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Predictors of treatment attrition among an outpatient clinic sample of youths with clinically significant anxiety.
Gonzalez, Araceli; Weersing, V Robin; Warnick, Erin M; Scahill, Lawrence D; Woolston, Joseph L.
Afiliação
  • Gonzalez A; San Diego State University/University of California, Joint Doctoral Program in Clinical Psychology, 6363 Alvarado Court, Suite 103, San Diego, CA 92120-4913, USA. arg001@ucsd.edu
Adm Policy Ment Health ; 38(5): 356-67, 2011 Sep.
Article em En | MEDLINE | ID: mdl-20976618
Predictors of treatment attrition were examined in a sample of 197 youths (ages 5-18) with clinically-significant symptoms of anxiety seeking psychotherapy services at a community-based outpatient mental health clinic (OMHC). Two related definitions of attrition were considered: (a) clinician-rated dropout (CR), and (b) CR dropout qualified by phase of treatment (pre, early, or late phases) (PT). Across both definitions, rates of attrition in the OMHC sample were higher than those for anxious youths treated in randomized controlled trials, and comorbid depression symptoms predicted dropout, with a higher rate of depressed youths dropping out later in treatment (after 6 sessions). Using the PT definition, minority status also predicted attrition, with more African-American youths lost pre-treatment. Other demographic (age, gender, single parent status) and clinical (externalizing symptoms, anxiety severity) characteristics were not significantly associated with attrition using either definition. Implications for services for anxious youths in public service settings are discussed. Results highlight the important role of comorbid depression in the treatment of anxious youth and the potential value of targeted retention efforts for ethnic minority families early in the treatment process.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Transtornos de Ansiedade / Pacientes Desistentes do Tratamento / Transtorno Depressivo Tipo de estudo: Clinical_trials / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Child / Child, preschool / Female / Humans / Male País/Região como assunto: America do norte Idioma: En Revista: Adm Policy Ment Health Assunto da revista: PSICOLOGIA / SAUDE PUBLICA / SERVICOS DE SAUDE Ano de publicação: 2011 Tipo de documento: Article País de afiliação: Estados Unidos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Transtornos de Ansiedade / Pacientes Desistentes do Tratamento / Transtorno Depressivo Tipo de estudo: Clinical_trials / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Child / Child, preschool / Female / Humans / Male País/Região como assunto: America do norte Idioma: En Revista: Adm Policy Ment Health Assunto da revista: PSICOLOGIA / SAUDE PUBLICA / SERVICOS DE SAUDE Ano de publicação: 2011 Tipo de documento: Article País de afiliação: Estados Unidos