Anxiety Research Network, Haukeland University Hospital, Bergen, Norway; Department of Child and Adolescent Psychiatry, Haukeland University Hospital, Bergen, Norway.
Anxiety Research Network, Haukeland University Hospital, Bergen, Norway; Frambu Resource Centre for Rare Disorders, Siggerud, Norway.
J Anxiety Disord. 2015 Apr;31:1-10. doi: 10.1016/j.janxdis.2015.01.004. Epub 2015 Jan 22.
The aim was to investigate predictors of treatment dropout among 182 children (aged 8-15 years) participating in an effectiveness trial of manual-based 10-session individual and group cognitive behavior therapy (CBT) for anxiety disorders in community clinics. The dropout rate was 14.4%, with no significant difference between the two treatment conditions. We examined predictors for overall dropout (n=26), early (≤session 4, n=15), and late dropout (≥session 5, n=11). Overall dropout was predicted by low child and parent rated treatment credibility, and high parent self-rated internalizing symptoms. Low child rated treatment credibility predicted both early and late dropout. High parent self-rated internalizing symptoms predicted early dropout, whereas low parent rated treatment credibility predicted late dropout. These results highlight the importance of addressing treatment credibility, and to offer support for parents with internalizing symptoms, to help children and families remain in treatment.
目的在于调查 182 名（8-15 岁）儿童参与社区诊所基于手册的 10 节个体和小组认知行为治疗（CBT）焦虑障碍有效性试验中治疗脱落的预测因素。脱落率为 14.4%，两种治疗条件之间无显著差异。我们检查了整体脱落（n=26）、早期（≤第 4 节，n=15）和晚期（≥第 5 节，n=11）脱落的预测因素。整体脱落由儿童和父母评定的低治疗可信度和父母自我评定的高内化症状预测。儿童评定的低治疗可信度预测了早期和晚期脱落。父母自我评定的高内化症状预测了早期脱落，而父母评定的低治疗可信度预测了晚期脱落。这些结果强调了关注治疗可信度的重要性，并为有内化症状的父母提供支持，以帮助儿童和家庭继续接受治疗。
