This study investigated personality factors and type of psychological distress
associated with an increased risk of premature termination of psychodynamic
group therapy. Data was part of a larger ongoing longitudinal project. Subjects
who had completed the group therapy (n = 53) were compared to subjects who had
terminated the therapy prematurely (n = 41) with respect to their pre-therapy
personality profiles (as measured with KAPP) and self-reported symptoms (as
measured with the SCL–90). Overall, differences between the groups
were modest but subjects that dropped out of therapy showed more difficulties
with handling frustration, had a more distorted body image, felt more needed and
reported higher levels of phobic anxiety.
Baekeland, F.
and
Lundwall, L.
(1975)
‘Dropping Out of Treatment: A Critical Review’
, Psychological Bulletin82:
738–783
.
2.
Bostwick, G. J.
(1987)
‘“Where’s Mary?” A Review of the
Group Treatment Dropout Literature’
, Social Work with Groups10:
117–132
.
3.
Christensen, K. R.
,
Valbak, K.
and
Weeke, A.
(1991)
‘Premature Termination in Analytic Group Therapy: Dropout
Frequencies and Pretherapy Predictors’
, Nordisk Psykiatrisk Tidskrift45:
377–382
.
4.
Cohen, J.
(1988) Statistical Power Analysis for Behavioral
Sciences(2nd edition).
New York: Academic Press
.
5.
Derisley, J.
and
Reynolds, S.
(2000)
‘The Transtheoretical Stages of Change as a Predictor of
Premature Termination, Attendance and Alliance in Psychotherapy’
, British Journal of Clinical Psychology39:
371–382
.
6.
Derogatis, L.
(1977) SCL–90: Administration, Scoring and
Procedures Manual.
Baltimore: Johns Hopkins University School of
Medicine, Clinical Psychometrics Unit
.
7.
MacNair, R. R.
and
Corazzini, J. G.
(1994)
‘Client Factors Influencing Group Therapy Dropout’
, Psychotherapy31:
352–362
.
8.
Rice, C. A.
(1996)
‘Premature Termination of Group Therapy: A Clinical Perspective’
, International Journal of Group Psychotherapy46:
5–23
.
9.
Roback, H. B.
and
Smith, M.
(1987)
‘Patient Attrition in Dynamically Oriented Treatment Groups’
, American Journal of Psychiatry4:
426–431
.
10.
Stiwne, D.
(1994)
‘Group Psychotherapy with Borderline Patients: Contrasting
Remainers and Dropouts’
, Group18:
37–45
.
