Dropping out of psychiatric treatment: a methodological contribution
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Mazzotti E, Barbaranelli C. Dropping out of psychiatric treatment: a methodological contribution. Objective: Treatment interruption rate among psychiatric patients varies from 26% to 82%. In order to evaluate the determinants of compliance and dropping out in out‐patient psychiatric clinics, we utilized Ajzen’s theory of planned behaviour. Method: In the pilot stage (n = 164), a questionnaire was administered to elicit the patient’s salient beliefs associated with the intention to contact the service. In the main stage, a new, broader sample (n = 239) was asked to fill in a structured questionnaire including the basic components of the Ajzen’s theory; a structural equation model was used for the evaluation of the fit between the relationships hypothesized by the theory and the empirical data gathered from the sample. Results: The most important predictor of ‘intention’ is ‘perceived behavioural control’, followed by ‘attitude’. It was found that ‘past behaviour’ vs. ‘intentions’ was significant predictor of dropping out. Conclusion: Dropout patients were more likely to have already been in psychiatric treatment and to have had a past history of missed appointments. Our results suggest that knowing previous treatment history and the role of interruptions could equip mental health carers for the rapid retrieval of dropouts, reducing the burden on patients’ families and the risk of patients themselves.
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The completion benchmark of attending six or more out of nine classes was set a priori based on clinical experience and previous studies on attrition in psychiatric outpatient services.
“According to a benchmark defined a priori, participants needed to attend six or more out of the total nine classes (eight sessions and the all-day retreat) to be considered completers. This benchmark was set based on our clinical experience and previous studies on attrition in psychiatric outpatient services (Mazzotti & Barbaranelli, 2012).”
From Mindfulness-based stress reduction for autistic adults: A feasibility study in an outpatient context. (2024) · cites this paper as Mazzotti & Barbaranelli, 2012
Generally, patients receiving different kinds of psychiatric services have shown completion rates ranging from 18% to 74%.
“Generally, patients receiving different kinds of psychiatric services have shown completion rates ranging from 18% to 74% (Mazzotti & Barbaranelli, 2012)”
From Mindfulness-based stress reduction for autistic adults: A feasibility study in an outpatient context. (2024) · cites this paper as Mazzotti & Barbaranelli, 2012
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The theory of planned behavior
Ajzen, I. (1991) · Organizational Behavior and Human Decision Processes · doi:10.1016/0749-5978(91)90020-t · Cited by 90,587 · see citing works
A prospective outcome study of patients missing regular psychiatric outpatient appointments
Pang, A. H. T., Lum, F. C. K., Ungvari, G. S., Wong, C. K., & Leung, Y. S. (1996) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/bf00787924 · Cited by 36 · see citing works
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Furukawa, T. A., Noma, H., Caldwell, D. M., Honyashiki, M., Shinohara, K., Imai, H., Chen, P., Hunot, V., & Churchill, R. (2014) · Acta Psychiatrica Scandinavica · doi:10.1111/acps.12275 · Cited by 521 · see citing works
Agius, H., Luoto, A.-K., Backman, A., Eriksdotter, C., Jayaram-Lindström, N., Bölte, S., & Hirvikoski, T. (2024) · Autism · doi:10.1177/13623613231172809 · Cited by 17 · see citing works
“Generally, patients receiving different kinds of psychiatric services have shown completion rates ranging from 18% to 74% (Mazzotti & Barbaranelli, 2012), and so, in comparison, the completion rate in this study may be considered good.”
BackgroundMethod
- Authors
- Mazzotti, E., & Barbaranelli, C.
- Affiliations
- Sapienza University of Rome (IT)
- Corresponding author
- Mazzotti, E.
- Venue
- Acta Psychiatrica Scandinavica
- Publisher
- Wiley
- Published
- 2012-05-23
- Volume
- 126
- Issue
- 6
- Pages
- 426-433
- ISSN
- 0001-690X (ISSN-L)
- 1600-0447
- OpenAlex
- W1955241985
- Cited by
- 14
- References
- 2
- Citations by year
- 2026: 1 · 2023: 2 · 2022: 3 · 2021: 1 · 2018: 1 · 2017: 1 · 2016: 2 · 2015: 1 · 2014: 2
- FWCI
- 1.09
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Acta Psychiatrica Scandinavica (publishedVersion)
- PubMed (publishedVersion)
- IRIS Research product catalog (Sapienza University of Rome) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- treatment discontinuation, psychiatric outpatients, medication adherence, theory of planned behavior, perceived behavioral control, attitudes, past behavior, missed appointments, treatment interruption
- MeSH terms
- Adult, Mental Disorders, Female, Humans, Health Knowledge, Attitudes, Practice, Male, Outpatients, Patient Compliance, Patient Dropouts, Pilot Projects, Prospective Studies, Surveys and Questionnaires
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