Predictors of Treatment Satisfaction Among Adolescents Following an Intensive Cognitive-Behavioral Intervention for Pani
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ORIGINAL ARTICLE
Predictors of Treatment Satisfaction Among Adolescents Following an Intensive Cognitive‑Behavioral Intervention for Panic Disorder Maya Nauphal1 · Ovsanna T. Leyfer1 · Erin F. Ward‑Ciesielski1 · Donna B. Pincus1 Accepted: 27 August 2020 © Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract No studies to date examine predictors of treatment satisfaction following intensive cognitive-behavioral therapy interventions among adolescents. Given the challenges to treatment adherence among adolescents, and the promise intensive interventions hold for providing rapid symptom relief and increasing access to care, data examining adolescents’ satisfaction with intensive programs are needed. Twenty-four adolescents (ages 12–17) with panic disorder received an eight-day intensive cognitivebehavioral therapy intervention. Pre-treatment characteristics and clinical outcome variables were examined as predictors of satisfaction at post-treatment and three-months follow-up. Multiple regression analyses revealed that higher levels of overall symptom interference at baseline and greater reductions in agoraphobic fear during treatment predicted greater treatment satisfaction at post-treatment. Only satisfaction at post-treatment significantly predicted treatment satisfaction at follow-up, highlighting the potential influence of treatment satisfaction on long-term perceptions of treatment. Considerations for fostering treatment satisfaction in the context of intensive interventions are discussed. Keywords Treatment satisfaction · Adolescence · Cognitive-behavioral therapy · Intensive intervention · Panic disorder
Introduction The assessment of treatment satisfaction following psychotherapy has become of increasing interest among mental health providers in the last several decades, a shift that is consistent with a larger movement within the mental health field to include clients’ perspectives of their experiences in therapy to evaluate and subsequently improve services [1–3]. Treatment satisfaction within the context of psychotherapy research has been defined as the subjective appraisal of the processes and outcomes of an intervention by the individual who received or experienced it [4]. While treatment satisfaction has been operationalized differently across studies, measures of satisfaction often involve an assessment of the following constructs: the therapeutic relationship (including perceptions of therapist competence and interpersonal style, the presence of interpersonal conflict, and perceptions of therapists’ skills), attitudes towards treatment (including * Maya Nauphal [email protected] 1
Center for Anxiety and Related Disorders, Boston University, 900 Commonwealth Avenue, Boston, MA 02215, USA
perceptions of treatment utility and relevance), treatment expectations and the degree to which services match expectations, perceptions of treatment effectiveness and the degree to which clients attribute outcomes to the treatment process itself [5–8]. The importance of measuring treatme
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