[Premature termination of inpatient psychotherapy].
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.
Zentrum für psychische Erkrankungen, Klinik für Psychosomatische Medizin und Psychotherapie, Universtitätsklinikum Freiburg im Breisgau.
Laurence
L
Reuter
Zentrum für psychische Erkrankungen, Klinik für Psychosomatische Medizin und Psychotherapie, Universtitätsklinikum Freiburg im Breisgau.
Carl Eduard
CE
Scheidt
D015984:Causality; D003430:Cross-Sectional Studies; D005858:Germany; D006801:Humans; D001523:Mental Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology* / Q000534:rehabilitation*; D010343:Patient Admission; D010352:Patient Dropouts / Q000523:psychology* / Q000706:statistics & numerical data; D011602:Psychophysiologic Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology* / Q000534:rehabilitation*; D011613:Psychotherapy / Q000706:statistics & numerical data*; D012047:Rehabilitation Centers; D012307:Risk Factors; D017211:Treatment Failure