Aim

To estimate treatment refusal and treatment dropout rates for cognitive analytic therapy (CAT) and then benchmark these rates against other psychotherapies.

Method

PROSPERO registration CRD4202017081. Systematic searches found CAT treatment studies reporting treatment refusal and dropout rates. Studies were narratively and quantitatively synthesised in a proportional random-effects meta-analysis and moderator analyses were performed. Secondary analyses compared refusal and dropout rates for CAT versus other psychotherapies via direct comparisons in the original studies and via benchmarking these rates against other acceptability meta-analyses for other psychotherapies.

Results

Thirty-four CAT studies were included in the review. The treatment refusal rate was 15.35% (k = 9, 95% CIs 8.78–23.21). The treatment dropout rate was 18.69% (k = 34, 95% CI's 15.02–22.62). CAT generated significantly lower dropout rates relative to treatment comparators in the original studies (OR = 0.67; 95% CI 0.48–0.93). Country and younger age were significant moderators of dropout rates. CAT had a comparable treatment refusal rate and was towards the lower end of the dropout range when benchmarked against other psychotherapies.

Conclusions

CAT as a brief and integrative psychotherapy for individuals presenting with typically complex psychological disorders appears a relatively acceptable intervention to patients.

中文翻译：

---

认知分析疗法 (CAT) 的可接受性：拒绝治疗和治疗退出率的荟萃分析和基准测试

目标

估计认知分析疗法 (CAT) 的治疗拒绝率和治疗退出率，然后将这些比率与其他心理疗法进行比较。

方法

PROSPERO 注册 CRD4202017081。系统搜索发现 CAT 治疗研究报告了治疗拒绝率和辍学率。在比例随机效应荟萃分析中对研究进行了叙述和定量综合，并进行了调节分析。次要分析通过直接比较原始研究中的直接比较以及通过将这些比率与其他心理疗法的其他可接受性荟萃分析进行基准比较，比较了 CAT 与其他心理疗法的拒绝率和辍学率。

结果

该评价纳入了 34 项 CAT 研究。治疗拒绝率为 15.35% ( k  = 9, 95% CIs 8.78–23.21)。治疗退出率为 18.69% ( k  = 34, 95% CI 的 15.02–22.62)。与原始研究中的治疗比较相比，CAT 产生的辍学率显着降低（OR = 0.67；95% CI 0.48-0.93）。国家和年轻人是辍学率的重要调节因素。CAT 的治疗拒绝率相当，并且在以其他心理疗法为基准时接近辍学范围的下限。

结论

CAT 作为针对具有典型复杂心理障碍的个体的简短和综合心理治疗，似乎是患者相对可接受的干预措施。