@article{ref1,
title="Victims of child abuse dropping out of trauma-focused treatment: a meta-analysis of risk factors",
journal="Journal of child and adolescent trauma",
year="2023",
author="van der Hoeven, Mara L. and Assink, Mark and Stams, Geert-Jan J. M. and Daams, Joost G. and Lindauer, Ramón J. L. and Hein, Irma M.",
volume="16",
number="2",
pages="269-283",
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. <br><br>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. <br><br>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 &quot;Demographic and Family&quot; risk domain (r = .121), with factors including being male, child protective services involvement or placement, and minority status, and for the &quot;Youth Alliance&quot; 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 &quot;Demographic and Family&quot; domain. <br><br>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. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s40653-022-00500-2.<p /> <p>Language: en</p>",
language="en",
issn="1936-1521",
doi="10.1007/s40653-022-00500-2",
url="http://dx.doi.org/10.1007/s40653-022-00500-2"
}