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Psychotherapy refusers.

P C Mohl1, D Martinez, C Ticknor

  • 1Department of Psychiatry, University of Texas Health Science Center, San Antonio 78284.

Comprehensive Psychiatry
|May 1, 1989
PubMed
Summary
This summary is machine-generated.

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A study found 16.7% of patients accepted into psychotherapy never started treatment. Factors like family history and problem elaboration influenced refusal, but screener interaction may be key.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Health Services Research

Background:

  • Patient no-show rates in psychotherapy impact treatment accessibility and resource allocation.
  • Previous studies identified various patient and system factors associated with psychotherapy refusal.
  • Understanding reasons for non-initiation of therapy is crucial for improving patient engagement.

Purpose of the Study:

  • To systematically review patient refusal rates after acceptance into a semiprivate psychotherapy service.
  • To identify patient characteristics differentiating those who refused therapy from those who accepted.
  • To compare findings with previous research on psychotherapy non-attendance.

Main Methods:

  • Systematic review of 414 terminated cases from a semiprivate psychotherapy service.

Related Experiment Videos

  • Comparison of 42 variables between patients who refused and accepted psychotherapy.
  • Statistical analysis to identify significant differentiating factors.

    • Main Results:

    • 16.7% of accepted patients never commenced psychotherapy, a rate lower than in prior studies.
    • Psychotherapy refusers had less family psychiatric history, elaborated problems more, had less alcohol abuse history, were less likely offered long-term therapy, and waited less time for screening.
    • Age, gender, diagnosis, severity, income, and education were not significant predictors of refusal.

    Conclusions:

    • Patient variables alone may not fully explain psychotherapy refusal.
    • The interaction between the patient and the screener appears to be a significant factor in treatment acceptance.
    • Further research should explore the dynamics of the initial screening process.