Predictors of not starting and dropping out from psychotherapy in Swedish public service settings

Nordic Psychology

Volumn 64, Issue 2, 2012, Pages 128-146

  Werbart, Andrzej ^a,b   Wang, Mo ^c  

^a STOCKHOLM UNIVERSITY   (Sweden)

^b STOCKHOLM COUNTY COUNCIL   (Sweden)

^c KAROLINSKA INSTITUTE   (Sweden)

Author keywords

Dropout; Naturalistic study; Nonstarters; Organization; Routine clinical practice; Therapy nonattendance and discontinuation

Indexed keywords

EID: 85009608403     PISSN: 19012276     EISSN: 19040016     Source Type: Journal    
DOI: 10.1080/19012276.2012.726817     Document Type: Article

References (82)

1. Affleck, D. C., & Garfield, S. L. (1961). Predictive judgments of therapists and duration of stay in psychotherapy. Journal of Clinical Psychology, 17, 134-137.
2. American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: American Psychiatric Association.
3. Baekeland, F., & Lundwall, L. (1975). Dropping out of treatment: A critical review. Psychological Bulletin, 82, 738-783.
4. Barkham, M., Stiles, W. B., Connell, J., & Mellor-Clark, J. (2012). Psychological treatment outcomes in routine NHS services: What do we mean by treatment effectiveness? Psychology and Psychotherapy: Theory, Research and Practice, 85, 1-16. DOI:10.1111/j.2044-8341.2011.02019.x (in print).
5. Barrett, M. S., Chua, W. J., Crits-Christoph, P., Gibbons, M. B., & Thompson, D. (2008). Early withdrawal from mental health treatment: Implications for psychotherapy practice. Psychotherapy: Theory, Research, Practice, Training, 45, 247-267.
6. Baruch, G., Vrouva, I., & Fearon, P. (2009). A follow-up study of characteristics of young people that dropout and continue psychotherapy: Service implications for a clinic in the community. Child and Adolescent Mental Health, 14, 69-75.
7. Berghofer, G., Schmidl, F., Rudas, S., Steiner, E., & Schmitz, M. (2002). Predictors of treatment discontinuity in outpatient mental health care. Social Psychiatry and Psychiatric Epidemiology, 37, 276-282.
8. Bjorner, J. B., Sondergaard Kristensen, T., Orth-Gomer, K., Tibblin, G., Sullivan, M., & Westerholm, P. (1996). Self-Rated Health: A useful concept in research, prevention and clinical medicine (No. 96:9). Stockholm: Swedish Council for Planning and Coordination of Research (FRN).
9. Blatt, S. J., Sanislow, C. A. III, Zuroff, D. C., & Pilkonis, P. A. (1996). Characteristics of effective therapists: Further analysis of data from the National Institute of Mental Health Treatment of Depression Collaborative Research Program. Journal of Consulting and Clinical Psychology, 64, 1276-1284.
10. Cartwright, D. S. (1955). Success in psychotherapy as a function of certain actuarial variables. Journal of Consulting Psychology, 19, 357-363.
11. Chiesa, M., Wright, M., & Neeld, R. (2003). A description of an audit cycle of early dropouts from an inpatient psychotherapy unit. Psychoanalytic Psychotherapy, 17, 138-149.
12. Clarkin, J. F., & Levy, K. N. (2004). The influence of client variables on psychotherapy. In M. J. Lambert (Ed.), Bergin and Garfield’s handbook of psychotherapy and behavior change (5th ed., pp. 194-226). New York: Wiley.
13. Claus, R. E., & Kindleberger, L. R. (2002). Engaging substance abusers after centralized assessment: Predictors of treatment entry and dropout. Journal of Psychoactive Drugs, 34, 25-31.
14. Crits-Christoph, P., Baranackie, K., Kurcias, J. S., Beck, A. T., Carroll, K., Perry, K., Zitrin, C. (1991). Metaanalysis of therapist effects in psychotherapy outcome studies. Psychotherapy Research, vol i, 81 -91.
15. Defife, J. A., Conklin, C. Z., Smith, J. M., & Poole, J. (2010). Psychotherapy appointment no-shows: Rates and reasons. Psychotherapy: Theory, Research, Practice, Training, 47, 413-417.
16. Derogatis, L. R. (1994). Symptom Checklist-90-R: Administration, Scoring and Procedures Manual (3rd ed., revised). Minneapolis: National Computer Systems.
17. Derogatis, L. R., Rickels, K., & Rock, A. F. (1976). The SCL-90 and the MMPI: A step in the validation of a new self-report scale. British Journal of Psychiatry, 128, 280-289.
18. Frances, A., & Clarkin, J. F. (1981). No treatment as the prescription of choice. Archives of General Psychiatry, 38, 542-545.
19. Fridell, M., Cesarec, Z., Johansson, M., & Malling Thorsen, S. (2002). Svensk normering, standardisering och validering av symtomskalan SCL-90 [Swedish norms, standardisation, and validation of the symptom scale SCL-90]. Vastervik, Sweden: National Board of Institutional Care (SiS).
20. Frisch, M. B., Clark, M. P., Rouse, S. V., Rudd, M. D., Paweleck, J. K., Greenstone, A., & Kopplin, D. A. (2005). Predictive and treatment validity of life satisfaction and the quality of life inventory. Assessment, 12,66-78.
21. Frisch, M. B., Cornell, J., Villanueva, M., & Retzlaff, P. J. (1992). Clinical validation of the quality of life inventory: A measure of life satisfaction for use in treatment planning and outcome assessment. Psychological Assessment, 4, 92 -101.
22. Gelso, C. J., & Carter, J. A. (1994). Components of the psychotherapy relationship: Their interaction and unfolding during treatment. Journal of Counseling Psychology, 4i, 296-306.
23. Greenspan, M., & Mann Kulish, N. (1985). Factors in premature termination in long-term psychotherapy. Psychotherapy: Theory, Research, Practice, Training, 22, 75-83.
24. Hamilton, M., Wininger, L., & Roose, S. P. (2009). Dropout rate of training cases: Who and when. Journal of the American Psychoanalytic Association, 57, 695-702.
25. Hatchett, G. T., & Park, H. L. (2003). Comparison of four operational definitions of premature termination. Psychotherapy: Theory, Research, Practice, Training, 40, 226-231.
26. Hilsenroth, M. J., & Cromer, T. D. (2007). Practice review: Clinician interventions related to alliance during the initial interview and psychological assessment. Psychotherapy: Theory, Research, Practice, Training, 44, 205-218.
27. Issakidis, C., & Andrews, G. (2004). Pretreatment attrition and dropout in an outpatient clinic for anxiety disorders. Acta Psychiatrica Scandinavica, 109, 426-433.
28. Jackson, K. R., Booth, P. G., Mcguire, J., & Salmon, P. (2006). Predictors of starting and remaining in treatment at a specialist alcohol clinic. Journal of Substance Use, 11, 89-100.
29. Johansson, H., & Eklund, M. (2006). Helping alliance and early dropout from psychiatric out-patient care: The influence of patient factor. Social Psychiatry and Psychiatric Epidemiology, 41, 140-147.
30. Jolliffe, I. T. (1989). Rotation of ill-defined principal components. Journal of the Royal Statistical Society, 38, 139-147.
31. Jolliffe, I. T. (2002). Principal component analysis. New York: Springer.
32. Kazdin, A. E. (2008). Evidence-based treatment and practice: New opportunities to bridge clinical research and practice, enhance the knowledge base, and improve patient care. American Psychologist, 63,146-159.
33. Kazdin, A. E., & Mazurick, J. L. (1994). Dropping out of child psychotherapy: Distinguishing early and late dropouts over the course of treatment. Journal of Consulting and Clinical Psychology, 62, 1069-1075.
34. Kendall, P. C. (1998). Empirically supported psychological therapies. Journal of Consulting and Clinical Psychology, 66, 3-6.
35. Killaspy, H., Banerjee, S., King, M., & Lloyd, M. (2000). Prospective controlled study of psychiatric out-patient non-attendance: Characteristics and outcome. British Journal of Psychiatry, 176, 160-165.
36. Klein, E. B., Stone, W. N., Hicks, M. W., & Pritchard, I. L. (2003). Understanding dropouts. Journal of Mental Health Counseling, 25, 89-100.
37. Kraus, D. R., Castonguay, L., Boswell, J. F., Nordberg, S. S., & Hayes, J. A. (2011). Therapist effectiveness: Implications for accountability and patient care. Psychotherapy Research, 21, 267-276.
38. Lambert, M. J., Whipple, J. L., Smart, D. W., Vermeersch, D. A., Nielsen, S. L., & Hawkins, E. J. (2001). The effects of providing therapists with feedback on patient progress during psychotherapy: Are outcomes enhanced? Psychotherapy Research, 11, 49-68.
39. Lazaratou, H., Anagnostopoulos, D. C., Vlassopoulos, M., Tzavara, C., & Zelios, G. (2006). Treatment compliance and early termination of therapy: A comparative study. Psychotherapy and Psychosomatics, 75, 113-121.
40. Luborsky, L., Barber, J., Siqueland, L., Johnson, S., Najavits, L. M., Frank, A., & Daley, D. (1996). The revised Helping Alliance Questionnaire (HAq-II): Psychometric proprieties. Journal of Psychotherapy Practice and Research, 5, 260-271.
41. Luborsky, L., McLellan, A. T., Diguer, L., Woody, G., & Seligman, D. A. (1997). The psychotherapist matters: Comparison of outcomes across twenty-two therapists and seven patient samples. Clinical Psychology: Science and Practice, 4, 53-65.
42. Mahon, J., Bradley, S. N., Harvey, P. K., Winston, A. P., & Palmer, R. L. (2001). Childhood trauma has dose-effect relationship with dropping out from psychotherapeutic treatment for bulimia nervosa: A replication. International Journal of Eating Disorders, 30, 138-148.
43. McCabe, K. M. (2002). Factors that predict premature termination among Mexican-American children in outpatient psychotherapy. Journal of Child and Family Studies, 11, 347-359.
44. McKellar, J., Kelly, J., Harris, A., & Moos, R. (2006). Pretreatment and during treatment risk factors for dropout among patients with substance use disorders. Addictive Behaviors, 31, 450-460.
45. McMuran, M., Huband, N., & Overton, E. (2010). Non-completion of personality disorder treatments: A systematic review of correlates, consequences, and interventions. Clinical Psychology Review, 30, 277-287.
46. McNair, R. R., & Corazzini, J. G. (1994). Client factors influencing group therapy dropout. Psychotherapy: Theory, Research, Practice, Training, 31, 352-362.
47. Meresman, J. F., Horowitz, L. M., & Bein, E. (1995). Treatment assignment, dropout, and outcome of depressed patients who somaticize. Psychotherapy Research, 5, 245-257.
48. Messer, S. B., & Wampold, B. E. (2002). Let’s face facts: Common factors are more potent than specific therapy ingredients. Clinical Psychology: Science and Practice, 9, 18-22.
49. Mohr, D. C., Hart, S. L., Howard, I., Julian, L., Vella, L., Catledge, C., & Feldman, M. D. (2006). Barriers to psychotherapy among depressed and nondepressed primary care patients. Annals of Behavioral Medicine, 32, 254-258.
50. Morlino, M., Martucci, G., Musella, V., Bolzan, M., & De Girolamo, G. (1995). Patients dropping out of treatment in Italy. Acta Psychiatrica Scandinavica, 92, 1 -6.
51. Mueller, M., & Pekarik, G. (2000). Treatment duration prediction: Client accuracy and its relationship to dropout, outcome, and satisfaction. Psychotherapy: Theory, Research, Practice, Training, 37, 117-123.
52. Nilsson, P., & Orth-Gomer, K. (Eds.). (2000). Self-rated health in European perspective (No. 2000:2). Stockholm: Swedish Council for Planning and Coordination of Research (FRN).
53. Norcross, J. C., & Wampold, B. E. (2011). Evidence-based therapy relationships: Research conclusions and clinical practices. Psychotherapy: Theory, Research, Practice, Training, 48, 98-102.
54. O’Brien, A., Fahmy, R., & Singh, S. W. (2009). Disengagement from mental health services: A literature review. Social Psychiatry and Psychiatric Epidemiology, 44, 558-568.
55. Ogrodniczuk, J. S., Joyce, A. S., & Piper, W. E. (2005). Strategies for reducing patient-initiated premature termination of psychotherapy. Harvard Review of Psychiatry, 13, 57-70.
56. Paivio, S. C., & Bahr, L. M. (1998). Interpersonal problems, working alliance, and outcome in short-term experiential therapy. Psychotherapy Research, 8, 392-407.
57. Pekarik, G. (1983). Improvement in clients who have given different reasons for dropping out of treatment. Journal of Clinical Psychology, 39, 909-913.
58. Pekarik, G. (1985). The effects of employing different termination classification criterion in dropout research. Psychotherapy: Theory, Research, Practice, Training, 22, 86-91.
59. Pekarik, G. (1992). Relationship of clients’ reasons for dropping out of treatment to outcome and satisfaction. Journal of Clinical Psychology, 48, 91 -98.
60. Perry, J. C., Bond, M., & Roy, C. (2007). Predictors of treatment duration and retention in a study of long-term dynamic psychotherapy: Childhood adversity, adult personality, and diagnosis. Journal of Psychiatric Practice, 13, 221 -232.
61. Piper, W. E., Joyce, A. S., Rosie, J. S., Ogrodniczuk, J. S., McCallum, M., & O’ Kelly, J. G. (1999). Prediction of dropping out in time-limited, interpretive individual psychotherapy. Psychotherapy, 36, 114-122.
62. Prochaska, J. M., Prochaska, J. O., & Levesque, D. A. (2001). A transtheoretical approach to changing organizations. Administration and Policy in Mental Health, 28, 247-261.
63. Puchner, B., Bauer, S., Horowitz, L. M., & Kordy, H. (2005). The relationship between interpersonal problems and the helping alliance. Journal of Clinical Psychology, 6i, 415-429.
64. Reis, B. F., & Brown, L. G. (1999). Reducing psychotherapy dropouts: Maximizing perspective convergence in the psychotherapy dyad. Psychotherapy: Theory, Research, Practice, Training, 36, 123-136.
65. Reis, B. F., & Brown, L. G. (2006). Preventing therapy dropout in the real world: The clinical utility of videotape preparation and client estimate of treatment duration. Professional Psychology: Research and Practice, 37, 311-316.
66. Reitzel, L. R., Stellrecht, N. E., Gordon, K. H., Lima, E. N., Wingate, L. R., Brown, J. S., Wolfe, A. S., Zenoz, L. M., & Joiner, T. E. Jr (2006). Does time between application and case assignment predict therapy attendance or premature termination in outpatients? Psychological Services, 3, 51-60.
67. Richmond, R. (1992). Discriminating variables among psychotherapy dropouts from a psychological training clinic. Professional Psychology: Research and Practice, 23, 123-130.
68. Roth, A., & Fonagy, P. (2005). What works for whom? A critical review of psychotherapy research (2nd ed.). New York, NY: Guilford Press.
69. Rubenstein, E. A., & Lorr, M. (1956). A comparison of terminators and remainers in outpatient psychotherapy. Journal of Clinical Psychology, 12, 345-349.
70. Safran, J. D., Muran, J. C., Samstag, L. W., & Stevens, C. (2001). Repairing alliance ruptures. Psychotherapy: Theory, Research, Practice, Training, 38, 406-412.
71. Salta, L., & Buick, W. P. (1989). Impact of organizational change on the intake, referral and treatment of outpatients at a community mental health center. Journal of Behavioral Health Services and Research, 16, 71 -79.
72. Shamir, D., Szor, H., & Melamed, Y. (2010). Dropout, early termination and detachment from a public psychiatric clinic. Psychiatria Danubina, 22, 46-50.
73. Sharf, J., Primavera, L. H., & Diener, M. J. (2010). Dropout and therapeutic alliance: A meta-analysis of adult individual psychotherapy. Psychotherapy: Theory, Research, Practice, Training, 47, 637-645.
74. Staines, G. L. (2008). The relative efficacy of psychotherapy: Reassessing the methods-based paradigm. Review of General Psychology, 12, 330-343.
75. Stiles, W. B., Barkham, M., Mellor-Clark, J., & Connell, J. (2008). Effectiveness of cognitive-behavioural, personcentred, and psychodynamic therapies in UK primary care routine practice: Replication in a larger sample. Psychological Medicine, 38, 677-688.
76. Stiles, W. B., Barkham, M., Twigg, E., Mellor-Clark, J., & Cooper, M. (2006). Effectiveness of cognitive-behavioural, person-centred and psychodynamic therapies as practised in UK National Health Service settings. Psychological Medicine, 36, 555-566.
77. Swett, C., & Noones, J. (1989). Factors associated with premature termination from outpatient treatment. Hospital and Community Psychiatry, 40, 947-951.
78. Swift, J. K., & Callahan, J. L. (2011). Decreasing treatment dropout by addressing expectations for treatment length. Psychotherapy Research, 21, 193-200.
79. Thormahlen, B., Weinryb, R. M., Noræn, K., Vinnars, B., Bagedahl-Strindlund, M., & Barber, J. P. (2003). Patient factors predicting dropout from supportive-expressive psychotherapy for patients with personality disorders. Psychotherapy Research, 13,493-509.
80. Wampold, B. E., & Brown, G. S. (2005). Estimating variability in outcomes attributable to therapists: A naturalistic study of outcomes in managed care. Journal of Consulting and Clinical Psychology, 73, 914-923.
81. Wierzbicki, M., & Pekarik, G. (1993). A meta-analysis of psychotherapy dropout. Professional Psychology: Research and Practice, 24, 190-195.
82. Young, A. S., Grusky, O., Jordan, D., & Belin, T. R. (2000). Routine outcome monitoring in a public mental health system: The impact of patients who leave care. Psychiatric Services, 51, 85-91