Relationship To CBT Outcome And Dropout Of Decision Support Tools ...

Full text links CiteDisplay options Display options Format AbstractPubMedPMID

Abstract

Many patients who receive cognitive behavior therapy (CBT) for mood and anxiety disorders fail to respond or drop out of treatment. We tested the hypotheses that therapist use of each of three decision support tools, a written case formulation, a list of treatment goals, and a plot of symptom scores, was associated with improved outcome and reduced dropout in naturalistic CBT provided to 845 patients in a private practice setting. We conducted regression analyses to test the hypotheses that the presence of each tool in the clinical record was associated with lower end-of-treatment scores on the Beck Depression Inventory (BDI) and the Burns Anxiety Inventory (BurnsAI), and lower rates of premature and uncollaborative dropout. We found that the presence of a written case formulation in the clinical record was associated with lower rates of both types of dropout. A list of treatment goals was associated with lower end-of-treatment scores on the BDI and the BurnsAI, and a lower rate of uncollaborative but a higher rate of premature dropout. A plot of symptom scores was associated with lower end-of-treatment scores on the BDI, and lower rates of both types of dropout. Results suggest that therapist use of a written case formulation, list of treatment goals, and a plot of symptom scores can contribute to improved outcome and reduced dropout in CBT.

Keywords: Case formulation; Decision support; Dropout; Measurement-based care; Outcome; Private practice.

Copyright © 2021. Published by Elsevier Ltd.

PubMed Disclaimer

Publication types

• Research Support, U.S. Gov't, Non-P.H.S. Actions
  • Search in PubMed
  • Search in MeSH
  • Add to Search

MeSH terms

• Anxiety Actions
  • Search in PubMed
  • Search in MeSH
  • Add to Search
• Anxiety Disorders / therapy Actions
  • Search in PubMed
  • Search in MeSH
  • Add to Search
• Cognitive Behavioral Therapy* Actions
  • Search in PubMed
  • Search in MeSH
  • Add to Search
• Goals* Actions
  • Search in PubMed
  • Search in MeSH
  • Add to Search
• Humans Actions
  • Search in PubMed
  • Search in MeSH
  • Add to Search
• Psychiatric Status Rating Scales Actions
  • Search in PubMed
  • Search in MeSH
  • Add to Search
• Treatment Outcome Actions
  • Search in PubMed
  • Search in MeSH
  • Add to Search

LinkOut - more resources

• Full Text Sources

  • Elsevier Science
  • eScholarship, University of California - Access Free Full Text

• Other Literature Sources

  • scite Smart Citations