Table 3 Number of primary studies represented in each category
Domain, category and sub-category | Frequency | Studies represented |
|---|---|---|
1. Overcoming ambivalence towards TFT | 8/9 | a, b, c, d, e, f, h, i |
1.1 Concerns about engaging in TFT | 5/9 | a, b, d, f, h |
Fear of facing trauma | 4/9 | a, b, d, h |
Scepticism about TFT’s effectiveness | 4/9 | a, b, f, h |
1.2 Desperation and hope facilitated engagement | 5/9 | a, b, c, e, g, i |
Social support | 2/9 | a, c, |
Desperation | 4/9 | a, b, c, e |
Determination and hope | 5/9 | a, b, e, g, i |
Understanding and believing treatment rationale | 4/9 | a, b, g, i |
Being in a good place in life | 1/9 | a |
1.3 The therapist’s role | 6/9 | a, b, c, d, f, h, i |
Collaborative process | 2/9 | c, i |
Trusting the therapist | 4/9 | a, b, d, h |
Pushed and respected | 5/9 | a, b, c, d, i |
Empathy and authenticity | 5/9 | a, b, c, f, i, |
2. Experience of treatment elements | 9/9 | a, b, c, d, e, f, g, h, i |
2.1 General experience of treatment | 7/9 | a, b, c, e, f, h, i |
Valued affective modulation strategies | 6/9 | a, c, f, g, h, i |
Valued cognitive techniques | 5/9 | c, e, f, h, i |
Psychoeducation created a sense of control | 5/9 | a, b, c, e, i |
Length of therapy | 2/9 | f, g |
2.2 Ambivalence and disagreement about trauma-focused elements | 9/9 | a, b, c, d, e, f, g, h, i |
Harder than expected | 2/7 | a, h |
Unfounded fears | 4/9 | a, d, e, i |
Difficulty tolerating trauma work | 9/9 | a, b, c, d, e, f, g, h, i |
Importance of hardship | 7/9 | a, b, c, e, g, h, i |
Life consuming | 3/9 | a, h, i |
Habituation | 5/9 | c, d, e, h, i |
Piecing together traumatic experiences | 3/9 | d, e, g |
Wanting less repetition | 1/9 | h |
2.3 Experience with homework | 3/9 | c, e, h |
Helped generalise learning | 2/9 | c, e |
Difficult to complete | 2/9 | e, h |
3. Motivation for dropout or retention | 7/9 | a, b, c, d, e, f, h, i |
3.1 Reasons for considering dropping out | 5/7 | a, b, e, f, h |
Concerns about the timeframe and future | 2/9 | a, h |
Ambivalence about treatment | 4/9 | b, e, f, h |
Stigma | 1/9 | b |
External barriers | 3/9 | e, f, h |
3.2 Factors contributing to retention | 4/9 | b, c, d, e, h, i |
Seeing progress | 2/9 | b, e, |
Encouragement from family and friends | 3/9 | d, e, i |
Therapist support | 5/9 | b, c, e, h, i |
Commitment | 1/9 | e |
Wanting to believe in treatment | 3/9 | b, e, i |
3.3 Reasons for dropout | 3/9 | f, h, i |
External barriers | 3/9 | f, h, i |
Therapy related difficulties | 3/9 | f, h, i |
Therapeutic alliance issues | 1/9 | f |
Lack of social support | 1/9 | i |
4. Perceived changes post-treatment | 9/9 | a, b, c, d, e, f, g, h, i |
4.1 Perceived symptom changes | 6/9 | a, b, c, e, f, h, |
Reduced symptoms | 6/9 | a, b, c, e, f, h |
Symptom exacerbation | 3/9 | e, f, h |
Persistent symptoms | 4/9 | b, c, e, h |
4.2 Changed beliefs | 8/9 | a, b, c, d, e, g, h, i |
Changed beliefs about trauma | 6/9 | a, b, d, e, g, h |
Changed beliefs about self | 7/9 | a, b, c, e, g, h, i |
Changed beliefs about the future | 8/9 | a, b, c, d, e, g, h, i |
4.3 Better functioning | 5/9 | a, c, e, f, i |