Understanding and preventing nonadherence and treatment dropout in adolescents and young adults with anxiety and depressive disorders

被引：2
作者：
Waumans, Ruth C. [1 ,2 ,3 ]
Muntingh, Anna D. T. [1 ,2 ,3 ]
Batelaan, Neeltje M. [1 ,2 ,3 ]
van Balkom, Anton J. L. M. [1 ,2 ,3 ]
机构：
[1] GGZ InGeest Specialized Mental Hlth Care, Amsterdam, Netherlands
[2] Locat Vrije Univ, Dept Psychiat, Amsterdam UMC, Amsterdam, Netherlands
[3] Amsterdam Publ Hlth Res Inst, Amsterdam, Netherlands
来源：
FRONTIERS IN PSYCHIATRY | 2023年 / 14卷
关键词：
adolescent; young adult; dropout; nonadherence; anxiety disorder; depressive disorder; MENTAL-HEALTH; PREMATURE TERMINATION; THERAPEUTIC ALLIANCE; ADHERENCE; PREVALENCE; CHILDREN; PSYCHOEDUCATION; BARRIERS; TRIALS; YOUTH;
D O I：
10.3389/fpsyt.2023.1174285
中图分类号：
R749 [精神病学];
学科分类号：
100205 ;
摘要：
Dropout from psychological or pharmacological treatment for anxiety and depressive disorders is common. It is especially problematic in adolescents and young adults because of the adverse consequences for their development. Reasons for treatment dropout can be divided into therapy-process related factors, attitudinal aspects, and practical issues. Adjusting treatment to patient preferences and shared decision making, improving the therapeutic alliance, and interventions such as (family) psychoeducation, motivational interviewing, and help with practical issues are promising strategies to optimize engagement and adherence.
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页数：6
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