BACKGROUND Refugees and asylum seekers often suffer from migration stressors and related psychopathology. However, providing this population with psychological treatment has a number of barriers (e.g., culture and language differences), which are widely thought to hinder the success and continuation of treatment. OBJECTIVE The current systematic review and meta-analysis aims to provide first comprehensive evidence on the prevalence and predictors of dropout in treatment provided for refugees and asylum seekers. METHOD We synthesized the existing evidence on dropout from psychological and psychosocial interventions provided to adult refugees and asylum seekers resettled in high-income countries. Specifically, we meta-analyzed the prevalence of dropout from treatment and explored the factors that predict dropout. Our database search in Pubmed, PsycINFO, Web of Science, and PTSDpubs identified 28 eligible randomized controlled trials (RCTs; 2,691 participants; 39 active treatment conditions), published up to January 31, 2021. RESULTS Results showed a weighted average dropout rate of 19.14%, 95% confidence interval [14.66, 24.60] across studies and treatment conditions. Subgroup analyses and meta-regressions revealed no statistically significant predictors for dropout. However, several refugee-specific variables (e.g., longer mean duration in country of resettlement, lower rate of insecure asylum status) may merit closer attention in future research. CONCLUSIONS These findings suggest that, in contrast to widespread assumption, the estimated average dropout rate is comparable to those reported in nonrefugee populations. However, more research is needed to establish the underlying mechanisms of dropout, which may differ across populations. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

中文翻译：

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从难民和寻求庇护者的心理干预中辍学：荟萃分析。

背景难民和寻求庇护者经常遭受移民压力源和相关的精神病理学。然而，为这些人群提供心理治疗存在许多障碍（例如，文化和语言差异），人们普遍认为这些障碍会阻碍治疗的成功和持续。目标 当前的系统评价和荟萃分析旨在提供关于为难民和寻求庇护者提供的治疗中辍学率和预测因素的第一个综合证据。方法 我们综合了现有的证据，表明向在高收入国家重新安置的成年难民和寻求庇护者提供的心理和社会心理干预措施中途退出。具体来说，我们对治疗辍学的普遍性进行了元分析，并探讨了预测辍学的因素。我们在 Pubmed 中的数据库搜索，PsycINFO、Web of Science 和 PTSDpubs 确定了 28 项符合条件的随机对照试验（RCT；2,691 名参与者；39 项积极治疗条件），截至 2021 年 1 月 31 日。结果结果显示加权平均退出率为 19.14%，95% 置信区间[14.66, 24.60] 跨研究和治疗条件。亚组分析和元回归显示没有统计显着的辍学预测因素。然而，一些特定于难民的变量（例如，在重新安置国的平均持续时间更长，庇护地位不安全的比率更低）可能值得在未来的研究中得到更密切的关注。结论 这些发现表明，与普遍假设相反，估计的平均辍学率与非难民人口中报告的辍学率相当。然而，需要更多的研究来确定辍学的潜在机制，这可能因人群而异。（PsycInfo 数据库记录 (c) 2021 APA，保留所有权利）。