Premature termination (PT) is a substantial problem in psychology training clinics, resulting in adverse effects for both clients and psychotherapists in training. Although a large meta-analysis found the rate of PT to fall at 19.7% across varied mental health care settings, moderation analyses revealed much higher rates of premature termination were specific to those being treated in campus mental health settings (Swift & Greenberg, 2012). A subsequent multisite study was able to focus specifically on psychology training clinic clients (as opposed to university counseling centers, etc.) and found that the rate of PT among clients in those clinics was ∼70% (Callahan et al., 2014). Other single-site studies in psychology training clinics have reported rates of nearly 80% (Aubuchon-Endsley & Callahan, 2009; Swift, Callahan, & Levine, 2009). In the current sample (N = 524) of adult clients who were treated by trainees across three accredited doctoral (Ph.D.) programs in a traditional university-based psychology training clinic, the rate of PT was found to fall in the range of 63% (based on trainees’ subjective appraisals of client outcome) to 69.9% (based on scores from a routine outcome tracking measure). Neither client demographic variables (e.g., age, sex, race/ethnicity) nor psychotherapist training variables (e.g., years in doctoral program, direct client contact hours) were significantly associated with PT. Exploration of psychotherapy variables (e.g., alliance) and clinic variables (e.g., waitlist duration) revealed only small effects. Significant work remains in understanding the etiology of the high premature termination rates that are consistently demonstrated in psychology training clinics.

中文翻译：

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痛苦程度和候补名单会影响培训诊所的终止吗？

过早终止 (PT) 是心理培训诊所的一个重大问题，会对接受培训的客户和心理治疗师产生不利影响。尽管一项大型荟萃分析发现 PT 的发生率在各种心理健康护理环境中下降了 19.7%，但适度分析显示，在校园心理健康环境中接受治疗的人的过早终止率要高得多（Swift 和 Greenberg，2012 年） . 随后的一项多站点研究能够专门针对心理培训诊所客户（而不是大学咨询中心等），并发现这些诊所客户的 PT 率约为 70%（Callahan 等，2014）。心理学培训诊所的其他单点研究报告的比率接近 80%（Aubuchon-Endsley 和 Callahan，2009 年；Swift、Callahan 和 Levine，2009）。在传统的大学心理培训诊所的三个获得认可的博士 (Ph.D.) 项目中接受学员治疗的成人客户的当前样本 (N = 524) 中，发现 PT 的发生率介于63%（基于学员对客户结果的主观评价）到 69.9%（基于常规结果跟踪测量的分数）。客户人口统计变量（例如，年龄、性别、种族/民族）和心理治疗师培训变量（例如，博士课程年数、直接客户接触时间）都与 PT 无显着相关。对心理治疗变量（例如联盟）和诊所变量（例如候补名单持续时间）的探索仅显示出很小的影响。