1
|
Machado RDS, Vieira IS, Mondin TC, Scaini CR, Molina ML, Jansen K, de Mattos Souza LD, Duarte MR, Simjanoski M, da Silva RA. Dropout in brief psychotherapy for Major Depressive Disorder: Randomized Clinical Trial. Clin Psychol Psychother 2021; 29:1080-1088. [PMID: 34806246 DOI: 10.1002/cpp.2693] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2021] [Revised: 10/27/2021] [Accepted: 10/28/2021] [Indexed: 11/09/2022]
Abstract
The aim of this paper is to analyze the factors associated with the dropout from brief psychotherapy for adults with Major Depressive Disorder (MDD) treated at a mental health outpatient clinic. This is a randomized clinical trial with two models of psychotherapy: Cognitive Behavioral Therapy (CBT) and Supportive Expressive Dynamic Psychotherapy (SEDP). MDD and Anxiety Disorders were evaluated through the Mini International Neuropsychiatric Interview - Plus. The Personality Disorders were evaluated by the Millon Clinical Multiaxial Inventory-III. The severity of depressive symptoms was measured using the Beck Depression Inventory-II and resilience through Resilience Scale. Of the 215 participants, 41.9% abandoned psychotherapy (n=90), and, of these, 54,4% (n=49) abandoned after the fourth session. The proportion of psychotherapy dropout was higher among those with non-white skin color, belonging to economic classes C and D, who had children and whose depressive symptoms were moderate. Presence of obsessive-compulsive personality trait was protective against dropout. The damage caused by this abrupt interruption is evident for all those involved in the psychotherapeutic process, so the clinician should pay attention to the predictors found in this study in order to develop strategies that promote therapeutic adherence.
Collapse
Affiliation(s)
| | - Igor Soares Vieira
- Department of Health and Behavior, Catholic University of Pelotas, Pelotas, Brazil
| | - Thaise C Mondin
- Department of Health and Behavior, Catholic University of Pelotas, Pelotas, Brazil.,Department of Psychology, Federal University of Pelotas, Pelotas, Brazil
| | | | - Mariane Lopez Molina
- Department of Health and Behavior, Catholic University of Pelotas, Pelotas, Brazil.,Department of Psychology, Faculdade Anhanguera do Rio Grande, Rio Grande, Brazil
| | - Karen Jansen
- Department of Health and Behavior, Catholic University of Pelotas, Pelotas, Brazil
| | | | - Malu Ribeiro Duarte
- Department of Health and Behavior, Catholic University of Pelotas, Pelotas, Brazil
| | - Mario Simjanoski
- Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Canada
| | | |
Collapse
|