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Therapist Anxious Distress and Avoidance of Implementing Time-Out
Corinna C Klein1,2, Hanan Salem3, Emily M Becker-Haimes4
1Department of Counseling, Clinical, & School Psychology, University of California, Santa Barbara, Santa Barbara, CA, USA. cklein@ucsb.edu.
Child Psychiatry and Human Development
|May 31, 2024
Summary
Therapist anxiety can lead to avoidance of evidence-based interventions (EBIs) like time-out for disruptive child behaviors. Addressing therapist distress is crucial for effective child mental health treatment.
Area of Science:
- Child and Adolescent Psychology
- Clinical Psychology
- Mental Health Interventions
Background:
- Therapist anxious distress is an understudied factor in the underuse of evidence-based interventions (EBIs) for children.
- Time-out is an EBI for disruptive behaviors that may be underutilized due to therapist anxiety.
Purpose of the Study:
- To investigate therapist anxious avoidance of time-out in child mental health treatment.
- To examine the relationship between therapist anxious distress and the likelihood of avoiding time-out implementation.
Main Methods:
- A three-part, vignette-based survey design was employed.
- 198 therapists read a vignette of an in-session time-out and reported anxious distress and avoidance likelihood.
- Qualitative data on implementation challenges were also collected.
Main Results:
- Therapists reported moderate anxious distress during time-out and lower distress once resolved.
- A majority of therapists endorsed some level of avoidance of time-out.
- Increased anxious distress significantly correlated with a higher probability of avoiding time-out.
Conclusions:
- Therapist anxious distress is linked to avoidance of time-out, impacting EBI delivery.
- Addressing therapist anxiety is essential for successful implementation of children's mental health treatments.
- Qualitative findings highlight specific challenges in delivering time-out.
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