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  • Title: ➤  Investigating Psychotherapy No-Shows Using Latent Growth Mixture Modeling
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Client dropout, also known as premature or unilateral termination, is a prevalent problem in psychotherapy, and it has problematic consequences for patients and mental health clinics. Dropout has been defined in a variety of ways, including therapist judgment, failure to complete a specified number of sessions, and failure to achieve reliable change. However, most research does not conceptualize it as missing a scheduled appointment, despite this being the form of dropout that is most costly to mental health providers and prevents other patients from being seen (Barrett et al., 2008). This is especially important at college counseling centers, which have seen an increase in the demand for services (Lipson et al., 2019) and which often have significant wait lists (LeViness et al., 2018). There is a general consensus that more therapy is better, and research on the factors associated with dropout has led to the development of interventions designed to reduce its occurrence and increase the number of therapy sessions (Oldham et al., 2012). However, there is evidence to suggest that some of those who drop out show improvement and may have gotten what they needed from therapy (April & Nicholas, 1996; Buizza et al., 2019; O’Keefe et al., 2019). As such, attempts to prolong therapy may actually be counterproductive for those individuals. The data in support of some dropouts getting what they need is largely qualitative, as quantitative studies typically take an average-level approach and may fail to represent those individuals (Bartholomew et al., 2019; Saxon et al., 2017). This study aims to address this gap in the literature by using latent growth mixture modeling (LGMM) and latent class growth analysis (LCGA), techniques that identify subgroups of individuals who share similar trajectories (Frankfurt et al., 2016). This research has the potential to further our understanding of those who drop out of therapy and has implications for which dropout reduction strategies are most appropriate.

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"Investigating Psychotherapy No-Shows Using Latent Growth Mixture Modeling" is available for download from The Internet Archive in "data" format, the size of the file-s is: 0.10 Mbs, and the file-s went public at Fri Sep 10 2021.

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  • Added Date: 2021-09-10 18:22:06
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