ArticleAdministration and policy in mental health2011
Predictors of treatment attrition among an outpatient clinic sample of youths with clinically significant anxiety.
Article in Administration and policy in mental health, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
32 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Codesign of Mental Health Interventions With Young People From Racially Minoritised Populations: A Systematic Review of Methods and Outcomes.Health expectations : an international journal of public participation in health care and health policy · 2025Pooled it
- Clinician descriptions of communication strategies to improve treatment engagement by racial/ethnic minorities in mental health services: A systematic review.Patient education and counseling · 2016Pooled it
- Predictors of dropout, time spent on the program and client satisfaction in an internet-based, telephone-assisted CBT anxiety program among elementary school children in a population-based sample.European child & adolescent psychiatry · 2025Trial
- Relapse prevention in major depressive disorder: Mindfulness-based cognitive therapy versus an active control condition.Journal of consulting and clinical psychology · 2015Trial
- Anxiety Disorders in Caucasian and African American Children: A Comparison of Clinical Characteristics, Treatment Process Variables, and Treatment Outcomes.Child psychiatry and human development · 2015Trial
- Treatment engagement and response to CBT among Latinos with anxiety disorders in primary care.Journal of consulting and clinical psychology · 2014Trial
- An Exploratory Analysis of Child Characteristics Predicting Clinical Outcomes in Parent-Led Cognitive Behavioral Teletherapy for Anxiety in Autistic Children.Journal of autism and developmental disorders · 2026Article
- Lost Narratives: Identifying Predictors of Attrition and Differences in Recruitment Effort in a Longitudinal Study on Child Maltreatment.Child maltreatment · 2026Article
- Goal consensus and task agreement as predictors of attendance and compliance in community-based treatments for adolescents with emotional disorders.Child and adolescent psychiatry and mental health · 2025Article
- Early indicators of response to transdiagnostic treatment of pediatric anxiety and depression.Journal of child psychology and psychiatry, and allied disciplines · 2023Article
- Barriers to mental health service use among people with disabilities during the COVID-19 pandemic.Rehabilitation psychology · 2023Article
- A modified measurement-based care approach to improve mental health treatment engagement among racial and ethnic minoritized youth.Psychological services · 2023Article
- Recommendations for Diversifying Racial and Ethnic Representation in Autism Intervention Research: A Crossover Review of Recruitment and Retention Practices in Pediatric Mental Health.Journal of clinical medicine · 2022Review
- Predictors of Service Utilization of Young Children and Families Enrolled in a Pediatric Primary Care Mental Health Promotion and Prevention Program.Community mental health journal · 2022Article
- Promoting Racial/Ethnic Equity in Psychosocial Treatment Outcomes for Child and Adolescent Anxiety and Depression.Psychiatric research and clinical practice · 2022Article
- Patterns of care and dropout rates from outpatient mental healthcare in low-, middle- and high-income countries from the World Health Organization's World Mental Health Survey Initiative.Psychological medicine · 2021Article
- Youth Perspectives on Seeking Psychotherapy: A Concurrent Mixed Methods Study.Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent · 2021Article
- Predicting Dropout from Children's Mental Health Services: Using a Need-Based Definition of Dropout.Child psychiatry and human development · 2020Article
- Predictors and Moderators of Parent Engagement in Early Interventions for Behaviorally Inhibited Preschool-Aged Children.Evidence-based practice in child and adolescent mental health · 2020Article
- Engagement complications of adolescents with borderline personality disorder: navigating through a zone of turbulence.Borderline personality disorder and emotion dysregulation · 2020Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Predictors of treatment attrition were examined in a sample of 197 youths (ages 5-18) with clinically-significant symptoms of anxiety seeking psychotherapy services at a community-based outpatient mental health clinic (OMHC). Two related definitions of attrition were considered: (a) clinician-rated dropout (CR), and (b) CR dropout qualified by phase of treatment (pre, early, or late phases) (PT). Across both definitions, rates of attrition in the OMHC sample were higher than those for anxious youths treated in randomized controlled trials, and comorbid depression symptoms predicted dropout, with a higher rate of depressed youths dropping out later in treatment (after 6 sessions). Using the PT definition, minority status also predicted attrition, with more African-American youths lost pre-treatment. Other demographic (age, gender, single parent status) and clinical (externalizing symptoms, anxiety severity) characteristics were not significantly associated with attrition using either definition. Implications for services for anxious youths in public service settings are discussed. Results highlight the important role of comorbid depression in the treatment of anxious youth and the potential value of targeted retention efforts for ethnic minority families early in the treatment process.
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Registered trials
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