In 2019-2020, 1,075,496 international students pursued higher education in the United States. Many of these students endure unique experiences of psychological distress that accompanies their shared experience of studying abroad in the United States. Researchers have explored clinical experiences within this diverse group, with some suggesting that international students are at greater risk than students from the United States for dropping out of psychotherapy. This issue is underexplored in the extant psychotherapy literature. Therefore, we used a large, national data set and multilevel analyses to test if international students are more likely than students from the United States to drop out of psychotherapy, defined in this study as failure to attend one's last scheduled session. Data from 65,293 clients (n = 3,970 international students), 2,735 therapists, and 131 university/college counseling centers were included in the analysis. Results revealed that (a) international students are no more likely to drop out than United States domestic students, (b) on average, centers (ICC = 0.045) and therapists (ICC = 0.071) are differentially effective at preventing drop out, and (c) therapist effects on drop out differ for international students. We discuss these findings with respect to therapist and center roles in international students' drop out from treatment. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

中文翻译：

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中心效应、治疗师效应和国际学生客户退出心理治疗。

2019-2020年，1,075,496名国际学生在美国接受高等教育。这些学生中的许多人在美国留学期间都经历了独特的心理困扰。研究人员探索了这个多元化群体的临床经验，一些人认为国际学生比美国学生放弃心理治疗的风险更大。在现有的心理治疗文献中，这个问题尚未得到充分探讨。因此，我们使用大型全国数据集和多层次分析来测试国际学生是否比美国学生更有可能退出心理治疗，在本研究中将其定义为未能参加最后一次预定的课程。分析中纳入了 65,293 名客户（n = 3,970 名国际学生）、2,735 名治疗师和 131 所大学/学院咨询中心的数据。结果显示，(a) 国际学生辍学的可能性并不比美国国内学生更高，(b) 平均而言，中心 (ICC = 0.045) 和治疗师 (ICC = 0.071) 在防止辍学方面的效果存在差异，并且 ( c) 治疗师对国际学生辍学的影响有所不同。我们讨论了国际学生退出治疗中治疗师和中心角色的这些发现。（PsycInfo 数据库记录 (c) 2022 APA，保留所有权利）。