Brigham Young University, Pravo, Utah 84602, USA.
J Marital Fam Ther. 2011 Jul;37(3):333-43. doi: 10.1111/j.1752-0606.2010.00204.x. Epub 2010 Apr 28.
Dropouts are frequent in mental health care. Several client factors have been identified as dropout predictors, including ethnic minority status, race, low SES, and more severe symptoms. Research on therapist and process variables is less common, and findings are inconsistent. This study used administrative data for 434,317 patients from CIGNA Behavioral Health (CIGNA) to examine dropout rates by profession of provider, therapy modality, and DSM-IV diagnosis. Results indicate that among the providers, MFTs have the lowest dropout rates in the CIGNA network. Of the therapy modalities, individual therapy is associated with lower dropout rates than family therapy. Mood and anxiety disorders have lower dropout rates than other diagnosis categories, while schizophrenia, psychotic, and substance use disorders have the highest dropout rates.
在精神卫生保健中，患者中途退出的情况较为常见。已经确定了一些可能导致患者中途退出的因素，包括少数族裔身份、种族、低社会经济地位和更严重的症状。关于治疗师和治疗过程变量的研究则相对较少，且结果不一致。本研究使用 CIGNA 行为健康（CIGNA）的 434317 名患者的行政数据，按提供服务的专业人员、治疗方式和 DSM-IV 诊断来检查中途退出率。结果表明，在所有提供服务的人员中，婚姻和家庭治疗师的中途退出率最低。在治疗方式中，与家庭治疗相比，个体治疗的中途退出率更低。与其他诊断类别相比，心境和焦虑障碍的中途退出率更低，而精神分裂症、精神病和物质使用障碍的中途退出率最高。
