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Approach-Avoidance Attitudes Associated with Initial Therapy Appointment Attendance: A Prospective Study

Published online by Cambridge University Press:  16 June 2014

Elizabeth Murphy ,
Warren Mansell ,
Sally Craven  and
Phil McEvoy
Elizabeth Murphy*
Affiliation:
University of Manchester, UK
Warren Mansell
Affiliation:
University of Manchester, UK
Sally Craven
Affiliation:
University of Manchester, UK
Phil McEvoy
Affiliation:
Six Degrees Social Enterprise CIC, Salford, UK
*
Reprint requests to Elizabeth Murphy, The Psychosis Research Unit, GMW Mental Health NHS Foundation Trust, Harrop House, Bury New Road, Prestwich M25 3BL, UK. E-mail: elizabeth.murphy@gmw.nhs.uk
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Abstract

Background: Initial therapy appointments have high nonattendance rates yet the reasons remain poorly understood. Aims: This study aimed to identify positive and negative attitudes towards therapy that predicted initial attendance, informed by a perceptual control theory account of approach-avoidance conflicts in help-seeking. Method: A prospective study was conducted within a low intensity CBT service using first appointment attendance (n = 96) as an outcome. Measures included attitudes towards therapy, depression and anxiety scales, and demographic variables. Results: Endorsement of a negative attitude item representing concern about self-disclosure was independently predictive of nonattendance. Positive attitudes predicted increased attendance, especially endorsement of motives for self-reflection, but only among less depressed individuals. Conclusions: Self-disclosure concerns contribute to therapy avoidance and having goals for self-reflection may represent approach motivation for therapy; however, the latter has less impact among more highly depressed people.

Keywords

Nonattendancecognitive behavioural therapyIAPTattitudescontrol theory
Type
Brief Clinical Reports
Information
Behavioural and Cognitive Psychotherapy , Volume 44 , Issue 1 , January 2016 , pp. 118 - 122
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2014 

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Footnotes

An extended version is also available online in the table of contents for this issue: http://journals.cambridge.org/jid_BCP

References

Grant, A., Franklin, J. and Langford, P. (2002). The self-reflection and insight scale: a new measure of private self-consciousness. Social Behavior and Personality, 30, 821–835.Google Scholar
Murphy, E., Mansell, W., Craven, S., Menary, J. and McEvoy, P. (2013). Pilot study of an investigation of psychological factors associated with first appointment nonattendance in a low-intensity service. Behavioural and Cognitive Psychotherapy, 41, 458–469.Google Scholar
Schauman, O. and Mansell, W. (2012). Processes underlying ambivalence in help-seeking: the Loss of Valued Control Model. Clinical Psychology: Science and Practice, 19, 107–124.Google Scholar
Sheeran, P., Aubrey, R. and Kellett, S. (2007). Increasing attendance for psychotherapy: implementation intentions and the self-regulation of attendance-related negative affect. Journal of Consulting and Clinical Psychology, 75, 853–863.Google Scholar
Trew, J. (2011). Exploring the roles of approach and avoidance in depression: an integrative model. Clinical Psychology Review, 31, 1156–1168.Google Scholar
Vogel, D. and Wester, S. (2003). To seek help or not to seek help: the risks of self-disclosure. Journal of Counseling Psychology, 50, 351–361.Google Scholar
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