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Therapist Effects and the Impacts of Therapy Nonattendance

机译：治疗师效应和治疗不统一的影响

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Although dropout from psychotherapy has received substantial attention, the impacts of nonattendance on client outcome across a course of psychotherapy have not been well researched. All in-person psychotherapy treatments require clients to actually attend sessions to generate positive symptomatic results, and missed sessions have at least a time and financial cost. Furthermore, it is plausible that therapist differences exist for client attendance rates. The present study examined impacts of nonattendance, particularly early in a course of treatment, comparing the effects of canceled and no-showed appointments on overall symptom reduction and rate of change while accounting for therapist effects. Using multilevel hierarchical regression, the impact of nonattendance on symptom reduction and rate of change was modeled on 5,253 clients (67.2% female, 72.3% white) across 83 therapists gathered from a practice research network. Results suggested that no-shows, but not cancellations, had negative impacts on the magnitude and rate of symptom change, with larger effects when occurring before the third session. Therapist effects on attendance also were identified; therapists varied greatly on nonattendance percentages of their clients after the third attended session.
机译：尽管从心理治疗中辍学的人受到了广泛关注，但在整个心理治疗过程中，不专心对患者结果的影响还没有得到很好的研究。所有的面对面心理治疗都要求客户实际参加治疗，以产生积极的症状结果，而错过治疗至少要付出时间和财务成本。此外，治疗师在客户出勤率方面存在差异似乎是合理的。本研究考察了不专心的影响，尤其是在治疗过程的早期，比较了取消预约和没有预约对总体症状减轻和变化率的影响，同时考虑了治疗师的影响。采用多水平分层回归，从实践研究网络收集的83名治疗师中，对5253名客户（67.2%为女性，72.3%为白人）进行建模，研究不专心对症状减轻和变化率的影响。结果表明，没有演出，但没有取消，对症状变化的幅度和速度有负面影响，在第三节课之前发生的影响更大。治疗师对出勤的影响也被确定；在第三次参加治疗后，治疗师对他们的客户的不注意百分比差异很大。

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