Premature dropout from Psychotherapy and Helping Skills: An empirical study
Objective: to evaluate the relationship between the self-perception of therapeutic skills and the premature termination of treatments. Additionally, to assess whether there are differences among therapists regarding dropout rates and the stage of treatment where dropout is most common. Methodology:...
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| Publicado en: | Revista Científica de Ciencias de la Salud |
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| Lenguaje: | español inglés |
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Universidad Peruana Unión
2024
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| _version_ | 1881695099585298432 |
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| author | Santangelo, Pablo Rafael Conde, Karina Mangini, Carlina Montes, Silvana Santangelo, Pablo Rafael |
| author_browse | Conde, Karina Mangini, Carlina Montes, Silvana Santangelo, Pablo Rafael |
| author_facet | Santangelo, Pablo Rafael Conde, Karina Mangini, Carlina Montes, Silvana Santangelo, Pablo Rafael |
| author_sort | Santangelo, Pablo Rafael |
| collection | Revistas |
| container_title | Revista Científica de Ciencias de la Salud |
| description | Objective: to evaluate the relationship between the self-perception of therapeutic skills and the premature termination of treatments. Additionally, to assess whether there are differences among therapists regarding dropout rates and the stage of treatment where dropout is most common. Methodology: a longitudinal study with an initial clinical sample of N = 188 patients. Therapists were administered the Counselor Activity Self-Efficacy Scales (CASES). A univariate descriptive analysis was conducted on the characteristics of the therapists and, separately, the patients. Generalized estimating equations with a binomial family, logistic link, and exchangeable correlation matrix were used to predict dropout rates. Results: insight skills increased the likelihood of continuing psychotherapy by 8%, exploration by 10%, and action by 18%. There were no significant differences between therapists and patients who dropped out during the initial sessions. Conclusion: the self-perception of therapeutic skills such as insight, exploration, and action increases the probability of continuity in psychotherapy, although no significant differences were observed in early dropout rates between therapists and patients.
e primary objective of this study was to evaluate the relationship between self-perceived therapeutic skills and premature treatment termination. Additionally, the study aimed to determine whether there were differences among therapists regarding treatment dropout and timing of dropout. A non-experimental study was conducted with an initial clinical sample of n=188 patients and n=11 psychotherapists. Psychotherapists completed the Counsellor Activity Self-Efficacy Scale (CASES). Univariate descriptive analysis was performed to examine the characteristics of both therapists and patients. Generalized Estimating Equations (GEE) models with a binomial family, logit link, and exchangeable correlation matrix were used for dropout prediction. The results suggested that skills associated with increased probabilities of psychotherapy sustaining were: Insight (8%), Exploration (10%), and Action (18%). No significant differences were found among therapists, and clients were more likely to drop out in the early stages of treatment. Conclusion: This work demonstrates an association between the perception of basic skills and dropout; however, this is the first study to evaluate therapist characteristics and dropout in psychotherapy within our context. Further studies are needed to better understand dropout rates in psychotherapy. |
| format | Online |
| id | oai:rccs.upeu.edu.pe:article/2083 |
| institution | UPeU |
| issn | 2411-0094 2306-0603 |
| language | Spanish English |
| publishDate | 2024 |
| publishDateRange | 2024 |
| publishDateSort | 2024 |
| publisher | Universidad Peruana Unión |
| publisherStr | Universidad Peruana Unión |
| record_format | ojs |
| revista_str_mv | Revista Científica de Ciencias de la Salud |
| spelling | oai:rccs.upeu.edu.pe:article/20832025-01-09T22:52:52Z Premature dropout from Psychotherapy and Helping Skills: An empirical study Terminación prematura en psicoterapia y habilidades de ayuda: un estudio empírico Santangelo, Pablo Rafael Conde, Karina Mangini, Carlina Montes, Silvana Santangelo, Pablo Rafael Psychotherapy Therapeutic skills Continuity Dropout Psicoterapia Habilidades terapéuticas Continuidad Deserción Objective: to evaluate the relationship between the self-perception of therapeutic skills and the premature termination of treatments. Additionally, to assess whether there are differences among therapists regarding dropout rates and the stage of treatment where dropout is most common. Methodology: a longitudinal study with an initial clinical sample of N = 188 patients. Therapists were administered the Counselor Activity Self-Efficacy Scales (CASES). A univariate descriptive analysis was conducted on the characteristics of the therapists and, separately, the patients. Generalized estimating equations with a binomial family, logistic link, and exchangeable correlation matrix were used to predict dropout rates. Results: insight skills increased the likelihood of continuing psychotherapy by 8%, exploration by 10%, and action by 18%. There were no significant differences between therapists and patients who dropped out during the initial sessions. Conclusion: the self-perception of therapeutic skills such as insight, exploration, and action increases the probability of continuity in psychotherapy, although no significant differences were observed in early dropout rates between therapists and patients. e primary objective of this study was to evaluate the relationship between self-perceived therapeutic skills and premature treatment termination. Additionally, the study aimed to determine whether there were differences among therapists regarding treatment dropout and timing of dropout. A non-experimental study was conducted with an initial clinical sample of n=188 patients and n=11 psychotherapists. Psychotherapists completed the Counsellor Activity Self-Efficacy Scale (CASES). Univariate descriptive analysis was performed to examine the characteristics of both therapists and patients. Generalized Estimating Equations (GEE) models with a binomial family, logit link, and exchangeable correlation matrix were used for dropout prediction. The results suggested that skills associated with increased probabilities of psychotherapy sustaining were: Insight (8%), Exploration (10%), and Action (18%). No significant differences were found among therapists, and clients were more likely to drop out in the early stages of treatment. Conclusion: This work demonstrates an association between the perception of basic skills and dropout; however, this is the first study to evaluate therapist characteristics and dropout in psychotherapy within our context. Further studies are needed to better understand dropout rates in psychotherapy. Objetivo: evaluar la relación entre la autopercepción de las habilidades terapéuticas y la terminación prematura de los tratamientos. Además, evaluar si existen diferencias entre terapeutas, respecto a la deserción y en qué momento del tratamiento se produce mayor deserción. Metodología: estudio longitudinal, con una muestra clínica inicial de N = 188 pacientes. A los psicoterapeutas se les administró las Escalas de autoeficacia de la actividad del terapeuta (CASES). Se realizó un análisis descriptivo univariado de las características de los/las terapeutas y, por otro lado, de los pacientes. Para la predicción de la deserción se utilizaron modelos de ecuaciones de estimación generalizadas con familia binomial, link logístico y matriz de correlaciones intercambiable. Resultados: las habilidades de Insight aumentaron un 8%, las de exploración un 10% y las de acción un 18% la probabilidad de continuar el tratamiento psicoterapéutico. No se encontraron diferencias significativas entre los terapeutas y los pacientes que desertaron en las primeras sesiones. Conclusión: la autopercepción de habilidades terapéuticas como Insight, exploración y acción aumenta la probabilidad de continuidad en la psicoterapia, aunque no se observaron diferencias significativas en la deserción inicial entre terapeutas y pacientes. Universidad Peruana Unión 2024-12-24 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf application/pdf https://rccs.upeu.edu.pe/index.php/rc_salud/article/view/2083 10.17162/rccs.v17i2.2083 Revista Científica de Ciencias de la Salud; Vol. 17 No. 2 (2024): Revista Científica de Ciencias de la Salud; 11 - 19 Revista Científica de Ciencias de la Salud; Vol. 17 Núm. 2 (2024): Revista Científica de Ciencias de la Salud; 11 - 19 2411-0094 2306-0603 spa eng https://rccs.upeu.edu.pe/index.php/rc_salud/article/view/2083/2167 https://rccs.upeu.edu.pe/index.php/rc_salud/article/view/2083/2168 Derechos de autor 2024 Pablo Rafael Santangelo, Karina Conde, Carlina Mangini, Silvana Montes https://creativecommons.org/licenses/by/4.0/ |
| spellingShingle | Psychotherapy Therapeutic skills Continuity Dropout Psicoterapia Habilidades terapéuticas Continuidad Deserción Santangelo, Pablo Rafael Conde, Karina Mangini, Carlina Montes, Silvana Santangelo, Pablo Rafael Premature dropout from Psychotherapy and Helping Skills: An empirical study |
| title | Premature dropout from Psychotherapy and Helping Skills: An empirical study |
| title_alt | Terminación prematura en psicoterapia y habilidades de ayuda: un estudio empírico |
| title_full | Premature dropout from Psychotherapy and Helping Skills: An empirical study |
| title_fullStr | Premature dropout from Psychotherapy and Helping Skills: An empirical study |
| title_full_unstemmed | Premature dropout from Psychotherapy and Helping Skills: An empirical study |
| title_short | Premature dropout from Psychotherapy and Helping Skills: An empirical study |
| title_sort | premature dropout from psychotherapy and helping skills an empirical study |
| topic | Psychotherapy Therapeutic skills Continuity Dropout Psicoterapia Habilidades terapéuticas Continuidad Deserción |
| topic_facet | Psychotherapy Therapeutic skills Continuity Dropout Psicoterapia Habilidades terapéuticas Continuidad Deserción |
| url | https://rccs.upeu.edu.pe/index.php/rc_salud/article/view/2083 |
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