Many children prematurely terminate from trauma-focused therapy (TFT), and attrition is a critical barrier in addressing the impacts of childhood sexual abuse (CSA). The field's knowledge of risk factors for dropout is growing; however, one aspect of the child's environment that remains unexamined is maternal support following the CSA disclosure/discovery. Maternal support has been theorized to play a valuable role in influencing children's outcomes after CSA and may be relevant in understanding attrition. The objective of the current study was to investigate the associations between children's symptoms, relationship to the perpetrator, and maternal support in relation to premature termination from TFT among 186 sexually abused children (M_age = 9.24 years, SD = 3.72, 67.3% female). Two operational definitions of attrition were used: (a) clinician-rated dropout (i.e., clinician's ratings of whether the child completed treatment) and (b) whether the child received an adequate treatment dose treatment (i.e., ≥12 sessions). Maternal marital status was the only factor associated with clinician-rated treatment dropout, OR = 2.35, whereas maternal support and blame/doubt were unrelated. Living farther from the clinic was tied to an increased risk of receiving an inadequate treatment dose, OR = 0.96. Replication of these findings is needed, particularly using a clinician-administered measure of caregiver support; yet, maternal emotional support and blame/doubt may not evince strong ties to dropout from TFT among sexually abused children. Additional work is needed to discern if there are key subgroups for whom support is more strongly related to the risk of premature termination following CSA.

中文翻译：

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以儿童创伤为中心的治疗对母亲的支持和减员

许多儿童过早地终止了针对创伤的治疗 (TFT)，而减员是解决儿童性虐待 (CSA) 影响的关键障碍。该领域对辍学风险因素的了解正在增加；然而，在 CSA 披露/发现之后，儿童环境的一个方面仍未得到检查是母亲的支持。从理论上讲，母亲的支持在影响 CSA 后儿童的结果方面发挥着重要作用，并且可能与理解减员有关。本研究的目的是调查 186 名性虐待儿童（M_年龄= 9.24 岁，SD= 3.72，67.3% 女性）。使用了两个操作性减员定义：(a) 临床医生评定的辍学率（即，临床医生对儿童是否完成治疗的评定）和 (b) 儿童是否接受了足够的治疗剂量治疗（即≥12 次治疗）。母亲的婚姻状况是与临床医生评定的治疗退出相关的唯一因素，OR = 2.35，而母亲的支持和责备/怀疑是无关的。住在离诊所更远的地方与接受不足治疗剂量的风险增加有关，或= 0.96。需要复制这些发现，特别是使用临床医生管理的护理人员支持措施；然而，在性虐待儿童中，母亲的情感支持和责备/怀疑可能无法证明与 TFT 辍学的密切联系。需要额外的工作来辨别是否有关键亚组的支持与 CSA 后过早终止的风险更密切相关。