Attempts to determine the characteristics of those individuals who drop out from psychotherapy have yielded few consistent findings. Clinically depressed adolescents who completed a course of brief group therapy were compared with those who failed to complete treatment. Although no differences were found on a number of clinical and demographic variables, those who dropped out were more likely to be one grade behind in school and to have a history of alcohol and/or drug abuse. The implications of these findings for research and practice are discussed.
References
1.
GouldM.S., ShafferD., KaplanD.The characteristics of dropout from a child psychiatry clinic.J Am Acad Child Adolesc Psychiatry1985; 24: 316–328.
2.
YalomI.The theory and practice of group psychotherapy.New York: Basic Books,1985.
3.
LothsteinL.M.The group psychotherapy dropout phenomenon revisited.Am J Psychiatry1978; 135: 1492–1495.
4.
McAdooW.G., RoeskeN.A.A comparison of defectors and continuers in a child guidance clinic.J Consult Clin Psychology1973; 40: 328–334.
5.
LevittE.E.A comparison of “remainers” and “defectors” among child clinic patients.J Consult Psychology1957; 21: 316.
6.
WeiszJ.R., WeissB., LangmeyerD.B.Giving up on child psychotherapy: who drops out?J Consult Clin Psychology1987; 55: 916–918.
7.
FineS., GilbertM., SchmidtL.Short term group therapy with depressed adolescents.Can J Psychiatry1989; 34(2): 97–102.
8.
FineS., ForthA., GilbertM.Group therapy for adolescent depressive disorder: a comparison of social skills and therapeutic support.J Am Acad Child Adoles Psychiatry1991; 30: 79–85.
9.
ChambersW.J., Puig-AntichJ., HirschM.The assessment of affective disorders in children and adolescents by semistructured interview.Arch Gen Psychiatry1985; 42: 696–703.
10.
KovacsM.Rating scales to assess depression in school-aged children.Acta Paedopsychiatry1981; 46: 305–315.
11.
OfferD., OstrovE., HowardK.I.The Offer Self Image Questionnaire for Adolescents (Third Edition).Chicago: Michael Reese Hospital and Medical Center,1982.
12.
HaleyG.M., FineS., MarriageK.Cognitive bias and depression is psychiatrically disturbed children and adolescents.J Consult Clin Psychology1985; 53: 535–537.
13.
ShafiiM., Steltz-LenarskyJ., DerrickA.M.Comorbidity of mental disorders in the post-mortem diagnosis of completed suicide in children and adolescents.J Affect Disord1988; 15: 227–233.
