Altmann, Uwe and Wittmann, Werner W. and Steffanowski, Andres and von Heymann, Friedrich and Bruckmayer, Ellen and Pfaffinger, Irmgard and Auch, Emma and Loew, Thomas and Kramer, Dietmar and Fembacher, Andrea and Steyer, Rolf and Zimmermann, Anna and Strauss, Bernhard M. (2014) Non-Completion of Insurance-Funded Outpatient Psychotherapy: Frequency, Risk Factors, Outcome. PSYCHIATRISCHE PRAXIS, 41 (6). pp. 305-312. ISSN 0303-4259, 1439-0876
Full text not available from this repository. (Request a copy)Abstract
Objective: Because premature discontinuation of psychotherapy limits the effectiveness of the interventions, in a naturalistic design we examined the prevalence, predictors, and outcome of premature discontinuation. Methods: The sample included N=584 patients with various mental disorders. Risk factors were identified using regression analysis. As outcome Patient Health Questionnaire scales were considered. We compared pre and post averages as well as post averages of premature discontinuation versus regular termination. Results: Risk factors were: female and/or unemployed patient, low patient and/or therapist ratings regarding therapy success, and extraordinarily high therapist ratings of the therapeutic alliance. Despite premature discontinuation we found significant reductions of depression, anxiety, somatic symptoms, and stress (ES=0.30,., 0.44). Compared to regular termination though, patients with premature discontinuation were more impaired at last measurement (ES=0.17,., 0.37). Conclusion: Not each premature discontinuation is a psychotherapeutic failure. Warning signals for looming premature discontinuation are low ratings of therapy success while psychotherapeutic treatment.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | MENTAL-HEALTH; METAANALYSIS; DROPOUT; UNEMPLOYMENT; ALLIANCE; QUALITY; THERAPY; PATIENT; outpatient psychotherapy; therapy failure; non-completion; risk factors; fair comparisons of adjusted means |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Abteilung für Psychosomatische Medizin |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 27 Aug 2019 11:51 |
| Last Modified: | 27 Aug 2019 11:51 |
| URI: | https://pred.uni-regensburg.de/id/eprint/9627 |
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