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The Role of the Client Attachment to Therapist and Treatment Motivation in Predicting Premature Dropout of Psychotherapy and Counseling
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Somayeh Safarzade   , Mahnaz Joukar Kamalabadi , Faridehsadat Hoseini , Seyed Mousa Golestaneh |
| Assistant Professor, Doctor of Family counseling, Department of Psychology, Director of the Department of Psychology, Faculty of Literature and Humanities, Persian Gulf University, Bushehr, Iran , mjokar@pgu.ac.ir |
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Abstract: (49 Views) |
Introduction: Nowadays, psychotherapy has become widely popular and is considered as an independent profession. One of the persistent and disturbing problems of mental health clinics and therapists is premature dropout of psychotherapy and counseling by patients. The phenomenon of premature dropout from psychotherapy exists in all treatment approaches and all over the world. The main aim of the present study was to determine the role of the client attachment to therapist and treatment motivation in predicting premature dropout from psychotherapy and counseling.
Methods: The design of the present study was cross-sectional descriptive. The statistical population was all patients referred to psychology and psychiatry clinics in Mashhad. The sample people were selected using the non-random available sampling method between August 2023 and October 2024. Three hundred and fifty-four patients participated in the present study. In order to measure the variables examined in this research, The Questionnaire of demographic and contextual information for Patient, The Outcome Questionnaire-45 (OQ®-42.2), The Client Attachment to Therapist Scale (CATS) and Treatment Motivation Questionnaire (TMQ) were used.
Results: The findings of the research showed that the client attachment to therapist, treatment motivation, secure attachment pattern, avoidant attachment pattern and ambivalent attachment pattern are predictors of premature dropout from psychotherapy and counseling (P<0.01). In the last regression analysis model, the value of adjusted coefficient of determination was 0.741 and it indicates that the predictor variables of the current research predict 74% of the changes in premature dropout from psychotherapy and counseling.
Conclusion: In the present study, an attempt was made to gain a deep understanding of the impact of the client attachment to therapist and the treatment motivation on premature dropout from psychotherapy and counseling by patients. The current research is an important necessity in the science and practice of the field of clinical psychology and treatment of mental disorders. Knowing the influencing factors in premature dropout from psychotherapy and counseling allows the therapists to adopt the appropriate techniques to control these factors. |
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| Keywords: Attachment, Counseling, Motivation, Patient, Psychotherapy, Patient Dropouts, Therapist. |
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Full-Text [PDF 337 kb]
(7 Downloads)
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Type of Study: Research |
Subject:
Special
Received: 2025/01/17 | Accepted: 2025/06/28 | Published: 2025/08/1
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