Abstract

PESSOTA, Clarissa Machado; FEIJO, Luan Paris  and  BENETTI, Silvia Pereira da Cruz. Predictors of initial abandonment in psychodynamic psychotherapy. Arq. bras. psicol. [online]. 2020, vol.72, n.2, pp. 43-56. ISSN 1809-5267.  http://dx.doi.org/10.36482/1809-5267.arbp2020v72i1p.43-56.

Abandonment in psychotherapy is a widely studied factor, considering its relevance to clinical practice. Some variables have been predictive of the interruption of psychotherapy; however, there are few studies that differentiate periods of abandonment. This study aims to identify the predictors of initial abandonment in the psychotherapeutic process of 1,272 medical records of young adult patients. The instruments used were the initial contact sheet, the evaluation, the institutional discharge and the SCL-90-R. The results were obtained through the analysis of Multivariate Binary Logistic Regression, which indicated as predictors of initial abandonment, the following variables: sociodemographic: low income; clinical: phobic anxiety; and treatment: not having previously performed psychotherapy; and reasons for termination of treatment: type of abandonment (did not attend the session and did not justify); patient (other reasons: change of city, lack of resources and reasons for health); organizational factors; dissatisfaction. The results suggest an attention to the initial appointments to help in treatment accession.

Keywords : Psychotherapy; Psychodynamic; Withholding treatment; Risk factors.

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