Dropout From Psychological Interventions for Pathological Health Anxiety: A Three-Level Meta-Analysis of Randomized Controlled Trials

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL Clinical psychology & psychotherapy Pub Date : 2024-10-03 DOI:10.1002/cpp.3064

Congrong Shi, Ying Wu, Hongrui Wei, Yang Xiao, Xiaohui Lv, Zhihong Ren

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Abstract

This study aimed to provide the first comprehensive evidence on the prevalence and predictors of dropout in psychological interventions for pathological health anxiety. A database search in Web of Science, EMBASE, PubMed, Scopus, PsycINFO and the Cochrane Central Register of Controlled Trials identified 28 eligible randomized controlled trials (40 intervention conditions; 1783 participants in the intervention condition), published up to 18 June 2024. Three-level meta-analytic results showed a weighted average dropout rate of 9.67% (95% confidence interval [CI] [6.49%, 14.17%]), with dropout equally likely from treatment and control conditions (odds ratio = 1.07, 95% CI [0.80, 1.44]). Moderator analyses indicated no statistically significant effects of study, participant, treatment or therapist characteristics, except for the country of study. These findings suggest that the average dropout rate is relatively low compared with those reported for other mental health conditions and highlight the importance of considering cultural and societal factors when evaluating treatment adherence. Future research should continue to explore the complex and multifaceted factors influencing dropout to improve the design and implementation of psychological interventions for pathological health anxiety.

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病理性健康焦虑心理干预的辍学率：随机对照试验的三级元分析》。

本研究旨在提供第一份有关病态健康焦虑心理干预中的辍学率和辍学预测因素的全面证据。通过在 Web of Science、EMBASE、PubMed、Scopus、PsycINFO 和 Cochrane Central Register of Controlled Trials 中进行数据库检索，发现了 28 项符合条件的随机对照试验（40 种干预条件；1783 名参与者参与了干预条件），这些试验的发表日期均截止到 2024 年 6 月 18 日。三级荟萃分析结果显示，加权平均辍学率为9.67%（95%置信区间[CI][6.49%, 14.17%]），治疗条件和对照条件的辍学几率相同（几率比=1.07，95% CI [0.80, 1.44]）。调节分析表明，除研究国家外，研究、参与者、治疗或治疗师的特征在统计学上没有显著影响。这些研究结果表明，与其他精神疾病相比，平均辍学率相对较低，并强调了在评估治疗依从性时考虑文化和社会因素的重要性。未来的研究应继续探索影响辍学的复杂而多方面的因素，以改进病态健康焦虑心理干预的设计和实施。

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来源期刊

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.