Factores que interfieren en el curso del tratamiento de los problemas de ansiedad: La prolongación y la terminación prematura del tratamiento

  1. Ignacio Fernández-Arias
  2. Mónica Bernaldo-de-Quirós
  3. Francisco Labrador
  4. Francisco J. Estupiñá
  5. Marta Labrador-Méndez
Revista:
Papeles del psicólogo

ISSN: 0214-7823 1886-1415

Año de publicación: 2019

Título del ejemplar: La psicoterapia como ciencia humana

Volumen: 40

Número: 1

Páginas: 15-20

Tipo: Artículo

Otras publicaciones en: Papeles del psicólogo

Resumen

El tratamiento de los trastornos de ansiedad ha demostrado su eficacia y efectividad. Sin embargo, no siempre se consiguen los resultados deseados. Estudiar aquellos factores que interfieren en el curso natural del tratamiento contribuirá a tomar medidas oportunas. Dos de estos factores son la prolongación innecesaria de los tratamientos y el fenómeno de la terminación prematura. Como es esperable, la duración del tratamiento depende de la naturaleza del problema y de la existencia de problemas comórbidos, pero también de planificaciones demasiado ambiciosas (exceso de técnicas) o la combinación con psicofármacos (con incrementos de hasta un 21% de sesiones). La terminación prematura se sitúa entorno al 30-35% y los pacientes “anuncian el desenlace” con peor ejecución de tareas y asistencias más irregulares desde el principio. Aproximadamente 50% de los abandonos ocurren antes de la sesión 8 y entorno al 80% de los tratamientos completados exitosamente concluyen antes de la sesión 20.

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