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Therapist Anxious Distress and Avoidance of Implementing Time-Out

Bibliographic Data

ID13404187
AuthorsCorinna C Klein (0000-0002-9811-6225, University of California, Santa Barbara, corresponding author), Hanan Salem (0000-0002-1793-0621, University of California, Santa Barbara), Emily M Becker‐Haimes (0000-0002-9922-8667, University of Pennsylvania), Emily M Becker-Haimes, Miya L Barnett (0000-0002-2359-9998, University of California, Santa Barbara)
Year2024
Volume57
Issue2
Pages415-427
Publication date2024-05-31
Open AccessYes
TypeARTICLE
VenueChild Psychiatry & Human Development (JOURNAL)
Journal identifiersISSN: 0009-398X • E-ISSN: 1573-3327
PublisherSpringer Science+Business Media (PUBLISHER • DE)
DOI10.1007/s10578-024-01706-1
PMID38819665
OpenAlexW4399235176
LanguageEN
Citations received1
References cited45

Therapist anxious distress when delivering child mental health treatment has been understudied as a factor that contributes to the underuse of some evidence-based interventions (EBIs), such as time-out for children with disruptive behaviors. This study investigated therapist anxious avoidance of time-out using a three-part, vignette-based survey design. Therapists (n = 198) read a vignette of an in-session time-out and reported on their personal anxious distress and likelihood of discontinuing the implementation of time-out. Therapists also provided open-ended descriptions of challenges to delivering time-out. Therapists reported moderate anxious distress at time points 1 and 2 and lower anxious distress at time 3 when the time-out had resolved. Most therapists endorsed some avoidance of time-out. Binomial logistic regression analyses indicated that increased anxious distress corresponded with an increased probability of avoiding time-out delivery in the future. Qualitative reports expanded on challenges to implementing time-out. Findings suggest the importance of addressing therapist anxious distress when implementing children's mental health treatments

Anxiety · Distress · Psychiatry · Psychotherapist · Clinical Psychology · Counseling, Therapy, and Family Dynamics · Digital Mental Health Interventions · Psychology · Psychotherapy Techniques and Applications

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Citations per year1
Citation span2025 - 2025 (1)
Highly citedNo

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