Prognostic implications for adolescents with depression who drop out of psychological treatment during a randomized controlled trial
Journal of the American Academy of Child & Adolescent Psychiatry Jun 11, 2019
O’Keeffe S, et al. - In order to determine the association of therapy dropout with outcomes among adolescents with depression, researchers examined clinical outcomes in adolescents who dropped out of psychological therapy. In addition, they examined if this varied by treatment type. From the Improving Mood with Psychoanalytic and Cognitive Therapies study, a randomized controlled trial, comparing a brief psychosocial intervention, cognitive-behavioral therapy, and short-term psychoanalytic psychotherapy in the treatment of adolescent major depression, they obtained data of 406 adolescents with a diagnosis of major depression; drop out of treatment was reported for 169 before the planned end of therapy. Outcomes yielded no robust evidence of poorer clinical outcomes in adolescent patients who dropped out vs those who completed therapy, when dropout was defined as ending treatment without agreement of the therapist. These findings are in contrast to findings from studies of adult therapy
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