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Psykhe (Santiago)

On-line version ISSN 0718-2228


MELLADO, Augusto et al. Self-Criticism in Patients with Depression and its Impact on Dropout in Short-Term Psychotherapies: Exploring the Mediator Role of the Therapeutic Alliance and the Moderator Role of Patients' Age. Psykhe [online]. 2018, vol.27, n.2, pp.1-18. ISSN 0718-2228.

Considering the perspective of personality polarities (Blatt, 2004, 2007, 2008), the aim of this study was to describe the relationship between levels of self-criticism and dependence (DEQ) in patients with depression (BDI-I) and dropout of psychotherapy, exploring the mediating role of the therapeutic alliance (WAI-P) and the moderating role of patients' age. Using a longitudinal design and covenience sampling, 81 adult patients receiving brief psychotherapy were recruited at a private health center in Santiago, Chile. Twenty-two of these patients dropped out of treatment. Based on a regression model with interaction terms and controlling for patients' sex, schooling, and age and therapists' years of experience, results indicate that the higher the level of self-criticism the higher the probability of dropping out psychotherapy. This relationship is not explained by the therapeutic alliance. The association between self-criticism and drop out is not observed in younger patients (30 years), yet it is present in older patients (> 40 years). In addition, the higher the dependence, the lower the probability of dropping out of psychotherapy.

Keywords : depression; self-criticism; dependence; therapeutic alliance; dropout in psychotherapy.

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