Therapeutenmerkmale und Therapieabbruch
Standard
Therapeutenmerkmale und Therapieabbruch : Systematisches Review der letzten 20 Jahre. / Gries, S.; Longley, M.; Kästner, D.; Gumz, A.
in: PSYCHOTHERAPEUT, Jahrgang 65, Nr. 6, 01.11.2020, S. 425-443.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Review › Forschung
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - Therapeutenmerkmale und Therapieabbruch
T2 - Systematisches Review der letzten 20 Jahre
AU - Gries, S.
AU - Longley, M.
AU - Kästner, D.
AU - Gumz, A.
N1 - Publisher Copyright: © 2020, Springer Medizin Verlag GmbH, ein Teil von Springer Nature. Copyright: Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2020/11/1
Y1 - 2020/11/1
N2 - Background: Previous research studies have shown inconsistent findings regarding the effects of therapist characteristics on therapy termination (drop-out). There is also a lack of comparable operationalization of drop-outs. Objectives: The aim of this review was to identify important therapist characteristics that influence therapy termination. Furthermore. the operationalization of drop-out in the last 20 years was investigated. Material and method: A literature search was conducted via PsycARTICLES, PsycINFO, PSYNDEX and OVID Medline. The operationalization of drop-out, drop-out rates, therapist characteristics and survey tools used were extracted. The risk of bias of the studies was assessed via the quality in prognostic studies (QUIPS) tool. Results: A total of 23 relevant studies, which included a total of 20,034 patients and 1826 therapists, could be identified. Age, gender and therapeutic experience had no effect on drop-out. Some studies showed an influence of ethnic and cultural variables. There has been little research on psychological therapist variables, such as personality traits. The results concerning these effects cannot be conclusively assessed. A standard operationalization of premature termination of therapy does not exist. Conclusion: For future investigations it is recommended that a more comprehensive selection of predictors should be included and therapist, patient and process variables should be taken into account. In addition, one form of operationalization of therapy termination should not be stipulated but several forms of how drop-out is assessed should be simultaneously applied. Hence, the effects of the operationalization on the results can be examined in sensitivity analyses.
AB - Background: Previous research studies have shown inconsistent findings regarding the effects of therapist characteristics on therapy termination (drop-out). There is also a lack of comparable operationalization of drop-outs. Objectives: The aim of this review was to identify important therapist characteristics that influence therapy termination. Furthermore. the operationalization of drop-out in the last 20 years was investigated. Material and method: A literature search was conducted via PsycARTICLES, PsycINFO, PSYNDEX and OVID Medline. The operationalization of drop-out, drop-out rates, therapist characteristics and survey tools used were extracted. The risk of bias of the studies was assessed via the quality in prognostic studies (QUIPS) tool. Results: A total of 23 relevant studies, which included a total of 20,034 patients and 1826 therapists, could be identified. Age, gender and therapeutic experience had no effect on drop-out. Some studies showed an influence of ethnic and cultural variables. There has been little research on psychological therapist variables, such as personality traits. The results concerning these effects cannot be conclusively assessed. A standard operationalization of premature termination of therapy does not exist. Conclusion: For future investigations it is recommended that a more comprehensive selection of predictors should be included and therapist, patient and process variables should be taken into account. In addition, one form of operationalization of therapy termination should not be stipulated but several forms of how drop-out is assessed should be simultaneously applied. Hence, the effects of the operationalization on the results can be examined in sensitivity analyses.
KW - Dropout
KW - Operationalization
KW - Premature termination
KW - Therapist characteristics
KW - Therapist effects
UR - http://www.scopus.com/inward/record.url?scp=85091765249&partnerID=8YFLogxK
U2 - 10.1007/s00278-020-00454-6
DO - 10.1007/s00278-020-00454-6
M3 - SCORING: Review
AN - SCOPUS:85091765249
VL - 65
SP - 425
EP - 443
JO - PSYCHOTHERAPEUT
JF - PSYCHOTHERAPEUT
SN - 0935-6185
IS - 6
ER -