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Predictors and moderators of treatment dropout in cognitive-behavioral and psychodynamic therapies for panic disorder.

Author: BarberJacques P, ChamblessDianne L, KeefeJohn R, MilrodBarbara L

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Randomized Controlled TrialA clinical trial that randomly assigns participants to treatment and control groups to evaluate the effects of an intervention.
Research Support, N.I.H., ExtramuralResearch funding provided by the NIH to external research institutions and researchers.

Overview

<b>Introduction:</b> Panic disorder patients who drop out of treatment typically do not remit from their disorder. How patient-level moderators influence dropping out of one panic-focused treatment over another has never been examined, nor in non-CBT treatments. <b>Method:</b> 200 patients with panic disorder with or without agoraphobia were randomized to receive cognitive-behavioral therapy (CBT), panic-focused psychodynamic psychotherapy (PFPP), or applied relaxation training (ART) across two sites. Therapy was twice a week for 12 weeks. A two-step variable search method was applied to identify potential prognostic predictors and moderators of patient dropout. Survival models predicting hazard of session-by-session dropout tested the resulting variables. <b>Results:</b> Across treatments, unemployment and higher psychosocial disability on the Sheehan Disability Scale predicted increased risk of dropout, while patients with higher anxiety sensitivity were more likely to complete treatment. Patients who reported experiencing childhood abuse had heightened dropout in ART, but not CBT or PFPP. Men were especially likely to complete PFPP. Session 2 expectancies and patient-rated alliance predicted lower dropout only in CBT. <b>Conclusions:</b> Patient-level factors may influence both whether patients will complete any treatment, and whether they continue in a particular panic-focused therapy. Moderators of dropout (e.g., abuse history) may inform treatment decisions for specific patients.<b>Trial registration:</b> ClinicalTrials.gov identifier: NCT00353470.
Paper Details　
Original Abstract of the Article :
<b>Introduction:</b> Panic disorder patients who drop out of treatment typically do not remit from their disorder. How patient-level moderators influence dropping out of one panic-focused treatment over another has never been examined, nor in non-CBT treatments. <b>Method:</b> 200 patients with pan...See full text at original site
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引用元：
https://doi.org/10.1080/10503307.2020.1784487

データ提供：米国国立医学図書館（NLM）

Predicting Treatment Dropout in Panic Disorder: Navigating the Desert of Mental Health

Panic disorder, a debilitating anxiety disorder, can feel like a relentless desert storm, overwhelming individuals with intense fear and anxiety. This research delves into the complex factors that influence treatment dropout in panic disorder, aiming to understand the challenges patients face in navigating their journey to recovery.

The researchers, acting as experienced desert guides, conducted a randomized controlled trial to investigate predictors and moderators of treatment dropout in different types of therapy for panic disorder. They discovered that factors such as unemployment, psychosocial disability, and childhood abuse can influence treatment adherence.

The study's findings highlight the importance of addressing individual needs and tailoring treatment approaches to minimize dropout rates in panic disorder.

Understanding the Landscape: Factors Influencing Dropout

The study's results provide valuable insights into the factors that can increase the risk of treatment dropout in panic disorder. The researchers identified specific factors, such as unemployment and psychosocial disability, that can hinder a patient's ability to engage in therapy.

Creating a Supportive Oasis: Addressing Individual Needs

This research emphasizes the importance of creating a supportive environment for individuals with panic disorder. By understanding the factors that influence treatment adherence, healthcare providers can develop strategies to address these challenges and enhance the likelihood of successful treatment.

Dr. Camel's Conclusion

In the vast and challenging desert of panic disorder, understanding the factors that influence treatment dropout is crucial for guiding patients toward a path of recovery. By recognizing the unique needs and challenges of each individual, we can create a more supportive and effective therapeutic oasis.

Date :
  1. Date Completed 2021-05-21
  2. Date Revised 2021-05-21
Further Info :

Pubmed ID

32584211

DOI: Digital Object Identifier

10.1080/10503307.2020.1784487

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Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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