ArticleBehaviour research and therapy2018
Treatment processes and demographic variables as predictors of dropout from trauma-focused cognitive behavioral therapy (TF-CBT) for youth.
Article in Behaviour research and therapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.
- Drop-out and ineffective treatment in youth with severe and enduring mental health problems: a systematic review.European child & adolescent psychiatry · 2024Pooled it
- Caregiver Behaviors and Child Distress in Trauma Narration and Processing Sessions of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT).Behavior therapy · 2022Trial
- Predictors of Dropout in Cognitive Processing Therapy for PTSD: An Examination of Trauma Narrative Content.Behavior therapy · 2020Trial
- Strengthening foster children's skills: a descriptive study on a trauma-informed group intervention.European journal of psychotraumatology · 2026Article
- Creative expressive therapy in schools to address childhood trauma: a mixed methods study of a whole school trauma-informed approach.Frontiers in health services · 2026Article
- Session Preparation, Behavioral Rehearsal and Homework Assignment: Do these Therapeutic Delivery Strategies Improve Trauma Treatment Outcomes for Youth in Community Outpatient Settings?Journal of child & adolescent trauma · 2025Article
- Using machine learning to increase access to and engagement with trauma-focused interventions for posttraumatic stress disorder.The British journal of clinical psychology · 2025Review
- MDMA-assisted psychotherapy for PTSD in adolescents: rationale, potential, risks, and considerations.European child & adolescent psychiatry · 2024Review
- Promising Effect of the Children in Disaster: Evaluation and Recovery Intervention on Trauma Symptoms and Quality of Life for Children and Adolescents: A Controlled Study.Psychiatry investigation · 2024Article
- The Important Role of Schools Following Disaster Events.NAM perspectives · 2024Article
- Predictors of dropout in cognitive processing therapy for PTSD: An examination of in-session treatment processes.Behaviour research and therapy · 2023Article
- Victims of Child Abuse Dropping Out of Trauma-Focused Treatment: A Meta-Analysis of Risk Factors.Journal of child & adolescent trauma · 2023Article
- Development of a Differential Assessment Guide to Improve Engagement with Youths & Families Living with Chronic Trauma.Journal of child & adolescent trauma · 2023Article
- Access to therapy for child sexual abuse survivors: Preliminary dialogue of barriers and facilitators between caregivers.PloS one · 2023Article
- Predictors of nonresponse and drop-out among children and adolescents receiving TF-CBT: investigation of client-, therapist-, and implementation factors.BMC health services research · 2022Article
- Trauma in Context: an Integrative Treatment Model.Journal of child & adolescent trauma · 2022Article
- Research Participation of Minor Adolescents in Foster Care.Journal of pediatric and adolescent gynecology · 2021Review
- The nature of youth in the eyes of mental-health care workers: therapists' conceptualization of adolescents coming to therapy at others' initiative.International journal of mental health systems · 2020Article
- Benefits of Treatment Completion Over Premature Termination: Findings from the National Child Traumatic Stress Network.Psychiatry · 2019Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
objectivePremature dropout is a significant concern in trauma-focused psychotherapy for youth. Previous studies have primarily examined pre-treatment demographic and symptom-related predictors of dropout, but few consistent findings have been reported. The current study examined demographic, symptom, and in-session process variables as predictors of dropout from Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) for youth.
methodParticipants were a diverse sample of Medicaid-eligible youth (ages 7-17; n = 108) and their nonoffending caregivers (n = 86), who received TF-CBT through an effectiveness study in a community setting. In-session process variables were coded from audio-recorded sessions, and these and pre-treatment demographic variables and symptom levels were examined as predictors of dropout prior to receiving an adequate dose of TF-CBT (<7 sessions). Twenty-nine children were classified as dropouts and 79 as completers.
resultsBinary logistic regression analyses revealed that higher levels of child and caregiver avoidance expressed during early sessions, as well as greater relationship difficulties between the child and therapist, predicted dropout. Those children who were in foster care during treatment were less likely to drop out than children living with parents or relatives. No other demographic or symptom-related factors predicted dropout.
conclusionsThese findings highlight the importance of addressing avoidance and therapeutic relationship difficulties in early sessions of TF-CBT to help reduce dropout, and they have implications for improving efforts to disseminate evidence-based trauma-focused treatments.
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Registered trials
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