Early Dropout from Psychotherapy for Depression with Group- and Network-model Therapists
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Administrative data were used to examine early dropout among 16,451 health plan members calling to request psychotherapy for depression. Compared to members referred to group-model therapists, those referred to network-model therapists were more likely to drop out before the initial visit (OR 2.33, 95% CI 2.17–2.50) but less likely to drop out after the first visit (OR 0.45, 95% CI 0.43–0.48). These differences were unaffected by adjustment for neighborhood income and educational attainment, antidepressant use, or generosity of insurance coverage. Efforts to increase the effectiveness of psychotherapy may required different strategies in group- and network-model practice.
- American Psychiatric Association. (2000). Practice guideline for the treatment of patients with major depressive disorder (revision). American Journal of Psychiatry, 157, s1–s45.
- Beckham, E. E. (1989). Improvement after evaluation in psychotherapy of depression: Evidence of a placebo effect? Journal of Clinical Psychology, 45(6), 945–950. CrossRef
- Bee, P. E., Bower, P., Lovell, K., Gilbody, S., Richards, D., Gask, L., et al. (2008). Psychotherapy mediated by remote communication technologies: A meta-analytic review. BMC Psychiatry, 8, 60. CrossRef
- Centorrino, F., Hernan, M., Drago-Ferrante, G., Rendall, M., Apicella, A., Langar, G., et al. (2001). Factors associated with noncompliance with psychiatric outpatient visits. Psychiatric Services, 52, 378–380. CrossRef
- Chilvers, C., Dewey, M., Fielding, K., Gretton, V., Miller, P., Weller, D., et al. (2001). Antidepressant drugs and generic counselling for treatment of major depression in primary care: Randomised trial with patient preference arms. BMJ, 322, 772–775. CrossRef
- de Mello, M., de Jesus Mari, J., Bacaltchuk, J., Verdeli, H., & Neugelbauer, R. (2005). A systematic review of research findings on the efficacy of interpersonal therapy for depressive disorders. European Archives of Psychiatry and Clinical Neuroscience, 255, 75–82. CrossRef
- Depression Guideline Panel. (1993). Clinical Practice Guideline Number 5: Depression in primary care. Rockville, MD: U.S. Dept of Health and Human Services, Agency for Health Policy and Research. AHCPR Publication No 93–0550.
- Dobson, K. (1989). A meta-analysis of the efficacy of cognitive therapy for depression. Journal of Consulting and Clinical Psychology, 57, 414–419. CrossRef
- Dwight-Johnson, M., Unutzer, J., Sherbourne, C., Tang, L., & Wells, K. (2001). Can quality improvement programs for depression in primary care address patient preferences for treatment. Medical Care, 39, 934–944. CrossRef
- Foulks, E., Persons, J., & Merkel, R. (1986). The effect of patients’ beliefs about their illness on compliance in psychotherapy. American Journal of Psychiatry, 143, 340–344.
- Gilbody, S., Bower, P., Fletcher, J., Richards, D., & Sutton, A. J. (2006). Collaborative care for depression: A cumulative meta-analysis and review of longer-term outcomes. Archives of Internal Medicine, 166(21), 2314–2321. CrossRef
- Gilbody, S., Whitty, P., Grimshaw, J., & Thomas, R. (2003). Educational and organizational interventions to improve the management of depression in primary care: A systematic review. JAMA, 289, 3145–3151. CrossRef
- Gloaguen, V., Cottraux, J., Cucherat, M., & Blackburn, I. (1998). A meta-analysis of the effects of cognitive therapy in depressed patients. Journal of Affective Disorders, 49, 59–72. CrossRef
- Horvitz-Lennon, M., Normand, S., Frank, R., & Goldman, H. (2003). “Usual care” for major depression in the 1990s: Characteristics and expert-estimated outcomes. American Journal of Psychiatry, 160, 720–726. CrossRef
- Katon, W., Rutter, C., Lin, E., Simon, G., VonKorff, M., Bush, T., et al. (2000). Are there detectable differences in quality of care or outcome of depression across primary care providers? Medical Care, 38, 552–561. CrossRef
- Kessler, R., Demier, O., Frank, R., Olfson, M., Pincus, H., Walters, E., et al. (2005). Prevalence and treatment of mental disorders: 1990 to 2003. New England Journal of Medicine, 352, 2515–2523. CrossRef
- Lutz, W., Stulz, N., & Kock, K. (2009). Patterns of early change and their relationship to outcome and follow-up among patients with major depressive disorders. Journal of Affective Disorders, 118(1–3), 60–68. CrossRef
- McFarland, B., & Klein, D. (2005). Mental health service use by patients with dysthymic disorder: Treatment use and dropout in a 7 1/2-year naturalistic follow-up study. Compr Psychiatry, 46, 246–253. CrossRef
- Mohr, D., Vella, L., Hart, S., Heckman, C., & Simon, G. (2008). The effect of telephone-administered psychotherapy on symptoms of depression and attrition: A meta-analysis. Clin Psychol Sci Pract, 15, 243–253. CrossRef
- Olfson, M., & Marcus, S. C. (2010). National trends in outpatient psychotherapy. Am J Psychiatry, 167, 1456–1463. CrossRef
- Olfson, M., Marcus, S., Druss, B., Elinson, L., Tanielian, T., & Pincus, H. (2002). National trends in the outpatient treatment of depression. JAMA, 287, 203–209. CrossRef
- Parikh, S. V., Segal, Z. V., Grigoriadis, S., Ravindran, A. V., Kennedy, S. H., Lam, R. W., et al. (2009). Canadian Network for Mood and Anxiety Treatments (CANMAT) clinical guidelines for the management of major depressive disorder in adults II. Psychotherapy alone or in combination with antidepressant medication. Journal of Affective Disorders, 117(Suppl 1), S15–S25. CrossRef
- Pekarik, G. (1992). Relationship of clients’ reasons for dropping out of treatment to outcomes and satisfaction. Journal of Clinical Psychology, 48, 91–98. CrossRef
- Renk, K., Dinger, T., & Bjugstad, K. (2000). Predicting therapy duration from therapist experience and client psychopathology. Journal of Clinical Psychology, 56, 1609–1614. CrossRef
- Simon, G., Lin, E. H. B., Katon, W., Saunders, K., Von Korff, M., Walker, E., et al. (1995). Outcomes of “inadequate” antidepressant treatment in primary care. J Gen Int Med, 10, 663–670. CrossRef
- Simon, G. E., & Ludman, E. J. (2009). It’s time for disruptive innovation in psychotherapy. Lancet, 374(9690), 594–595. CrossRef
- Simon, G. E., & Ludman, E. J. (2010). Predictors of early dropout from psychotherapy for depression in community practice. Psychiatric Services, 61(7), 684–689. CrossRef
- Sparr, L., Moffitt, M., & Ward, M. (1993). Missed psychiatric appointments: Who returns and who stays away. American Journal of Psychiatry, 150, 801–805.
- Starfield, B., Weiner, J., Mumford, L., & Steinwachs, D. (1991). Ambulatory care groups: A categorization of diagnosis for research and management. Health Services Research, 26, 54–74.
- Stiles, W. B., Leach, C., Barkham, M., Lucock, M., Iveson, S., Shapiro, D. A., et al. (2003). Early sudden gains in psychotherapy under routine clinic conditions: Practice-based evidence. Journal of Consulting and Clinical Psychology, 71(1), 14–21. CrossRef
- van Schaik, D., Klijn, A., van Hout, H., van Marwikj, H. W., Beekman, A., de Haan, M., et al. (2004). Patients’ preferences in the treatment of depressive disorders in primary care. General Hospital Psychiatry, 26, 184–189. CrossRef
- Wampold, B., Minami, T., Baskin, T., & Callen Tierney, S. (2002). A meta-(re)analysis of the effects of cognitive therapy versus ‘other therapies’ for depression. Journal of Affective Disorders, 68, 159–165. CrossRef
- Wang, P., Lane, M., Olfson, M., Pincus, H., Wells, K., & Kessler, R. (2005). Twelve-month use of mental health services in the United States: Results from the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 629–640. CrossRef
- Young, A., Klap, R., Sherbourne, C., & Wells, K. (2001). The quality of care for depressive and anxiety disorders in the United States. Archives of General Psychiatry, 58, 55–61. CrossRef
- Zivin, K., Pfeiffer, P. N., McCammon, R. J., Kavanagh, J. S., Walters, H., Welsh, D. E., et al. (2009). “No-shows”: Who fails to follow up with initial behavioral health treatment? Am J Manag Care, 15(2), 105–112.
- Early Dropout from Psychotherapy for Depression with Group- and Network-model Therapists
Administration and Policy in Mental Health and Mental Health Services Research
Volume 39, Issue 6 , pp 440-447
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