'I Just Stopped Going': A Mixed Methods Investigation Into Types of Therapy Dropout in Adolescents With Depression

Frontiers in Psychology
Sally O'KeeffeNick Midgley

Abstract

What does it mean to 'drop out' of therapy? Many definitions of 'dropout' have been proposed, but the most widely accepted is the client ending treatment without agreement of their therapist. However, this is in some ways an external criterion that does not take into account the client's experience of therapy, or reasons for ending it prematurely. This study aimed to identify whether there were more meaningful categories of dropout than the existing dropout definition, and to test whether this refined categorization of dropout was associated with clinical outcomes. This mixed-methods study used a subset of data from the IMPACT trial, which investigated psychological therapies for adolescent depression. Adolescents were randomly allocated to a treatment arm (Brief Psychosocial Intervention; Cognitive-Behavioral Therapy; Short-Term Psychoanalytic Psychotherapy). The sample for this study comprised 99 adolescents, aged 11-17 years. Thirty-two were classified as having dropped out of treatment and participated in post-therapy qualitative interviews about their experiences of therapy. For 26 dropout cases, the therapist was also interviewed. Sixty-seven cases classified as having completed treatment were included to compare their ou...Continue Reading

References

May 1, 1994·Journal of the American Academy of Child and Adolescent Psychiatry·A E KazdinT C Siegel
Feb 1, 1997·Journal of Abnormal Child Psychology·C R Reynolds, B O Richmond
Dec 31, 1997·Journal of Child Psychology and Psychiatry, and Allied Disciplines·A E KazdinS Breton
Aug 17, 2000·The British Journal of Psychiatry : the Journal of Mental Science·M E GarraldaI Higginson
Oct 5, 2002·Journal of the American Academy of Child and Adolescent Psychiatry·Diane BamberIan M Goodyer
Jun 28, 2003·The British Journal of Clinical Psychology·Jane CahillNorman Macaskill
Aug 19, 2004·JAMA : the Journal of the American Medical Association·John MarchUNKNOWN Treatment for Adolescents With Depression Study (TADS) Team
Jun 30, 2005·Clinical Child and Family Psychology Review·Matthew K Nock, Caitlin Ferriter
Sep 12, 2006·Community Mental Health Journal·Jack StevensJohn Hayes
Jan 11, 2007·Journal of Clinical Psychology·Björn PhilipsJohan Schubert
Feb 23, 2007·Psychology and Psychotherapy·David RoeShmuel Fennig
Apr 26, 2007·Journal of Clinical Psychology·Arturo BadosCarmina Saldaña
Oct 6, 2010·Psychological Assessment·Ioanna VrouvaTrudie Roussow
Oct 27, 2010·Administration and Policy in Mental Health·Araceli GonzalezJoseph L Woolston
Sep 1, 2009·Psychotherapy·Joshua K SwiftJason C Levine
Jun 8, 2013·Clinical Psychology Review·Anna M de HaanRobert R J M Vermeiren
Jul 24, 2013·Journal of Counseling Psychology·Kerry Gibson, Claire Cartwright
Feb 1, 2015·Journal of Anxiety Disorders·Gro Janne H WergelandEinar R Heiervang
Aug 25, 2015·Journal of Consulting and Clinical Psychology·Ephrem FernandezNirvana Ramtahal
Mar 25, 2016·Evaluation and Program Planning·Habibolah KhazaiePatrick Weaver
May 28, 2016·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Silje M Ormhaug, Tine K Jensen
Jul 29, 2017·Clinical Psychology & Psychotherapy·Helen ChengMiranda Wolpert
Nov 1, 2017·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Sally O'KeeffeNick Midgley
May 1, 2012·Child and Adolescent Mental Health·Erin M WarnickJoseph Woolston

❮ Previous
Next ❯

Citations

May 12, 2020·International Journal of Mental Health Systems·Tonje Børseth BarcaSigne Hjelen Stige
Apr 24, 2021·Frontiers in Psychology·Julian Edbrooke-ChildsNuno Ferreira
May 6, 2021·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Holly Alice BearMiranda Wolpert
May 25, 2021·Child and Adolescent Mental Health·Bernadka DubickaLeo Kroll
Sep 22, 2021·Psychology and Psychotherapy·Georgia Tanith HerringNick Midgley
Sep 30, 2021·Clinical Psychology & Psychotherapy·Verena Semmlinger, Thomas Ehring

❮ Previous
Next ❯

Methods Mentioned

BETA
Cognitive-Behavioral Therapy
Cognitive Behavioral Therapy

Software Mentioned

IMPACT
Stata
ME

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Archives of Dermatology
S I Cullen
Psychotherapy Research : Journal of the Society for Psychotherapy Research
Sally O'KeeffeNick Midgley
Hospital & Community Psychiatry
M I Good
Seishin shinkeigaku zasshi = Psychiatria et neurologia Japonica
Jyun Ishigouoka
The International Journal of Eating Disorders
Hannah DejongUlrike Schmidt
© 2022 Meta ULC. All rights reserved