The Nature, Timing, and Symptom Trajectories of Dropout From Transdiagnostic and Single-Diagnosis Cognitive-Behavioral Therapy for Anxiety Disorders
| Autor: | Thomas T Kim, Kate H. Bentley, Clair Cassiello-Robbins, Sophia Sbi, Todd J. Farchione, Jacqueline R. Bullis, Maya Nauphal, Shannon Sauer-Zavala, David H. Barlow, Zachary D. Cohen, Matthew W. Gallagher |
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| Rok vydání: | 2021 |
| Předmět: |
Patient Dropouts
medicine.medical_treatment education Specific time Psychological intervention behavioral disciplines and activities Article law.invention Randomized controlled trial law health services administration mental disorders medicine Humans Attrition health care economics and organizations Dropout (neural networks) Cognitive Behavioral Therapy Multilevel model medicine.disease Anxiety Disorders Psychotherapy Cognitive behavioral therapy Clinical Psychology Treatment Outcome Anxiety medicine.symptom Psychology Clinical psychology |
| Zdroj: | Behav Ther |
| ISSN: | 0005-7894 |
| Popis: | Dropout from psychotherapy is common and can have negative effects for patients, providers, and researchers. A better understanding of when and why patients stop treatment early, as well as actionable factors contributing to dropout, has the potential to prevent it. Here, we examined dropout from a large randomized controlled trial of transdiagnostic versus single-diagnosis cognitive-behavioral treatment (CBT) for patients with anxiety disorders (n = 179; Barlow et al., 2017). We aimed to characterize the timing of and reasons for dropout and test whether participants who dropped out had different symptom trajectories than those who completed treatment. Results indicated that overall, the greatest risk of dropout was prior to the first treatment session. In single-diagnosis CBT, dropout risk was particularly elevated before the first session and after other early sessions, whereas in transdiagnostic CBT, dropout risk was low and stable before and during treatment. Participants most often dropped out due to failure to comply with study procedures or dissatisfaction with or desiring alternative treatment. Results from multilevel models showed that trajectories of anxiety symptoms did not significantly differ between dropouts and completers. These findings suggest that there may be specific time windows for targeted and timely interventions to prevent dropout from CBT. |
| Databáze: | OpenAIRE |
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