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Author : Ann Marie Saver
Publisher :
ISBN 13 :
Total Pages : 296 pages
Book Rating : 4.:/5 (156 download)
Download or read book The Prediction of Psychotherapy Dropout Using Select Client Variables written by Ann Marie Saver and published by . This book was released on 1986 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Russell G. Taylor
Publisher :
ISBN 13 :
Total Pages : 382 pages
Book Rating : 4.:/5 (328 download)
Download or read book An Analysis of Variables Related to Client Dropout from Psychotherapy in a Community Mental Health Setting written by Russell G. Taylor and published by . This book was released on 1994 with total page 382 pages. Available in PDF, EPUB and Kindle. Book excerpt: The records of 191 clients who received outpatient therapy at a community mental health center were analyzed to investigate the relationship between selected client and organizational variables and dropout. This study also examined the relationship between these same variables and point of dropout. A multivariate analysis was conducted to determine the relationship between all variables and dropout. This logit analysis revealed that three variables significantly influenced log odds for the prediction of dropping out when other variables were held constant: Educational Level by a factor of.0827 (p $
Author : Marissa Jean Mendoza
Publisher :
ISBN 13 : 9781369061161
Total Pages : 46 pages
Book Rating : 4.0/5 (611 download)
Download or read book Client Dropout from Psychotherapy written by Marissa Jean Mendoza and published by . This book was released on 2016 with total page 46 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this thesis, the purpose of the first study is to further aggregate data on major depressive disorder (MDD) and dropout from treatment as it is among the most common diagnoses reported in clinical settings and one that is treatment dropout. A mean weighted Cohen's d was calculated and found a small effect size of 0.20 among 10 studies. The purpose of the second study was to explore whether certain diagnoses associate with dropout from psychotherapy in mental health facilities throughout the state of Texas. Rather than directly sampling patients/clients, this study assessed dropout data via clinician report at these agencies. In other words, dropout is examined from the perspective of the treatment providers rather than the clients. No previous study has undertaken this kind of survey on such an extensive scale. Descriptive analyses revealed that during treatment and follow-up had the most instances of dropout. Chi-squared analyses revealed that mood and behavioral disorders were highly related to dropout, as well as age and sex.
Author : Jason Juijen Yu
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (779 download)
Download or read book Predicting Psychotherapy Client Dropout from In-treatment Client-reported Outcome written by Jason Juijen Yu and published by . This book was released on 2012 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Treatment dropout is a pervasive phenomenon that can preclude clients from benefiting fully from psychotherapy. Research efforts to understand the phenomenon in the preceding decades yielded few consistent results. The investigation of intrinsic client and therapist factors gave way to the more recent exploration of dynamic therapeutic process factors potentially influencing the dropout process. The availability of periodic treatment outcome measurement instruments has helped client-focused research explore the effects of treatment response as a process factor on aspects of psychotherapy. As an added benefit, real-time treatment response measures, such as the Outcome Questionnaire, offer the possibility of timely adjustment in clinical intervention to meet evolving client needs and enhance therapeutic treatment. This present study primarily sought to explore the relationship between psychotherapy dropout and treatment response patterns in terms of clients' psychosocial well-being as measured by the Outcome Questionnaire. The results suggest that treatment response patterns alone may not effectively predict dropout probabilities. Even so, the measure's sub-component assessing the client's subjective experience of symptom distress is shown to be more accurate in predicting dropout than the composite Outcome Questionnaire measure or any other component scale. This finding conceivably highlights the relative importance of symptom distress in the dropout process for the sampled clients. Those clients reporting higher levels of symptom distress appeared to be associated with greater probabilities of dropout termination. Additionally, prior research has recognized a likely mediated relationship between higher client educational attainment and lower dropout probabilities - a trend also observed in this study's sampled population. As one of its expressed intents, this study examined educational attainment's moderating effect on the relationship between aspects of client treatment response and dropout probabilities. While showing educational attainment to be a relevant factor in assessing dropout risks, the analysis results indicate that this client characteristic variable's interactional effect on the evaluated treatment response pattern feature is weak and statistically nonsignificant. The present study contributes to the research literature through providing some clarification to the importance of treatment response in the prediction of psychotherapy client dropout.
Author : Sebastian Mounetou
Publisher :
ISBN 13 : 9781369061154
Total Pages : 46 pages
Book Rating : 4.0/5 (611 download)
Download or read book Psychotherapy Dropout and Process Variables written by Sebastian Mounetou and published by . This book was released on 2016 with total page 46 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dropout from psychotherapy is a concerning issue in the field. This study uses the Pekarik (1992) definition, which means that dropout is a unilateral decision by the client to abandon therapy against the counsel of the therapist. Viewing dropout and its associations with Readiness/Motivation, Psychological Mindedness and Therapeutic Alliance may help understand why the rates are so high. Using a 3 items of an online survey, this study analyses the reported intensity and timing of dropout from mental health facilities across Texas. The second part of this study was a mini-meta analysis used to interpret the association between Therapeutic Alliance and dropout in the current literature. Study 1 found that the three factors were significantly associated with each other specifically that the factors were reported being Low when dropping out. The analysis viewing the factors and their timing of dropout did not find any significant results but did show promising tendencies for future research. The mini-meta analysis was not significant but showed a mean weighted effect size of d = -.16. The effect size is in the opposite direction, showing that those who dropped out had more therapeutic alliance. Future studies would be needed to delve deeper into the literature and find more significant results.
Author : Henry Xiao
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (943 download)
Download or read book Predicting Dropout from Psychotherapy in Campus Clinics written by Henry Xiao and published by . This book was released on 2015 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Premature termination, or dropout, from psychotherapy has been a pervasive problem for many decades. It can especially a problem at the university counseling center, where there is increased demand for a variety of psychotherapy services at campus centers which can be underfunded. At these centers, a dropout represents an opportunity cost with impacts at the client, therapist, and administrative level where it is most prohibitive. While several predictive factors for dropout have been identified from previous research studies, the current study aims to examine potential predictors using a very large (n=23,144 clients in the final presented model), representative data-set gathered through a practice research network, the Center for Collegiate Mental Health (CCMH), for an in-depth analysis of a specific treatment setting. Using multiple logistic regression, previously empirically validated variables are examined along with clinically derived variables specific to the college counseling demographic, and predictive models for dropout models are presented using these variables available at intake.
Author :
Publisher :
ISBN 13 :
Total Pages : 676 pages
Book Rating : 4.F/5 ( download)
Download or read book Dissertation Abstracts International written by and published by . This book was released on 1996 with total page 676 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Rebecca MacNair-Semands
Publisher : Taylor & Francis
ISBN 13 : 1000893022
Total Pages : 316 pages
Book Rating : 4.0/5 (8 download)
Download or read book Group Psychotherapy Assessment and Practice written by Rebecca MacNair-Semands and published by Taylor & Francis. This book was released on 2023-06-23 with total page 316 pages. Available in PDF, EPUB and Kindle. Book excerpt: Group Psychotherapy Assessment and Practice is the definitive guide to assessment in group therapy, offering the reader a means to understand and implement group therapy screening, process, and outcome tools. Geared to group psychotherapists as well as academics, this state-of-the-art text provides the reader with a framework to support and augment clinical judgment as part of routine clinical practice. It demonstrates how utilizing measurement-based care collaboratively with clients can help maximize therapeutic processes and mechanisms of change. This book shows how measures can improve the detection of client worsening and prevent premature dropout – two factors that contribute greatly to our duty to client care. Leading experts in the field provide examples of new measures that can enhance multicultural training and group leader cultural sensitivity, illustrating how awareness of diversity can enhance clinical practice and provide more contextually responsive treatment. Examples of cross-cultural adaptations of measurement are also included that place group therapy assessment within an international framework. This modern guide provides practical tools such as handouts, measures to aid in member selection, and methods of tracking progress and outcome to strengthen the group leader’s effectiveness.
Author : Karen Sue Kamerschen
Publisher :
ISBN 13 :
Total Pages : 200 pages
Book Rating : 4.3/5 (129 download)
Download or read book Inter-judge Reliabilities and Selected Client-therapist Variables: a Content Analysis of Initial Psychotherapeutic Interviews written by Karen Sue Kamerschen and published by . This book was released on 1965 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Timothy R. Hughes
Publisher :
ISBN 13 :
Total Pages : 104 pages
Book Rating : 4.:/5 (165 download)
Download or read book The Association Between the Client's Perception of the Therapist's Empathy and Therapy Dropout Rates--including Other Client Variables written by Timothy R. Hughes and published by . This book was released on 1986 with total page 104 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Robert W. Landry
Publisher :
ISBN 13 :
Total Pages : 169 pages
Book Rating : 4.:/5 (833 download)
Download or read book Client-therapist Interpersonal Variables and Premature Termination During the Early Stage of Psychotherapy written by Robert W. Landry and published by . This book was released on 1998 with total page 169 pages. Available in PDF, EPUB and Kindle. Book excerpt: Upwards of 35% of all clients at community clinics drop out of psychotherapy. The highest rate of attrition occurs after the first session. High rates of termination typically continue through the third or fourth sessions. This period is associated with the formation of the therapeutic alliance. This study attempts to predict which client-therapist dyads are likely to terminate prematurely using short paper and pencil instruments administered to clients and therapists before and after the first session. I divided the therapy dyads into three groups: Early premature terminators attending one session, late premature terminators attended between two and four sessions, and continuers attended five or more sessions. I drew the sample from a community mental health training clinic. Sixty-eight dyads participated in the study. Thirty-five dyads provided complete data sets. I assessed interpersonal variables with the INTREX short form questionnaires based on the Structural Analysis of Social Behavior (SASB). Clients and therapists completed the introject forms before the first session. After the first session, the clients and therapists rated each other's interpersonal behavior on the relationship forms. I hypothesized that hostility non-autonomous behavior, excessive focus on the therapist, non-complementary interactions, and conflicted patterns of communication would predict premature termination. The results showed that hostility, autonomous behavior and excessive focus on the therapist predicted premature termination. A discriminant analysis using the INTREX variables was able to correctly classify 85.7% of the dyads. A discriminant analysis using the pre-session INTREX variables was able to correctly classify 83.0% of the first session terminators versus those attending two or more sessions.
Author : Omar C.G. Gelo
Publisher : Springer
ISBN 13 : 3709113822
Total Pages : 640 pages
Book Rating : 4.7/5 (91 download)
Download or read book Psychotherapy Research written by Omar C.G. Gelo and published by Springer. This book was released on 2014-12-24 with total page 640 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides readers with essential information on the foundations of psychotherapy research, and on its applications to the study of both psychotherapy process and outcome. The aim is to stimulate a reflection on these issues in a way that will benefit researchers and clinicians, as well as undergraduate and graduate students, at different levels and from different perspectives. Accordingly, the book presents a balanced mix of chapters summarizing the state of the art in the field from different viewpoints and covering innovative topics and perspectives, reflecting some of the most established traditions and, at the same time, emerging approaches in the field in several countries. The contributors, who were invited from among the experts in our national and international professional networks, also represent a healthy mix of leading figures and young researchers. The first part of the book addresses a number of fundamental issues in psychotherapy research at a historical, philosophical, and theoretical level. The second part of the book is concerned with research on psychotherapy processes; in this regard, both quantitative and qualitative approaches are given equal consideration in order to reflect the growing relevance of the latter. The book’s third and last part examines research on psychotherapy outcomes, primarily focusing on quantitative approaches. Offering a balanced mix of perspectives, approaches and topics, the book represents a valuable tool for anyone interested in psychotherapy research.
Author : Mary Ellen Weiss
Publisher :
ISBN 13 :
Total Pages : 100 pages
Book Rating : 4.:/5 (157 download)
Download or read book Client Variables in the Prediction of Therapeutic Response to Cognitive and Interpersonal Group Therapies for Depression written by Mary Ellen Weiss and published by . This book was released on 1986 with total page 100 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :
Publisher :
ISBN 13 :
Total Pages : 854 pages
Book Rating : 4.F/5 ( download)
Download or read book Comprehensive Dissertation Index written by and published by . This book was released on 1984 with total page 854 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Jennie Sharf
Publisher :
ISBN 13 : 9780549236702
Total Pages : 190 pages
Book Rating : 4.2/5 (367 download)
Download or read book Psychotherapy Dropout written by Jennie Sharf and published by . This book was released on 2007 with total page 190 pages. Available in PDF, EPUB and Kindle. Book excerpt: The primary goal of this study was to provide an updated meta-analytic review of the psychotherapy dropout literature in a methodologically rigorous fashion. In addition to analyzing research that had not yet been included in a meta-analytical review of premature termination, this study analyzed variables that were not examined in the most recent meta-analysis of premature termination (Wierzbicki & Pekarik, 1993). The meta-analysis was conducted using 73 studies published from 1990 to 2006. Study descriptor variables and empirical findings were coded, and effect size was calculated using Cohen's d (Cohen, 1988). Data were analyzed according to Shadish and Haddock (1994) and Hedges and Olkin (1985). Moderator analyses were conducted to examine the potential impact of study descriptor variables according to Hedges (1994). Therapeutic alliance, treatment expectations, patient motivation, patient self-efficacy, patient hostility, and patient impulsivity were found to be moderately strong predictors of premature termination. Patient psychological variables (symptom severity and diagnosis), therapy and therapist variables (treatment length, treatment type, and therapist training), were less strongly related to premature termination, consistent with previous reviews of psychotherapy dropout literature. Simple patient demographic variables (age, gender, marital status, and level of education) were found to be weak predictors of premature termination. An additional analysis calculated a 35.26% average dropout rate across 110 studies; average dropout rate varied significantly according to country of study, study design, and primary diagnosis. The current study did not find that dropout rate varied as a function of dropout definition. Limitations of the present meta-analysis as well as directions for future research were discussed.
Author : Nancy Louise Olthoff
Publisher :
ISBN 13 :
Total Pages : 146 pages
Book Rating : 4.:/5 (174 download)
Download or read book The Relationship Between Selected Variables of Psychotherapy Effectiveness Research and Outcome written by Nancy Louise Olthoff and published by . This book was released on 1986 with total page 146 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Joshua K. Swift
Publisher : American Psychological Association (APA)
ISBN 13 : 9781433818011
Total Pages : 0 pages
Book Rating : 4.8/5 (18 download)
Download or read book Premature Termination in Psychotherapy written by Joshua K. Swift and published by American Psychological Association (APA). This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Premature termination is a significant yet often neglected problem in psychotherapy with significant consequences for clients and therapists alike. According to some estimates, as many as 20% of adult clients terminate psychotherapy prematurely. Even experienced practitioners using the best evidence-based techniques cannot successfully promote positive, long-term change in clients who do not complete the full course of treatment. This book helps therapists and clinical researchers identify the common factors that lead to premature termination, and it presents eight strategies to address these factors and reduce client dropout rates. Such evidence-based techniques will help therapists establish proper roles and behaviors, work with client preferences, educate clients on patterns of change, and plan for appropriate termination within the first few sessions. Additional strategies can be used throughout therapy to help strengthen and reinforce clients' feelings of hope, enhance their motivation to create change, develop and maintain the therapeutic alliance, and continually evaluate overall treatment progress. Case examples demonstrate how these strategies can be employed in real-life scenarios.
