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Gepubliceerd in: Journal of Child and Family Studies 9/2018

16-06-2018 | Original Paper

Predictors of Dropout in Family-Based Psychosocial Treatment for Pediatric Bipolar Disorder: An Exploratory Study

Auteurs: Ashley R. Isaia, Sally M. Weinstein, Stewart A. Shankman, Amy E. West

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 9/2018

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Abstract

Family-based psychosocial treatments have been developed to address the significant impairments in psychosocial functioning among youth with pediatric bipolar disorder (PBD), yet factors impacting engagement in these treatments have yet to be extensively studied. Early termination from treatment may lead to negative outcomes among youth with PBD. Thus, the primary aim of this exploratory study was to identify predictors and moderators of treatment dropout in PBD. Drawing from the child attrition literature, this study examined characteristics likely to be associated with dropout in families affected by PBD, including potential targets of treatment. Using Cox proportional hazards regressions, we explored the impact of modifiable parent, child, and family characteristics (i.e., parent stress, family coping, child symptoms) and stable demographic characteristics (i.e., family income, ethnic minority status) on dropout among 59 youth aged 7 to 13 who participated in a randomized clinical trial comparing a manualized psychotherapy for PBD (child- and family-focused cognitive behavioral therapy; CFF-CBT) versus treatment as usual (TAU). Specifically, we explored whether dropout was related to baseline levels and changes in these characteristics over the course of treatment in CFF-CBT versus TAU. Findings provide preliminary support for high parental stress as a predictor of dropout across treatments and low baseline parent coping as a predictor of retention in CFF-CBT specifically. Worsening of child depression symptoms over treatment predicted greater likelihood of dropout in CFF-CBT. Finally, improvement in children’s global functioning was associated with reduced dropout across treatments. Results have important implications for tailoring interventions for PBD.
Literatuur
go back to reference Armbruster, P., & Kazdin, A. (1994). Attrition in child psychotherapy. In T. Ollendick & R. Prinz (Eds.), Advances in clinical child psychology (Vol. 16, pp. 81–108). New York, NY: Plenum. Armbruster, P., & Kazdin, A. (1994). Attrition in child psychotherapy. In T. Ollendick & R. Prinz (Eds.), Advances in clinical child psychology (Vol. 16, pp. 81–108). New York, NY: Plenum.
go back to reference Conners, C., & March, J. (1996). The Conners-March developmental questionnaire. Toronto, ON: MultiHealth Systems Inc. Conners, C., & March, J. (1996). The Conners-March developmental questionnaire. Toronto, ON: MultiHealth Systems Inc.
go back to reference Derogatis, L. R. (1996). Symptom Checklist-90-R: Administration, scoring, and procedures manual. Minneapolis, MN: National Computer Systems, Inc. Derogatis, L. R. (1996). Symptom Checklist-90-R: Administration, scoring, and procedures manual. Minneapolis, MN: National Computer Systems, Inc.
go back to reference Geller, B., Zimerman, B., Williams, M., Bolhofner, K., Craney, J. L., DelBello, M. P., & Soutullo, C. (2001). Reliability of the Washington University in St. Louis Kiddie Schedule for Affective Disorders and Schizophrenia (WASH-U-KSADS) mania and rapid cycling sections. Journal of the American Academy of Child & Adolescent Psychiatry, 40, 450–455. https://​doi.​org/​10.​1097/​00004583-200104000-00014. CrossRef Geller, B., Zimerman, B., Williams, M., Bolhofner, K., Craney, J. L., DelBello, M. P., & Soutullo, C. (2001). Reliability of the Washington University in St. Louis Kiddie Schedule for Affective Disorders and Schizophrenia (WASH-U-KSADS) mania and rapid cycling sections. Journal of the American Academy of Child & Adolescent Psychiatry, 40, 450–455. https://​doi.​org/​10.​1097/​00004583-200104000-00014. CrossRef
go back to reference Gopalan, G., Goldstein, L., Klingenstein, K., Sicher, C., Blake, C., & McKay, M. M. (2010). Engaging families into child mental health treatment: Updates and special considerations. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 19, 182. PubMedPubMedCentral Gopalan, G., Goldstein, L., Klingenstein, K., Sicher, C., Blake, C., & McKay, M. M. (2010). Engaging families into child mental health treatment: Updates and special considerations. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 19, 182. PubMedPubMedCentral
go back to reference Kaufman, A. S., & Kaufman, N. L. (2004). Kaufman Brief IntelligenceTest–Second Edition (KBIT-2). Circle Pines, MN: American Guidance Service. Kaufman, A. S., & Kaufman, N. L. (2004). Kaufman Brief IntelligenceTest–Second Edition (KBIT-2). Circle Pines, MN: American Guidance Service.
go back to reference Lewinsohn, P. M., Seeley, J. R., & Klein, D. N. (2003). Bipolar disorder in adolescents: Epidemiology and suicidal behavior. In B. Geller, M. P. DelBello (Eds.), Bipolar disorder in childhood and early adolescence (pp. 7–24). New York, NY: Guilford. Lewinsohn, P. M., Seeley, J. R., & Klein, D. N. (2003). Bipolar disorder in adolescents: Epidemiology and suicidal behavior. In B. Geller, M. P. DelBello (Eds.), Bipolar disorder in childhood and early adolescence (pp. 7–24). New York, NY: Guilford.
go back to reference McCubbin, H. I., McCubbin, M. A., Patterson, J. M., Cauble, A. E., Wilson, L. R., & Warwick, W. (1983). CHIP-coping health inventory for parents: An assessment of parental coping patterns in the care of the chronically ill child. Journal of Marriage and Family, 45, 359–370. https://​doi.​org/​10.​2307/​351514. CrossRef McCubbin, H. I., McCubbin, M. A., Patterson, J. M., Cauble, A. E., Wilson, L. R., & Warwick, W. (1983). CHIP-coping health inventory for parents: An assessment of parental coping patterns in the care of the chronically ill child. Journal of Marriage and Family, 45, 359–370. https://​doi.​org/​10.​2307/​351514. CrossRef
go back to reference McCubbin, H. I., Olson, D. H., & Larsen, A. S. (1991). F-COPES: Family crisis oriented personal evaluation scales. In H. I. McCubbin, & A. I. Thompson (Eds.), Family assessment inventories for research and practice (2nd ed., pp. 203–218). Madison, Wisconsin: University of Wisconsin-Madison. McCubbin, H. I., Olson, D. H., & Larsen, A. S. (1991). F-COPES: Family crisis oriented personal evaluation scales. In H. I. McCubbin, & A. I. Thompson (Eds.), Family assessment inventories for research and practice (2nd ed., pp. 203–218). Madison, Wisconsin: University of Wisconsin-Madison.
go back to reference Nadkarni, R. B., & Fristad, M. A. (2012). Stress and support for parents of youth with bipolar disorder. The Israel Journal of Psychiatry and Related Sciences, 49, 104–110. PubMedPubMedCentral Nadkarni, R. B., & Fristad, M. A. (2012). Stress and support for parents of youth with bipolar disorder. The Israel Journal of Psychiatry and Related Sciences, 49, 104–110. PubMedPubMedCentral
go back to reference Washburn, J. J., West, A. E., & Heil, J. A. (2011). Treatment of pediatric bipolar disorder: A review. Minerva Psichiatrica, 52, 21. PubMedPubMedCentral Washburn, J. J., West, A. E., & Heil, J. A. (2011). Treatment of pediatric bipolar disorder: A review. Minerva Psichiatrica, 52, 21. PubMedPubMedCentral
go back to reference West, A. E., Jacobs, R. H., Westerholm, R., Lee, A., Carbray, J., Heidenreich, J., & Pavuluri, M. N. (2009). Child and family-focused cognitive-behavioral therapy for pediatric bipolar disorder: Pilot study of group treatment format. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 18, 239. PubMedPubMedCentral West, A. E., Jacobs, R. H., Westerholm, R., Lee, A., Carbray, J., Heidenreich, J., & Pavuluri, M. N. (2009). Child and family-focused cognitive-behavioral therapy for pediatric bipolar disorder: Pilot study of group treatment format. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 18, 239. PubMedPubMedCentral
go back to reference West, A. E., & Weinstein, S. M. (2011). A family-based psychosocial treatment model. The Israel Journal of Psychiatry and Related Sciences, 49, 86–93. West, A. E., & Weinstein, S. M. (2011). A family-based psychosocial treatment model. The Israel Journal of Psychiatry and Related Sciences, 49, 86–93.
Metagegevens
Titel
Predictors of Dropout in Family-Based Psychosocial Treatment for Pediatric Bipolar Disorder: An Exploratory Study
Auteurs
Ashley R. Isaia
Sally M. Weinstein
Stewart A. Shankman
Amy E. West
Publicatiedatum
16-06-2018
Uitgeverij
Springer US
Gepubliceerd in
Journal of Child and Family Studies / Uitgave 9/2018
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI
https://doi.org/10.1007/s10826-018-1126-0