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Predictors of treatment attrition of cognitive health interventions in first episode psychosis.
Au-Yeung, Christy; Bowie, Christopher R; Montreuil, Tina; Baer, Larry H; Lecomte, Tania; Joober, Ridha; Abdel-Baki, Amal; Jarvis, G Eric; Margolese, Howard C; De Benedictis, Luigi; Schmitz, Norbert; Thai, Helen; Malla, Ashok K; Lepage, Martin.
Afiliación
  • Au-Yeung C; Prevention and Early Intervention Program for Psychoses, Douglas Mental Health University Institute, Montreal, Quebec, Canada.
  • Bowie CR; Department of Psychology, McGill University, Montreal, Quebec, Canada.
  • Montreuil T; Department of Psychology, Department of Psychiatry, Centre for Neuroscience Studies, Queen's University, Kingston, Ontario, Canada.
  • Baer LH; Departments of Educational & Counselling Psychology and Psychiatry, McGill University, Montreal, Quebec, Canada.
  • Lecomte T; Research Institute of the McGill University Health Centre, Child Health and Human Development, Montreal, Quebec, Canada.
  • Joober R; Prevention and Early Intervention Program for Psychoses, Douglas Mental Health University Institute, Montreal, Quebec, Canada.
  • Abdel-Baki A; Department of Psychiatry, McGill University, Montreal, Quebec, Canada.
  • Jarvis GE; Department of Psychology, McGill University, Montreal, Quebec, Canada.
  • Margolese HC; Prevention and Early Intervention Program for Psychoses, Douglas Mental Health University Institute, Montreal, Quebec, Canada.
  • De Benedictis L; Department of Psychiatry, McGill University, Montreal, Quebec, Canada.
  • Schmitz N; Clinique JAP-Centre hospitalier de l'Université de Montréal (CHUM), Montréal, Quebec, Canada.
  • Thai H; Centre de recherche du Centre hospitalier de l'Université de Montréal CRCHUM, Montréal, Québec, Canada.
  • Malla AK; Département de psychiatrie et d'addictologie, Université de Montréal, Montréal, Québec, Canada.
  • Lepage M; First Episode Psychosis Program, Jewish General Hospital, and Department of Psychiatry, McGill University, Montreal, Quebec, Canada.
Early Interv Psychiatry ; 17(10): 984-991, 2023 10.
Article en En | MEDLINE | ID: mdl-36653167
AIM: Dropping out of psychological interventions is estimated to occur in up to a third of individuals with psychosis. Given the high degree of attrition in this population, identifying predictors of attrition is important to develop strategies to retain individuals in treatment. We observed a particularly high degree of attrition (48%) in a recent randomized controlled study assessing cognitive health interventions for first-episode psychosis participants with comorbid social anxiety. Due to the importance of developing interventions for social anxiety in first episode psychosis, the aim of the present study was to identify putative predictors of attrition through a secondary analysis of data. METHODS: Participants (n = 96) with first episode psychosis and comorbid social anxiety were randomized to receive cognitive behavioural therapy for social anxiety or cognitive remediation. Differences between completers and non-completers (<50% intervention completed) were compared using t-tests or chi-square analyses; statistically significant variables were entered into a multivariate logistic regression model. RESULTS: Non-completers tended to be younger, had fewer years of education and had lower levels of social anxiety compared to completers. Lower baseline social anxiety and younger age were statistically significant predictors of non-completion in the logistic regression model. CONCLUSIONS: Age and social anxiety were predictors of attrition in cognitive health interventions in first episode psychosis populations with comorbid social anxiety. In the ongoing development of social anxiety interventions for this population, future studies should investigate specific engagement strategies, intervention formats and outcome monitoring to improve participant retention in treatment.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos Psicóticos / Terapia Cognitivo-Conductual Tipo de estudio: Clinical_trials / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Early Interv Psychiatry Asunto de la revista: PSIQUIATRIA Año: 2023 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Australia
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos Psicóticos / Terapia Cognitivo-Conductual Tipo de estudio: Clinical_trials / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Early Interv Psychiatry Asunto de la revista: PSIQUIATRIA Año: 2023 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Australia