Pretreatment predictors of dropout from cognitive behavioral therapy for PTSD in Iraq and Afghanistan war veterans
Abstract
Cognitive– behavioral therapies (CBTs) can be effective treatments for posttraumatic stress disorder (PTSD) but their effectiveness is limited by high rates of premature dropout. Few studies have compared pretreatment characteristics of treatment completers and dropouts, and only one has examined these factors in Operations Iraqi Freedom and Enduring Freedom (OIF/OEF) Veterans. This study analyzed archival clinical data from 117 OEF/OIF Veterans evaluated and treated through a Veterans Affairs PTSD clinic. High numbers dropped out of treatment (68%). Treatment dropouts (n 79) and completers (n 38) differed significantly on Minnesota Multiphasic Personality Inventory-2 (MMPI-2) scales, PTSD symptom severity, and age. Regression analyses identified one MMPI-2 scale, TRT (negative treatment indicators), and age as unique but modest predictors of dropout.
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The focus of common PTSD interventions on trauma and exposure may lead to low adherence to treatment and high dropout rates.
“This focus may lead to low adherence to treatment and high dropout rates (Imel et al., 2013; Garcia et al., 2011).”
From Efficacy and mechanisms of mobile application-delivered Acceptance and Commitment Therapy for posttraumatic stress disorder in China: Study protocol for a randomized controlled trial (2022) · cites this paper as Garcia et al., 2011
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- Authors
- Garcia, H. A., Kelley, L. P., Rentz, T. O., & Lee, S.
- Affiliations
- United States Department of Veterans Affairs (US)
- Venue
- Psychological Services
- Published
- 2011-02
- Volume
- 8
- Issue
- 1
- Pages
- 1-11
- ISSN
- 1541-1559 (ISSN-L)
- 1939-148X
- OpenAlex
- W1978736653
- Cited by
- 169
- References
- 54
- Citations by year
- 2026: 3 · 2025: 9 · 2024: 13 · 2023: 7 · 2022: 14 · 2021: 11 · 2020: 16 · 2019: 21 · 2018: 18 · 2017: 8 · 2016: 11 · 2015: 13 · 2014: 13 · 2013: 6 · 2012: 4
- FWCI
- 8.28
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychological Services (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Keywords
- post-traumatic stress disorder, cognitive behavioral therapy, treatment discontinuation, war veterans, Iraq and Afghanistan veterans, MMPI-2, PTSD symptom severity, age, predictors of dropout, treatment completion
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