Therapy after therapy: Entry rates into subsequent psychological treatment among patients receiving therapist‐guided internet‐delivered or face‐to‐face psychotherapy.
Objectives: Despite numerous psychotherapy trials, knowledge on service‐system efficiency in terms of return to treatment is limited, especially regarding internet‐delivered cognitive behavioural therapy (iCBT). We estimated the hazard ratio (HR) of subsequent psychological treatment over several ye...
| Publicado en: | British Journal of Clinical Psychology Vol. 65; no. 2; pp. 451 - 470 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jun2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=193656094&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 193656094 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01446657 99B jtl: British Journal of Clinical Psychology issn: 01446657 maglogo: Y pubinfo: dt: Jun2026 vid: 65 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 193656094 190661582 193656094 193656094 10.1111/bjc.70036 193656094 ppf: 451 ppct: 19 formats: tig: atl: Therapy after therapy: Entry rates into subsequent psychological treatment among patients receiving therapist‐guided internet‐delivered or face‐to‐face psychotherapy. aug: au: Plattonen, A. Mylläri, S. Saarni, S. E. Rosenström, T. affil: Department of Psychology, Faculty of Medicine, University of Helsinki, Helsinki, Finland sug: subj: Cognitive Therapy Methods Internet-Based Intervention Patient Compliance Psychotherapists Psychiatric Patients Professional-Patient Relations Human Male Female Adult Middle Age Funding Source Naturalistic Inquiry Finland Cox Proportional Hazards Model Confidence Intervals Patient Preference Patient Satisfaction Academic Medical Centers Univariate Statistics Multivariate Analysis Data Analysis Software Descriptive Statistics Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Objectives: Despite numerous psychotherapy trials, knowledge on service‐system efficiency in terms of return to treatment is limited, especially regarding internet‐delivered cognitive behavioural therapy (iCBT). We estimated the hazard ratio (HR) of subsequent psychological treatment over several years following the initial psychological intervention. Methods: This naturalistic register follow‐up study in Finland included patients receiving therapist‐guided iCBT (2013–2021, n = 30,934) or ≤20‐session psychotherapy (2018–2021, n = 3348), and matched population controls (n = 92,846). Their long‐term psychotherapy data (≤200 sessions/3 years, requiring prior treatment) were obtained from the Social Insurance Institution. We used Cox proportional hazard regression, adjusting for age, sex, first purchase of psychotropic drugs and onset of the first psychiatric diagnosis. Results: Given the adjustments, the hazard of subsequent long‐term psychotherapy was fourfold after iCBT (HR = 4.08; 95% CI 3.81–4.37) and nearly ninefold after ≤20‐session psychotherapy (HR = 8.94; CI 7.79–10.26), compared to those without these prior treatments. Prior ≤20‐session psychotherapy was associated with reduced hazard of entering subsequent iCBT (HR.12, CI.09–.16), while prior long‐term psychotherapy was not (p =.087). Prior iCBT was associated with a lower hazard of subsequent ≤20‐session psychotherapy (HR =.41, CI =.35–.47), while prior long‐term psychotherapy was not (p =.332). Conclusions: Mapping the succession of psychological treatments added knowledge and revealed surprises. For example, patients receiving therapist‐guided iCBT were less likely to access subsequent face‐to‐face psychotherapy than those initially treated face‐to‐face. While past services are used as a convenience indicator for future services, future research on successive psychological treatments should continue to disentangle clinical need from service systems effects. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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