The DOI matches its Crossref record; 40 of the 40 references it cites were found in a registry or an index.
Pretreatment attrition and dropout in an outpatient clinic for anxiety disorders
Abstract
Objective: Treatment attrition represents a considerable problem for efficient delivery of care for mental disorders. The present study examined rates and predictors of pretreatment attrition and dropout from outpatient treatment for anxiety disorders. Method: The influence of clinical, demographic, clinician and system variables on pretreatment attrition (treatment refusal or non‐attendance) and dropout were analysed in a consecutive sample of 731 clients treated at an anxiety disorders clinic in Sydney. Results: Pretreatment attrition was common (30.4%) but dropout once clients had commenced treatment was rare (10.3%). Milder pretreatment symptoms were associated with treatment dropout and comorbid depression or depressive symptoms were associated with higher probability of both pretreatment attrition and dropout. Demographic, clinician and system influences were present but less important. Conclusion: Targeting of individuals with comorbid anxiety and depression may reduce treatment attrition rates among individuals with anxiety disorders presenting for treatment.
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“Although our data show a relatively high dropout rate, it was no different from that found in clinical trials of group CBT for anxiety disorders (see Fernandez, Salem, Swift, & Ramtahal, 2015;Issakidis & Andrews, 2004, for a review).”
From Efficacy of an acceptance-based group behavioral therapy for generalized anxiety disorder. (2020) · cites this paper as Issakidis & Andrews, 2004
In the citing paper
“The comparison between adherences to individual (Hunot, Churchill, Silva de Lima, & Teixeira, 2007) and group (Issakidis & Andrews, 2004) treatments for anxiety disorders suggests that the latter has approximately twice the attrition rate of the former.”
From Efficacy of an acceptance-based group behavioral therapy for generalized anxiety disorder. (2020) · cites this paper as Issakidis & Andrews, 2004
In the citing paper
“Exposure-based therapy is the treatment of choice for anxiety disorders, but many patients do not benefit sufficiently from it.”
In the citing paper
“about 25–30% of patients refuse to start exposure therapy, because they find it too aversive [11, 12]”
In the citing paper
“about 10–20% of patients drop out prematurely [12–14]”
In the citing paper
“Given that dropouts are common in this population [11–14]”
In the citing paper
“Furthermore, because pretreatment dropout is common in outpatient clinics [37]”
From Short-term effectiveness of web-based guided self-help for phobic outpatients: randomized controlled trial. (2014) · cites this paper as [37]
Citations
Cites
WARE, J. E., KOSINSKI, M., & KELLER, S. D. (1996) · Medical Care · doi:10.1097/00005650-199603000-00003 · Cited by 17,392
Lovibond, P. F., & Lovibond, S. H. (1995) · Behaviour Research and Therapy · doi:10.1016/0005-7967(94)00075-u · Cited by 14,523
Kupper, L. L., Hosmer, D. W., & Lemeshow, S. A. (1990) · Journal of the American Statistical Association · doi:10.2307/2290035 · Cited by 7,690
Development and validation of the Penn State Worry Questionnaire
Meyer, T. J., Miller, M. L., Metzger, R. L., & Borkovec, T. D. (1990) · Behaviour Research and Therapy · doi:10.1016/0005-7967(90)90135-6 · Cited by 5,099
Mattick, R. P., & Clarke, J. C. (1998) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(97)10031-6 · Cited by 3,367
Robins, L. N. (1988) · Archives of General Psychiatry · doi:10.1001/archpsyc.1988.01800360017003 · Cited by 2,909
Brief standard self-rating for phobic patients
Marks, I. M., & Mathews, A. M. (1979) · Behaviour Research and Therapy · doi:10.1016/0005-7967(79)90041-x · Cited by 1,801
Chambless, D. L., Caputo, G. C., Bright, P., & Gallagher, R. (1984) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.52.6.1090 · Cited by 1,247
A meta-analysis of psychotherapy dropout
Wierzbicki, M., & Pekarik, G. (1993) · Professional Psychology: Research and Practice · doi:10.1037/0735-7028.24.2.190 · Cited by 1,118
The prevalence and correlates of untreated serious mental illness.
(2001) · PubMed Central · Cited by 780
Research works printed but not linked: 1
- World Health Organization, 1997, Composite international diagnostic interview
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Planert, J., Hildebrand, A. S., Machulska, A., Roesmann, K., Neubert, M., Pilgramm, S., Pilgramm, J., & Klucken, T. (2025) · JMIR Human Factors · doi:10.2196/60957 · Cited by 7
Endhoven, B., De Cort, K., Matthijssen, S. J. M. A., de Jongh, A., van Minnen, A., Duits, P., Schruers, K. R. J., van Dis, E. A. M., Krypotos, A. M., Gerritsen, L., et al. (2023) · BMC Psychiatry · doi:10.1186/s12888-022-04320-4 · Cited by 4
“First, about 25–30% of patients refuse to start exposure therapy, because they find it too aversive [11, 12].”
BackgroundAhmed, N. Y., & Lawn, S. (2012) · Behaviour Change · doi:10.1017/bec.2012.23 · Cited by 4
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Au‐Yeung, C., Bowie, C. R., Montreuil, T. C., Baer, L., Lecomte, T., Joober, R., Abdel‐Baki, A., Jarvis, G. E., Margolese, H. C., Benedictis, L. D., et al. (2023) · Early Intervention in Psychiatry · doi:10.1111/eip.13391 · Cited by 5
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Brunnbauer, L., Simpson, S., & Balfour, C. (2016) · Australian Psychologist · doi:10.1111/ap.12143 · Cited by 4
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Strodl, E. S., & Yang, J. (2021) · Journal of Cognitive Psychotherapy · doi:10.1891/jcpsy-d-20-00025 · Cited by 3
van Straten, A., Meeuwissen, J. A. C., Tiemens, B. G., Hakkaart, L., Nolen, W. A., & Donker, M. C. H. (2007) · Tijdschrift voor Psychotherapie · doi:10.1007/bf03062249 · Cited by 2
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Romano, M., & Peters, L. (2021) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465821000138 · Cited by 2
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Ayers, C. R., & Arch, J. J. (2013) · Community Mental Health Journal · doi:10.1007/s10597-012-9575-1 · Cited by 2
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Marín, M. T. A., Martín, S. M. C., Cofiño, S. H., Campos, C. R., Miguel, B. C., & Martín, T. D. R. (2011) · Revista de la Asociación Española de Neuropsiquiatría · doi:10.4321/s0211-57352011000200003 · Cited by 2
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Stylianou, A. M. (2016) · doi:10.7282/t3ng4sq8 · Cited by 2
Homan, J. (2000) · doi:10.15760/etd.7210 · Cited by 2
Cooley, D., Kubitz, K. A., Pedersen, S., & Williams, A. (2013) · Universal Journal of Public Health · doi:10.13189/ujph.2013.010202 · Cited by 1
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Krebs, M., González, L. M., Rivera, A., Herrera, P., & Melis, F. (2012) · DOAJ (DOAJ: Directory of Open Access Journals) · Cited by 1
Ouimet, A. J., & Ashbaugh, A. R. (2017) · Springer eBooks · doi:10.1007/978-3-319-49206-3_15 · Cited by 1
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Connor, D. R., & Callahan, J. L. (2014) · PsycEXTRA Dataset · doi:10.1037/e540312014-001
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Wang, M., & Werbart, A. (2013) · Counselling Psychology Quarterly · doi:10.1080/09515070.2013.870533
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Keeley, J. W., Cardin, S. A., & Gonzalez, R. A. (2014) · Psychotherapy Research · doi:10.1080/10503307.2014.954152
Arikian, A. (2011) · University of Minnesota Digital Conservancy (University of Minnesota)
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Ewing, J. (2014) · Maryland Shared Open Access Repository (USMAI Consortium) · doi:10.13016/m2dq5h
Krishan, S. (2015) · BIBSYS Brage (BIBSYS (Norway))
Rauen, M. (2017) · CUNY Academic Works (City University of New York)
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Prasad, A., McQuade, B., & Schofield, C. A. (2018) · Communications in computer and information science · doi:10.1007/978-3-319-92279-9_43
Fernández‐Arias, I., de Madrid, U. C., Bernaldo‐de‐Quirós, M., de Madrid, U. C., Labrador, F. J., de Madrid, U. C., Estupiñá, F. J., de Madrid, U. C., Labrador, M., & de Madrid, U. C. (2018) · Papeles del Psicólogo - Psychologist Papers · doi:10.23923/pap.psicol2019.2876
Baskoro, F. A., & Hanum, L. (2019) · International Conference on Image Analysis and Processing · doi:10.2991/iciap-18.2019.25
Implications for the treatment of adult separation anxiety disorder
Manicavasagar, V. L., & Silove, D. M. (2020) · Elsevier eBooks · doi:10.1016/b978-0-12-812554-0.00011-5
Sampaio, T. P. D. A. (2020) · Digital Library of Theses and Dissertations (Universidade de São Paulo) · doi:10.11606/t.47.2020.tde-28052020-192438
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Smith, G. P., & Hartelius, G. (2020) · International Journal of Transpersonal Studies · doi:10.24972/ijts.2020.39.1-2.44
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Teixeira, R. J., Silva, S., Mota-Pereira, J., Monteiro, S. O. M., & Pereira, A. (2018) · doi:10.29290/amhs.1.2.2018.2-22
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Mainz, M. (2023) · Springer eBooks · doi:10.1007/978-3-658-35991-1_10
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Evans, J., Woodward, J., Ward, G., & Thursfield, V. (2009) · Clinical Psychology Forum · doi:10.53841/bpscpf.2009.1.195.37
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Swan, S. A. (2012)
Steggles, K., Biagi, N., Garner, M. J., & Morriss, J. (2026) · Behaviour Research and Therapy · doi:10.1016/j.brat.2026.105039
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Terzioğlu, M. A., Kılıç, B. S. P., Başay, B. K., Başay, Ö., & Büber, A. (2026) · Pamukkale Medical Journal · doi:10.31362/patd.1652122
Stoliarov, A. S., Wichert, F., Melzig, C. A., & Benke, C. (2026) · Behaviour Research and Therapy · doi:10.1016/j.brat.2026.105138
Endhoven, B., Vlaeyen, J. W. S., Cort, K. D., Matthijssen, S. J. M. A., de Jongh, A., van Minnen, A., Duits, P., Schruers, K. R. J., & Engelhard, I. M. (2026) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2026.102136
Victor, M. M. (2014) · Americanae (AECID Library)
Metadata
- Authors
- Issakidis, C., & Andrews, G.
- Affiliations
- UNSW Sydney (AU)
- Corresponding author
- Issakidis, C.
- ORCID
- Andrews, G.
- Venue
- Acta Psychiatrica Scandinavica
- Publisher
- Wiley
- Published
- 2004-04-29
- Volume
- 109
- Issue
- 6
- Pages
- 426-433
- ISSN
- 0001-690X (ISSN-L)
- 1600-0447
- OpenAlex
- W2114685224
- Cited by
- 149
- References
- 40
- Citations by year
- 2026: 5 · 2025: 2 · 2024: 2 · 2023: 7 · 2022: 7 · 2021: 5 · 2020: 13 · 2019: 6 · 2018: 8 · 2017: 4 · 2016: 12 · 2015: 8 · 2014: 12 · 2013: 7 · 2012: 10
- FWCI
- 6.94
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Acta Psychiatrica Scandinavica (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- treatment discontinuation, anxiety disorders, outpatient psychotherapy, comorbid depression, depressive symptoms, predictors of dropout, treatment refusal, mental health service delivery
- MeSH terms
- Adult, Anxiety Disorders, Depression, Disability Evaluation, Female, Humans, Male, Patient Dropouts, Surveys and Questionnaires, Severity of Illness Index, Comorbidity, Cognitive Behavioral Therapy
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