Reuter Laurence, Scheidt Carl Eduard
Zentrum für psychische Erkrankungen, Klinik für Psychosomatische Medizin und Psychotherapie, Universtitätsklinikum Freiburg im Breisgau.
Psychother Psychosom Med Psychol. 2014 Aug;64(8):297-308. doi: 10.1055/s-0034-1368730. Epub 2014 Apr 23.
This systematic review examines the frequency and possible causes of premature termination of psychotherapeutic treatments. The literature search focused on adult patients who drop-out of acute and rehabilitative inpatient psychosomatic care in Germany. The weighted average drop-out-rate of the 15 included studies was 12.5%. Young age, unemployment, inability to work, the diagnosis of an eating disorder, a somatoform disorder or a personality disorder and a low impairment at intake show a relation to a higher risk for a premature termination of the treatment. Beside these sociodemographic and clinical variables, the motivation for treatment as well as treatment expectations seem to play a role in the prediction of attrition.
本系统评价考察了心理治疗提前终止的频率及可能原因。文献检索聚焦于德国急性和康复期住院身心疾病护理中退出治疗的成年患者。纳入的15项研究的加权平均退出率为12.5%。年轻、失业、无法工作、进食障碍、躯体形式障碍或人格障碍的诊断以及入院时损伤程度低与治疗提前终止的较高风险相关。除了这些社会人口学和临床变量外，治疗动机以及治疗期望似乎在预测治疗中断方面也起作用。
