Abstract：
:Many psychotherapies, including cognitive behavioral therapy and acceptance and commitment therapy (ACT), have been found to be effective interventions for a range of psychological and behavioral health concerns. Another aspect of treatment utility to consider is dropout, as interventions only work if clients are engaged in them. To date, no research has used meta-analytic methods to examine dropout in ACT. Thus, the objectives of the present meta-analysis were to (1) determine the aggregate dropout rate for ACT in randomized controlled trials, (2) compare dropout rates in ACT to those in other psychotherapies, and (3) identify potential moderators of dropout in ACT. Our literature search yielded 68 studies, representing 4,729 participants. The weighted mean dropout rates in ACT exclusive conditions and ACT inclusive conditions (i.e., those that included an ACT intervention) were 15.8% (95% CI: 11.9%, 20.1%) and 16.0% (95% CI: 12.5%, 19.8%), respectively. ACT dropout rates were not significantly different from those of established psychological treatments. In addition, dropout rates did not vary by client characteristics or study methodological quality. However, master's-level clinicians/therapists (weighted mean = 29.9%, CI: 17.6%, 43.8%) were associated with higher dropout than psychologists (weighted mean = 12.4%, 95% CI: 6.7%, 19.4%). More research on manipulable, process variables that influence dropout is needed.
journal_name
Behav Res Therjournal_title
Behaviour research and therapyauthors
Ong CW,Lee EB,Twohig MPdoi
10.1016/j.brat.2018.02.004subject
Has Abstractpub_date
2018-05-01 00:00:00pages
14-33eissn
0005-7967issn
1873-622Xpii
S0005-7967(18)30026-3journal_volume
104pub_type
杂志文章,meta分析abstract：:The tendency to perceive anxious states as aversive and harmful is hypothesized to confer vulnerability to the development of anxiety disorders. The most commonly used measure of anxiety sensitivity, the Anxiety Sensitivity Index [ASI; Reiss, S., Peterson, R.A., Gursky, D.M., & McNally R.J. (1986). Anxiety sensitivity...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2006.09.017
更新日期：2007-08-01 00:00:00
abstract：:The purpose of this small pilot study was three-fold: (a) to begin development of a coding scheme for supervisor and therapist skill acquisition, (b) to preliminarily investigate a pilot train-the-trainer paradigm for skill development, and (c) to evaluate self-reported versus observed indicators of skill mastery in t...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2013.12.001
更新日期：2014-02-01 00:00:00
abstract：:The current study examined the effectiveness of a self-directed video-based format of the 1-2-3 Magic parenting program in reducing dysfunctional parenting and child problem behaviors. Eighty-four parents of children aged 2-10 were randomly assigned to either the intervention group (n = 43) or the waitlist control gro...
journal_title：Behaviour research and therapy
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.brat.2015.01.003
更新日期：2015-03-01 00:00:00
abstract：:The psychological consequences of bullying have been the focus of much research over the last 25 years. However, the relationship between bullying and psychotic experiences has been relatively ignored despite the weight of evidence which suggests that traumatic events in childhood are significantly related to psychoti...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2006.11.009
更新日期：2007-07-01 00:00:00
abstract：:Breslau, Peterson, and Shultz (2008) reported that prior trauma alone, in the absence of PTSD, did not predict an increased PTSD risk, relative to no prior trauma. Only prior trauma that resulted in PTSD predicted an increased PTSD risk following a subsequent trauma. Recently, Cougle, Resnick, and Kilpatrick (2009) pr...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2010.07.001
更新日期：2010-10-01 00:00:00
abstract：:It has been proposed that blushing-fearful individuals overestimate both the probability and the interpersonal costs of blushing. To study these judgmental biases, we presented a treatment-seeking sample of blushing-fearful individuals a series of vignettes describing social events and tested whether this clinical sam...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2011.11.006
更新日期：2012-02-01 00:00:00
abstract：:Fifty-three patrons of a harness racing track completed two measures of explanatory style prior to an afternoon's races. One measure assessed general explanatory style, using bad events taken from the Attributional Style Questionnaire, and the other measure assessed betting-specific explanatory style, using bad events...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/0005-7967(90)90139-a
更新日期：1990-01-01 00:00:00
abstract：:CBT for obsessive-compulsive disorder (OCD) is a strong challenge to the contention that common factors explain most of the variance in outcomes in all therapies and all disorders, given that the treatment is focused and placebo response is low. In this study, the relative contributions of expectancy and therapeutic a...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2018.03.007
更新日期：2018-06-01 00:00:00
abstract：:This article has been withdrawn at the request of the author(s) and/or editor. The Publisher apologizes for any inconvenience this may cause. The full Elsevier Policy on Article Withdrawal can be found at http://www.elsevier.com/locate/withdrawalpolicy. ...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2010.10.009
更新日期：2010-11-02 00:00:00
abstract：:Little is known about the treatment of adolescents with an eating disorder who are not underweight. Enhanced cognitive behaviour therapy (CBT-E) is a potential option as it is a treatment for adult patients with eating disorders of this type and it has been shown to be effective with adolescent patients who are underw...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2015.07.014
更新日期：2015-10-01 00:00:00
abstract：:Perfectionism is a complex psychological construct that has been defined in many different ways. Recent conceptualisations of perfectionism have involved dividing the construct into positive and negative components. Negative perfectionism is associated with high emotional distress whereas positive perfectionism is ass...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2007.02.002
更新日期：2007-08-01 00:00:00
abstract：:Although the application of cognitive techniques to both the measurement and modification of delusional beliefs has recently been developed in more theoretical detail (e.g. Chadwick & Lowe, 1994, Behaviour Research and Therapy, 32, 355-367) there has not been an effort to examine the variability of delusional phenomen...
journal_title：Behaviour research and therapy
pub_type： 临床试验,杂志文章
doi：10.1016/0005-7967(95)00059-3
更新日期：1996-02-01 00:00:00
abstract：:Cognitive models of panic disorder (PD) with or without agoraphobia have stressed the role of catastrophic beliefs of bodily symptoms as a central mediating variable of the efficacy of cognitive behavioral therapy (CBT). Perceived ability to cope with or control panic attacks, panic self-efficacy, has also been propos...
journal_title：Behaviour research and therapy
pub_type： 杂志文章,meta分析,评审
doi：10.1016/j.brat.2014.06.003
更新日期：2014-09-01 00:00:00
abstract：:Around one in three of the UK population suffer from sleep problems, resulting in high costs to society. Cognitive behaviour therapy for insomnia (CBT-I) has been shown to be effective. Community-based workshops may be a cost-effective way to provide CBT-I to groups that are usually hard to reach or reluctant to seek ...
journal_title：Behaviour research and therapy
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.brat.2014.01.005
更新日期：2014-04-01 00:00:00
abstract：:Fear of spiders, disgust sensitivity, and spiders' disgust-evoking status were assessed in a group of spider phobic girls (n = 22) who applied for treatment, in a group of non-phobic girls (n = 21), and in the parents of both groups of children. The phobic girls were tested both before and after behavioural treatment ...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/s0005-7967(97)00002-8
更新日期：1997-06-01 00:00:00
abstract：:The efficacy of cognitive behavioural therapy (CBT) for panic disorder with or without agoraphobia (PD) is well-established; however, little is known about the underlying change processes of clinical improvement during therapy. According to cognitive theories, CBT for PD primarily works by changing catastrophic misint...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2013.06.002
更新日期：2013-09-01 00:00:00
abstract：:The purpose of this treatment effectiveness study was to evaluate the flexible application of a manualized cognitive behavioral treatment (CBT) for PTSD and related symptoms in survivors of the 9/11 terrorist attack on the World Trade Center. Treatment delivery ranged from 12 to 25 sessions; therapist experience range...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2007.01.004
更新日期：2007-07-01 00:00:00
abstract：:Thought control was investigated in participants (N = 72) who were shown either a violent, humorous or neutral film and then administered either suppression or nonsuppression instructions. Following the presentation of a three minute segment from one film, participants monitored their thoughts for two 3-minute periods...
journal_title：Behaviour research and therapy
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s0005-7967(98)00049-7
更新日期：1998-07-01 00:00:00
abstract：:This study investigated the psychometric properties of a newly developed 20-item instrument that assesses one's anticipation of being able to change anxiety: the Anxiety Change Expectancy Scale (ACES). Study 1 evaluated the ACES in undergraduate university students, self-identified as experiencing difficulties with an...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2004.12.001
更新日期：2005-12-01 00:00:00
abstract：:Sexual assault risk reduction programs do not target alcohol use despite the widespread knowledge that alcohol use is a risk factor for being victimized. The current study assessed the effectiveness of a web-based combined sexual assault risk and alcohol use reduction program using a randomized control trial. A total ...
journal_title：Behaviour research and therapy
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.brat.2015.08.007
更新日期：2015-11-01 00:00:00
abstract：:This study examined which, if any, of four variables (depression, hopelessness, conduct problems, substance abuse) differentiated suicide attemptors from nonattemptors among incarcerated juvenile delinquents. Fifty-one male youth served as subjects. The predictor variables were collected by either a standardized inter...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/0005-7967(92)90038-i
更新日期：1992-09-01 00:00:00
abstract：:The present study examined the contribution of three main cognitive factors (i.e., anxiety sensitivity, catastrophic misinterpretations of bodily symptoms, and panic self-efficacy) in predicting panic disorder (PD) severity in a sample of patients with a principal diagnosis of panic disorder. It was hypothesized that ...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2015.01.005
更新日期：2015-04-01 00:00:00
abstract：:This paper describes the development of the Child Dental Control Assessment (CDCA), a situationally-specific measure of control strategies for school-age children visiting the dentist. A pilot proceeded two definitive studies. In the pilot, the instructions and a battery of items were pretested. The first study was wi...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/0005-7967(96)00057-i
更新日期：1996-01-01 00:00:00
abstract：:Cognitions have been known to play a central role in the development, maintenance, and treatment of speech anxiety. However, few instruments are currently available to assess cognitive contents associated with speech anxiety. This report describes three studies examining the psychometric characteristics of a revised E...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/s0005-7967(03)00067-6
更新日期：2004-01-01 00:00:00
abstract：:This study examined the efficacy of the written emotional disclosure (WED) procedure with a sample of young adults who met diagnostic criteria for posttraumatic stress disorder (PTSD). Participants were randomly assigned to either WED or a control writing condition and were assessed at baseline and one month following...
journal_title：Behaviour research and therapy
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.brat.2011.02.001
更新日期：2011-04-01 00:00:00
abstract：:Although it is well established that attentional biases exist in anxious populations, the specific components of visual orienting towards and away from emotional stimuli are not well delineated. The present study was designed to examine these processes. We used a modified spatial cueing task to assess the speed of eng...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2008.10.021
更新日期：2009-02-01 00:00:00
abstract：OBJECTIVE:The aims were to predict cognitive therapy (CT) noncompletion and to determine, relative to other putative predictors, the extent to which the patient skills in CT for recurrent major depressive disorder predicted response in a large, two-site trial. METHOD:Among 523 outpatients aged 18e70, exposed to 12e14 ...
journal_title：Behaviour research and therapy
pub_type： 杂志文章,多中心研究
doi：10.1016/j.brat.2013.01.006
更新日期：2013-05-01 00:00:00
abstract：:A randomized controlled trial (N=52) was conducted comparing cognitive-behavioral therapy with a waiting list control group to identify mediators and predictors of treatment outcome. Reduction of weight concerns mediated abstinence of binge eating at post-treatment. Abstinence was marginally mediated by changes in eat...
journal_title：Behaviour research and therapy
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1016/j.brat.2007.06.003
更新日期：2007-11-01 00:00:00
abstract：:The study investigated the relationship between self-focused attention (SFA) and post-event processing (PEP) in social anxiety. SFA is the process of directing attention to internal stimuli during a social interaction. PEP is a detailed review of performance following an interaction. Highly socially anxious students (...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2011.10.010
更新日期：2012-01-01 00:00:00
abstract：:Hickling and Blanchard (1997) [Behavior Research and Therapy, 35, 191-203] summarize the results of treating PTSD patients with a highly structured treatment manual. Presenting a 'clinician's reaction' they argue for the added value of modifying treatment manuals based on the therapist's clinical experience and claim ...
journal_title：Behaviour research and therapy
pub_type： 评论,杂志文章
doi：10.1016/s0005-7967(96)00091-5
更新日期：1997-03-01 00:00:00
