Trauma-focused psychotherapies are increasingly offered in community-based mental health centers, but little is known about treatment dropout in these settings. The current study explored dropout at different stages of treatment in a treatment-seeking sample of 1,186 adults who experienced interpersonal violence and were offered trauma-focused and non–trauma-focused therapies. A total of 31.6% of participants dropped out before treatment initiation, 28.0% dropped out after treatment initiation and completed a mean of 4.02 (SD = 2.41) sessions, and 40.4% completed a full course of PTSD treatment. Being unemployed, p < .001, and scoring lower on measures of environment factors, p = .045, were significant predictors of pretreatment dropout. Being female, p < .001; Latinx, p = .032; and scoring higher on a measure of social relationships, p = .024, were independent predictors of postinitiation dropout. Individuals who completed nine sessions of treatment displayed significantly lower levels of posttraumatic stress disorder, depression, and anxiety symptoms. The present study provides preliminary evidence that survivors of interpersonal violence who seek therapy tend to drop out early during treatment, and most who complete treatment attain symptom reduction.

中文翻译：

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在为人际暴力受害者服务的社区心理健康诊所中退出循证创伤治疗

以社区为基础的心理健康中心越来越多地提供以创伤为中心的心理治疗，但对这些环境中的治疗辍学知之甚少。目前的研究在一个寻求治疗的样本中探索了不同治疗阶段的辍学情况，该样本包含 1,186 名经历过人际暴力并接受过以创伤为重点和非以创伤为重点的治疗的成年人。共有 31.6% 的参与者在治疗开始前退出，28.0% 的参与者在治疗开始后退出并平均完成 4.02 ( SD = 2.41) 个疗程，40.4% 完成了完整的 PTSD 治疗疗程。失业（p < .001）和环境因素测量得分较低（p = .045）是预处理辍学的重要预测因素。作为女性，p < .001; 拉丁语，p = .032；并且在社会关系测量中得分较高，p = .024，是启动后辍学的独立预测因素。完成九次治疗的人的创伤后应激障碍、抑郁和焦虑症状水平显着降低。本研究提供的初步证据表明，寻求治疗的人际暴力幸存者往往会在治疗期间早期退出，并且大多数完成治疗的人症状减轻。