Predictors of treatment dropout in patients with posttraumatic stress disorder due to childhood abuse
Study of dropout in EMDR vs. EMDR with Skills Training in Affect and Interpersonal Regulation (STAIR) in people with child abuse PTSD.
Article Abstract
“Background: Knowledge about patient characteristics predicting treatment dropout for post-traumatic stress disorder (PTSD) is scarce, whereas more understanding about this topic may give direction to address this important issue.
Method: Data were obtained from a randomized controlled trial in which a phase-based treatment condition (Eye Movement Desensitization and Reprocessing [EMDR] therapy preceded by Skills Training in Affect and Interpersonal Regulation [STAIR]; n = 57) was compared with a direct trauma-focused treatment (EMDR therapy only; n = 64) in people with a PTSD due to childhood abuse. All pre-treatment variables included in the trial were examined as possible predictors for dropout using machine learning techniques.
Results: For the dropout prediction, a model was developed using Elastic Net Regularization. The ENR model correctly predicted dropout in 81.6% of all individuals. Males, with a low education level, suicidal thoughts, problems in emotion regulation, high levels of general psychopathology and not using benzodiazepine medication at screening proved to have higher scores on dropout.
Conclusion: Our results provide directions for the development of future programs in addition to PTSD treatment or for the adaptation of current treatments, aiming to reduce treatment dropout among patients with PTSD due to childhood abuse.”
—Description from publisher
Article Access
Open Access
Bremer-Hoeve, S., van Vliet, N. I., van Bronswijk, S. C., Huntjens, R. J. C., de Jongh, A., & van Dijk, M. K. (2023). Predictors of treatment dropout in patients with posttraumatic stress disorder due to childhood abuse. Frontiers in Psychiatry, 14:1194669. Open access: https://doi.org/10.3389/fpsyt.2023.1194669
Date
August 3, 2023
Creator(s)
Susanne Bremer-Hoeve, Noortje I. van Vliet, Suzanne C. van Bronswijk
Contributor(s)
Rafaele J.C. Huntjens, Ad de Jongh, Maarten K. van Dijk
Topics
Abuse/Neglect, Childhood Trauma, Complex Trauma/C-PTSD, PTSD
Extent
9 pages
Publisher
Frontiers
Rights
© 2023 Bremer-Hoeve, van Vliet, van Bronswijk, Huntjens, de Jongh and van Dijk. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
APA Citation
Bremer-Hoeve, S., van Vliet, N. I., van Bronswijk, S. C., Huntjens, R. J. C., de Jongh, A., & van Dijk, M. K. (2023). Predictors of treatment dropout in patients with posttraumatic stress disorder due to childhood abuse. Frontiers in Psychiatry, 14:1194669. Open access: https://doi.org/10.3389/fpsyt.2023.1194669
Audience
EMDR Therapists, Other Mental Health Professionals
Language
English
Content Type
Article, Peer-Reviewed
Access Type
External Resource, Open Access