdin, 1990;Prinz & Miller, 1994). Additionally, found that children who resided in a home headed by young mothers, a non-biological parent, or a single parent were more likely to terminate counseling prematurely than those with intact two parent households.…”