title: Predictors of dropout from community clinic child CBT for anxiety disorders.
abstract: 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.
authors: Anxiety Research Network, Haukeland University Hospital, Bergen, Norway; Department of Child and Adolescent Psychiatry, Haukeland University Hospital, Bergen, Norway. Electronic address: gjwergeland@gmail.com.
authors: Gro Janne H
authors: GJ
authors: Wergeland
authors: Anxiety Research Network, Haukeland University Hospital, Bergen, Norway; Frambu Resource Centre for Rare Disorders, Siggerud, Norway.
authors: Krister W
authors: KW
authors: Fjermestad
authors: Child Study Center, Yale University School of Medicine, New Haven, CT, USA.
authors: Carla E
authors: CE
authors: Marin
authors: Anxiety Research Network, Haukeland University Hospital, Bergen, Norway; Regional Centre for Child and Youth Mental Health and Child Welfare, Uni Research Health, Bergen, Norway.
authors: Bente Storm-Mowatt
authors: BS
authors: Haugland
authors: Child Study Center, Yale University School of Medicine, New Haven, CT, USA.
authors: Wendy K
authors: WK
authors: Silverman
authors: Anxiety Research Network, Haukeland University Hospital, Bergen, Norway; Department of Clinical Psychology, Faculty of Psychology, University of Bergen, Bergen, Norway; Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden; Department of Psychology, University of Stockholm, Stockholm, Sweden.
authors: Lars-Göran
authors: LG
authors: Öst
authors: Anxiety Research Network, Haukeland University Hospital, Bergen, Norway; Department of Clinical Psychology, Faculty of Psychology, University of Bergen, Bergen, Norway.
authors: Odd E
authors: OE
authors: Havik
authors: Anxiety Research Network, Haukeland University Hospital, Bergen, Norway; Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway; Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway.
authors: Einar R
authors: ER
authors: Heiervang
mesh_terms: D000293:Adolescent; D000553:Ambulatory Care / Q000523:psychology / Q000706:statistics & numerical data; D001008:Anxiety Disorders / Q000523:psychology / Q000628:therapy*; D001294:Attitude to Health; D002648:Child; D015928:Cognitive Behavioral Therapy / Q000379:methods / Q000706:statistics & numerical data*; D003155:Community Mental Health Centers / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007389:Internal-External Control; D008297:Male; D009042:Motivation; D010290:Parents / Q000523:psychology; D010352:Patient Dropouts / Q000523:psychology / Q000706:statistics & numerical data*; D011569:Psychiatric Status Rating Scales; D011615:Psychotherapy, Group / Q000706:statistics & numerical data*; D012649:Self Concept; D011795:Surveys and Questionnaires
keywords: Anxiety; Children; Cognitive behavior therapy; Dropout; Effectiveness