KMAN Publication Inc. (KMANPUB) Psychology of Woman Journal 3041-8615 7 Serial Number 25 2026 01 01 Ranking Determinants of Therapy Dropout Among Women Ranking Determinants of Therapy Dropout Among Women 1 11 10.61838/kman.pwj.5052 EN Journal Article 2025 07 20 <p><strong>Objective:</strong> This study aimed to identify and rank the primary determinants contributing to therapy dropout among women through an integrated mixed-method approach, highlighting the personal, relational, and systemic factors influencing discontinuation of psychological treatment.</p> <p><strong>Methods and Materials: </strong>A sequential exploratory mixed-method design was employed. In the qualitative phase, an extensive literature review was conducted until theoretical saturation was achieved, and data were analyzed using NVivo 14 to extract thematic categories and conceptual patterns. Seven main themes were identified, encompassing individual, cultural, and institutional determinants. In the quantitative phase, a structured questionnaire based on qualitative results was administered to 260 Chinese women who had prematurely discontinued therapy. Participants rated the importance of each determinant on a five-point Likert scale. Data were analyzed using SPSS 26, employing descriptive statistics, Cronbach’s alpha for reliability, and Kendall’s coefficient of concordance to assess consensus in ranking.</p> <p><strong>Findings: </strong>Results revealed that therapeutic relationship issues ranked as the most influential determinant (Mean = 4.62), followed by financial and logistical barriers (Mean = 4.45) and personal and psychological factors (Mean = 4.31). Systemic and institutional barriers (Mean = 4.18) and life circumstances and external stressors (Mean = 3.97) were moderately ranked, while socio-cultural constraints (Mean = 3.85) and treatment process and structure (Mean = 3.66) were identified as less decisive factors. Kendall’s W indicated a high level of agreement among participants, confirming the robustness of rankings.</p> <p><strong>Conclusion: </strong>Therapy dropout among women is shaped by intertwined relational, psychological, and structural determinants, with the therapeutic relationship emerging as the most critical factor. Enhancing empathy, cultural sensitivity, financial accessibility, and flexible service design is essential to reduce attrition and promote sustained engagement in therapy.</p> https://journals.kmanpub.com/index.php/psywoman/article/download/5052/9086