Back to Search
Start Over
Victims of Child Abuse Dropping Out of Trauma-Focused Treatment: A Meta-Analysis of Risk Factors.
- Source :
- Journal of Child & Adolescent Trauma; Jun2023, Vol. 16 Issue 2, p269-283, 15p
- Publication Year :
- 2023
-
Abstract
- A substantial number of children who experienced child maltreatment drop out of evidence-based trauma-focused treatments (TF-CBT). Identifying child, family, and treatment-related factors associated with treatment dropout is important to be able to prevent this from happening and to effectively treat children's trauma-related symptoms. Methods: A quantitative review was performed based on a systematic synthesis of the literature on potential risk factors for dropout of trauma-focused treatment in maltreated children. Results: Eight studies were included, that examined TF-CBT, reporting on 139 effects of potential risk factors for dropout. Each factor was classified into one of ten domains. Small but significant effects were found for the "Demographic and Family" risk domain (r =.121), with factors including being male, child protective services involvement or placement, and minority status, and for the "Youth Alliance" risk domain (r =.207), with factors including low therapist-child support and low youth perception of parental approval. Moderator analyses suggested that family income and parental education may better predict the risk for TF-CBT dropout than other variables in the "Demographic and Family" domain. Conclusions: Our results provide a first overview of risk factors for dropout of trauma-focused treatments (TF-CBT) after child maltreatment, and highlight the role of the therapeutic relationship in this. [ABSTRACT FROM AUTHOR]
- Subjects :
- TREATMENT of post-traumatic stress disorder
PSYCHOLOGY information storage & retrieval systems
META-analysis
MEDICAL information storage & retrieval systems
SYSTEMATIC reviews
QUANTITATIVE research
PATIENTS' attitudes
FAMILY attitudes
RISK assessment
DESCRIPTIVE statistics
PSYCHOLOGY of adult child abuse victims
MEDLINE
CHILDREN
Subjects
Details
- Language :
- English
- ISSN :
- 19361521
- Volume :
- 16
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Journal of Child & Adolescent Trauma
- Publication Type :
- Academic Journal
- Accession number :
- 163869084
- Full Text :
- https://doi.org/10.1007/s40653-022-00500-2