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Therapist Anxious Distress and Avoidance of Implementing Time-Out.

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Title: Therapist Anxious Distress and Avoidance of Implementing Time-Out.
Authors: Klein, Corinna C. (AUTHOR), Salem, Hanan (AUTHOR), Becker-Haimes, Emily M. (AUTHOR), Barnett, Miya L. (AUTHOR)
Source: Child Psychiatry & Human Development. Apr2026, Vol. 57 Issue 2, p415-427. 13p.
Subjects: Timeout method, Avoidance (Psychology), Child mental health services, Treatment effectiveness, Evidence-based psychotherapy, Behavior disorders in children, Mental health services
Abstract: 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. [ABSTRACT FROM AUTHOR]
Copyright of Child Psychiatry & Human Development is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Therapist Anxious Distress and Avoidance of Implementing Time-Out.
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  Data: <searchLink fieldCode="AR" term="%22Klein%2C+Corinna+C%2E%22">Klein, Corinna C.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Salem%2C+Hanan%22">Salem, Hanan</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Becker-Haimes%2C+Emily+M%2E%22">Becker-Haimes, Emily M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Barnett%2C+Miya+L%2E%22">Barnett, Miya L.</searchLink> (AUTHOR)
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  Data: 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. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Child Psychiatry & Human Development is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s10578-024-01706-1
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      – Code: eng
        Text: English
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      – SubjectFull: Child mental health services
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              Text: Apr2026
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