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Variables Associated With Non-Response in Anxiety and Depression Among Patients Receiving Treatment in a Partial
Douglas R Terrill1, Troy Hubert1, Grace Yun2
1Department of Psychology, University of Kentucky, Lexington, Kentucky, USA.
Many patients do not respond to psychological treatment. This study found that higher clinical severity, functional impairment, and missed appointments predicted non-response in partial hospitalization programs (PHP).
Area of Science:
- Psychiatry and Behavioral Science
- Clinical Psychology
Background:
- A significant proportion of patients do not achieve desired outcomes from psychological treatments.
- Identifying predictors of non-response is crucial for optimizing treatment strategies and patient care.
Purpose of the Study:
- To characterize patients who did not respond to treatment in a partial hospitalization program (PHP).
- To identify baseline variables that are most predictive of psychological treatment non-response.
Main Methods:
- Compared variables between treatment responders and non-responders using chi-square and independent samples t-tests.
- Employed two logistic LASSO regression models to identify predictors of non-response in patients with elevated anxiety or depression.
Main Results:
- 24.8% of anxiety and 36.3% of depression patients were classified as non-responders.
- Non-responders exhibited greater clinical severity, functional impairment, comorbid diagnoses, and higher rates of attended/missed treatment days.
Conclusions:
- Greater clinical severity, functional impairment, and absences predict lower treatment response in PHP.
- Further research with independent samples is needed to validate findings and inform clinical strategies to improve treatment outcomes.
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