Table 3.
Frequencies of Reasons Endorsed for CBT Nonadherence and Kendall's τ Correlations with ADQ subscales (n=22)a
| TAS Reason(s) for Nonadherence -CBT | N (%) | BAR | UTI | INT | SUB | INS |
|---|---|---|---|---|---|---|
| Perceived Environmental Barriers | 11 (50.0) | -.23 * | -.06 | -.09 | -.08 | .01 |
| Too busy or treatment was inconvenient | ||||||
| Did not have enough money to pay for CBT | ||||||
| Health insurance plan did not cover CBT | ||||||
| CBT not available | ||||||
| Perceived Utility of Treatment | 9 (40.9) | -.13 | -.02 | -.06 | -.02 | .00 |
| Did not think CBT for OCD would work for me | ||||||
| CBT not helpful for my OCD in the past | ||||||
| CBT would not teach me anything new | ||||||
| Beliefs Regarding Severity of Illness | 5 (22.7) | -.08 | -.22 * | -.01 | -.08 | .04 |
| OCD not severe enough to justify need for CBT | ||||||
| OCD symptoms were too severe to participate | ||||||
| Relationship With Clinician | 5 (22.7) | -.18 | -.07 | -.14 | -.17 | .05 |
| Did not think CBT provider was good | ||||||
| OCD symptoms too personal to discuss | ||||||
| Too anxious/fearful to participate in CBT Stigma/Confidentiality | 12 (54.5) 2 (9.09) | -.07b | .03b | .02b | -.05b | .03b |
| Worried about stigma/being labeled mentally ill | ||||||
| Embarrassed for people to find out I was in treatment | ||||||
| Did not want there to be a “record” of treatment |
Note: ADQ subscales BAR=Support/Barriers; UTI=Perceived Utility; SEV=Perceived Severity; INT=Interpersonal Aspects of Care; SUS= Perceived Susceptibility; SUB= Subjective Norms; INS=Intensions. Lower scores on the ADQ indicate lower levels of adherence.
a
= respondents were participants who reported nonadherence to CBT (n=22)
b
= fewer than 5 participants endorsed this domain.
*
Kendall's τ B rank correlation coefficients is significant at the 0.05 level (2-tailed).
**
Kendall's τ B rank correlation coefficients is significant at the 0.01 level (2-tailed).