Identifying and targeting predictors of drop-out from group cognitive behaviour therapy

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The predictors of drop-out from a group cognitive behaviour therapy (CBT) program were examined. In Study 1, 6 years of archival data of Perth Clinic's group CBT program were examined to determine the predictors of treatment drop-out. The predictors identified were low self-esteem at admission and a poor relationship status. These predictors were used to generate an algorithm for use by clinicians in identifying patients who may be likely to drop out. In Study 2, a controlled trial was conducted to determine if a brief self-esteem module delivered prior to a group CBT program might enhance outcomes and reduce drop-out rates. Day-patients who received the self-esteem module reported small additional reductions in depression scores but there were no noticeable effects upon drop-out rates. Suggestions are made for other ways to reduce drop-outs in CBT programs.