TY - JOUR
T1 - Victims of child abuse dropping out of trauma‑focused treatment: A meta‑analysis of risk factors
T2 - A Meta-Analysis of Risk Factors
AU - van der Hoeven, M.L.
AU - Assink, M.
AU - Stams, G.-J.J.M.
AU - Daams, J.G.
AU - Lindauer, R.J.L.
AU - Hein, I.M.
N1 - With supplementary file.
PY - 2023/6
Y1 - 2023/6
N2 - 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.
AB - 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.
KW - Attrition
KW - Children
KW - Drop out
KW - Meta-Analysis
KW - Predictors
KW - Risk factors
KW - Trauma-Focused treatments
UR - https://pure.uva.nl/ws/files/146303540/40653_2022_500_MOESM1_ESM.docx
UR - http://www.scopus.com/inward/record.url?scp=85143414922&partnerID=8YFLogxK
U2 - https://doi.org/10.1007/s40653-022-00500-2
DO - https://doi.org/10.1007/s40653-022-00500-2
M3 - Article
C2 - 37234839
SN - 1936-1521
VL - 16
SP - 269
EP - 283
JO - Journal of Child & Adolescent Trauma
JF - Journal of Child & Adolescent Trauma
IS - 2
ER -