Determining Factors of Adherence to Psychological Therapy in a Chilean University Context: A Multinomial Logistic Analysis

Abstract

This study explores the determinants influencing adherence to psychological therapy among university students in a Chilean clinical setting. Using a multinomial logistic regression model, we examine the impact of various factors, including sociodemographic characteristics, academic performance, and clinical supervisor attributes on therapy adherence. Key findings indicate that adherence is significantly affected by patient compliance rates, hours in therapy, and the quality of clinical supervision, with a notable gender difference showing higher adherence rates among female patients. The study underscores the importance of patient-provider relationships and highlights the role of personalized support in enhancing adherence to therapy. These results have practical implications for mental health service optimization in educational institutions and contribute to a more comprehensive understanding of the factors that influence therapy adherence in higher education contexts. Future research is recommended to assess the universality of these findings across diverse cultural and educational settings.

Keywords: Therapy adherence, university students, multinomial logistic regression, psychological therapy, mental health services

DOI: 10.54941/ahfe1005801