某療養院門診個別心理治療流失狀況初探

Preliminary Study of Dropouts in Outpatient Individual Psychotherapy at a Psychiatric Center

歐吉桐(Gye-Toung Ou) ； 邱碧慧(Pi-Hui Chiu)

《臨床心理學刊》 1卷2期 (2004/12) Pp. 122-131

https://doi.org/10.6550/ACP.200412_1(2).0005

摘要

目的：由於個案的流失可能造成醫療的延遲或增加資源的浪費，故本研究調查民國91年在中台灣某療養院接受門診個別心理治療轉介個案的流失狀況，並探討與流失率、治療次數有關的因素。
方法：本研究採事後回溯及檔案整理的研究方法。並採立意取樣，期間為民國91年1至12月接受門診個別心理治療轉介的個案，共計176個案次。
結果：本研究所蒐集的176個案次，平均為37.6歲，診斷方面，精神官能症與適應性疾患佔59.3%，精神病佔41.4%。心理治療流失率為39.4%；所有個案的平均治療次數為5.14次，治療次數中數為3次，眾數為1次。其中，1-4次者佔64.3%。在流失與各項自變項間的關聯，發現男性比女性治療師有較高的個案流失比例，而治療次數愈多，則流失機會愈少。此外個案年紀與治療次數成負相關。
結論：三成多的個案在治療中流失，且六成多個案在四次會談內結束，可見心理治療個案的流失是很容易發生的問題，其因素與治療師的性別以及治療次數有關。本文對流失原因與如何預防提供初步的討論。

關鍵字

心理治療 ； 流失率

並列摘要

Objective: We investigated the factors that contributed to the dropout from psychotherapy sessions in an outpatient department of a psychiatric center in central Taiwan.
Method: We retrospectively analyzed intake and referral data from 176 patients undergoing individual psychotherapy at outpatient department from January to December 2002.
Results: The average age of patients was 37.6 years. Of the 176 patients studied, 59.3% were diagnosed as having either neurotic or adjustment disorders and 41.4% were diagnosed as having psychotic disorders. The dropout rate was 39.4% and the average psychotherapy session per patient was 5.14, (median, 3; mode, 1). We found that 64.3% of patients attended from one to four treatment sessions before dropping out. Patients treated by male therapists had a higher dropout rate than those treated by female therapists. Patients who received more therapy sessions had a lower dropout rate. Patient age was negatively correlated with the number of sessions attended.
Conclusion: About one-third of patients dropout from psychotherapy, and two-thirds of patients terminate within 4 sessions. The patient dropout rate is closely correlated with the gender of the therapist and the number of psychotherapy sessions attended.

並列關鍵字

Psychotherapy ； Dropout Rate

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