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01-02-2009 | Original Paper

Pretreatment Intervention Increases Treatment Outcomes for Patients with Anxiety Disorders

Auteurs: Julia D. Buckner, Kiara R. Cromer, Katherine A. Merrill, Michael A. Mallott, Norman B. Schmidt, Cristina Lopez, Jill M. Holm-Denoma, Thomas E. Joiner Jr.

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 1/2009

Abstract

The current study evaluated the utility of a pretreatment intervention aimed at increasing treatment attendance. We extended past work by evaluating whether this intervention was associated with less impairment at termination. Given that patients with anxiety disorders demonstrate high rates of premature termination, we assessed whether these patients would be particularly likely to benefit. The sample included 172 patients at a community outpatient mental health clinic. Patients were assigned to the intervention condition (asked to imagine attending therapy sessions) or an information control condition. Number of sessions attended and termination Clinician Global Impressions (CGI) served as outcome variables. Contrary to prior work, the two conditions did not significantly differ on outcomes. Yet, patients with anxiety disorders in the intervention condition attended the most sessions and had least termination symptom severity. This intervention may provide a simple yet powerful method to increase treatment adherence and effectiveness for patients with anxiety disorders.

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The total number of diagnoses exceeds the number of study participants due to comorbidity. Similarly, the total number of anxiety diagnoses exceeds the number of patients with anxiety disorders because some patients received more than one anxiety disorder diagnosis and the total number of depressive disorder diagnoses exceeds the number of patients with depressive disorder because some patients received more than one depressive disorder diagnosis.

Therapists failed to record termination CGI’s for 62 patients (i.e., total number of termination CGI’s recorded was 110). The vast majority of patients for whom termination CGI was not recorded attended 0–1 sessions (79.0%) and only 3% finished intake and began psychosocial treatment, thereby rendering the assessment of termination CGI impossible for the majority of these patients.

American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (IV-TR ed.). Washington, DC: Author.

Barlow, D. H. (2002). Anxiety and its disorders: The nature and treatment of anxiety and panic (2nd ed.). New York: Guilford Press.

Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.PubMedCrossRef

Beitman, B. D., Beck, N. C., Deuser, W. E., Carter, C. S., Davidson, J. R., & Maddock, R. J. (1994). Patient Stage of Change predicts outcome in a panic disorder medication trial. Anxiety, 1, 64–69.PubMed

Bovasso, G. B., Eaton, W. W., & Armenian, H. K. (1999). The long-term outcomes of mental health treatment in a population-based study. Journal of Consulting and Clinical Psychology, 67, 529–538.PubMedCrossRef

Burke, B. L., Arkowitz, H., & Menchola, M. (2003). The efficacy of motivational interviewing: A meta-analysis of controlled clinical trials. Journal of Consulting and Clinical Psychology, 71, 843–861.PubMedCrossRef

Burstein, A. (1986). Treatment noncompliance in patients with post-traumatic stress disorder. Psychosomatics: Journal of Consultation Liaison Psychiatry, 27, 37–40.

Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates.

Cohen, J., & Cohen, P. (1983). Applied multiple regression/correlation analysis for the behavioral sciences. Hillsdale, NJ: Erlbaum.

Feld, R., Woodside, D. B., Kaplan, A. S., Olmsted, M. P., & Carter, J. C. (2001). Pretreatment motivational enhancement therapy for eating disorders: A pilot study. International Journal of Eating Disorders, 29, 393–400.PubMedCrossRef

Gregory, W. L., Cialdini, R. B., & Carpenter, K. M. (1982). Self-relevant scenarios as mediators of likelihood estimates and compliance: Does imagining make it so? Journal of Personality and Social Psychology, 43, 89–99.CrossRef

Guy, W. (1976). Clinical Global Impressions. In ECDEU Assessment Manual for Psychopharmacology, Revised (pp. 218–222). Rockville, MD: National Institute of Mental Health.

Issakidis, C., & Andrews, G. (2004). Pretreatment attrition and dropout in an outpatient clinic for anxiety disorders. Acta Psychiatrica Scandinavica, 109, 426–433.PubMedCrossRef

Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 593–602.PubMedCrossRef

Maltby, N., & Tolin, D. F. (2005). A Brief Motivational Intervention for Treatment-Refusing OCD Patients. Cognitive Behaviour Therapy, 34, 176–184.PubMedCrossRef

Miller W. R., & Rollnick S. (Eds.), (2002). Motivational interviewing: Preparing people for change (Vol. 2). New York: Guilford Press.

Moyer, A., Finney, J. W., Swearingen, C. E., & Vergun, P. (2002). Brief interventions for alcohol problems: A meta-analytic review of controlled investigations in treatment-seeking and non-treatment-seeking populations. Addiction, 97, 279–292.PubMedCrossRef

Nathan P. E., & Gorman J. M. (Eds.), (2002). A guide to treatments that work (2nd ed.). New York: Oxford University Press.

Randall, C. L., Thomas, S., & Thevos, A. K. (2001). Concurrent alcoholism and social anxiety disorder: A first step toward developing effective treatments. Alcoholism: Clinical and Experimental Research, 25, 210–220.CrossRef

Ratcliff, C. D., Czuchry, M., Scarberry, N. C., Thomas, J. C., Dansereau, D. F., & Lord, C. G. (1999). Effects of directed thinking on intentions to engage in beneficial activities: Actions versus reasons. Journal of Applied Social Psychology, 29, 994–1009.CrossRef

Reardon, M. L., Cukrowicz, K. C., Reeves, M. D., & Joiner, T. E. J. (2002). Duration and regularity of therapy attendance as predictors of treatment outcome in an adult outpatient population. Psychotherapy Research, 12, 273–285.CrossRef

Reis, B. F., & Brown, L. G. (2006). Preventing Therapy Dropout in the Real World: The Clinical Utility of Videotape Preparation and Client Estimate of Treatment Duration. Professional Psychology: Research and Practice, 37, 311–316.CrossRef

Ryan, R. M., & Deci, E. L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American Psychologist, 55, 68–78.PubMedCrossRef

Schruers, K., Koning, K., Luermans, J., Haack, M. J., & Griez, E. (2005). Obsessive-compulsive disorder: A critical review of therapeutic perspectives. Acta Psychiatrica Scandinavica, 111, 261–271.PubMedCrossRef

Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., Weiller, E., et al. (1998). The Mini-International Neuropsychiatric Interview (M.I.N.I): The development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry, 59, 22–33.PubMed

Sherman, R. T., & Anderson, C. A. (1987). Decreasing premature termination from psychotherapy. Journal of Social and Clinical Psychology, 5, 298–312.

Sherman, S. J., Skov, R. B., Hervitz, E. F., & Stock, C. B. (1981). The effects of explaining hypothetical future events: From possibility to probability to actuality and beyond. Journal of Experimental Social Psychology, 17, 142–158.CrossRef

Taylor, S. E., & Pham, L. B. (1996). Mental simulation, motivation, and action. In P. Gollwitzer, & J. Bargh (Eds.), The Psychology of Action (pp. 219–235). New York: Guilford Press.

Treasure, J. L., Katzman, M., Schmidt, U., Troop, N., Todd, G., & de Silva, P. (1999). Engagement and outcome in the treatment of bulimia nervosa: First phase of a sequential design comparing motivation enhancement therapy and cognitive behavioural therapy. Behaviour Research and Therapy, 37, 405–418.PubMedCrossRef

Westra, H. A., & Dozois, D. J. (2006). Preparing clients for cognitive behavioral therapy: A randomized pilot study of motivational interviewing for anxiety. Cognitive Therapy and Research, 30, 481–498.CrossRef

Wilson, M., Bell-Dolan, D., & Beitman, B. (1997). Application of the Stages of Change Scale in a clinical drug trial. Journal of Anxiety Disorders, 11, 395–408.PubMedCrossRef

Titel: Pretreatment Intervention Increases Treatment Outcomes for Patients with Anxiety Disorders
Auteurs: Julia D. Buckner
Kiara R. Cromer
Katherine A. Merrill
Michael A. Mallott
Norman B. Schmidt
Cristina Lopez
Jill M. Holm-Denoma
Thomas E. Joiner Jr.
Publicatiedatum: 01-02-2009
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 1/2009
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-007-9154-x

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