Predictors of response and drop-out during intensive dialectical behavior therapy
|Published in||Journal of Personality Disorders. 2010, vol. 24, no. 5, p. 634-650|
|Abstract||The purpose of this study was to examine the effectiveness, and predictors of response and drop-out during a four-week course of intensive dialectical behavior therapy (I-DBT) in 447 outpatients suffering from borderline personality disorder (BPD), over a 10-year period. Assessments included a diagnostic interview, the International Personality Disorder Examination Screening Questionnaire, the Beck Depression Inventory, and the Beck Hopelessness Scale. Among these participants, 103 started a second course of treatment. In agreement with previous reports, I-DBT was effective in reducing levels of depression and hopelessness with a trend of increasing effectiveness over the study period. High schizoid scores and low narcissistic score predicted poor response. Treatment completion rate was high, and low education predicted dropout. A discussion on the usefulness of a second course of treatment should be held with patients and staff as it was not effective in reducing depression and hopelessness.|
|Keywords||Adaptation, Psychological — Adult — Attitude to Health — Behavior Therapy/*methods — Borderline Personality Disorder/epidemiology/*therapy — Community Mental Health Services/methods — Female — Follow-Up Studies — Humans — Longitudinal Studies — Male — Middle Aged — Outpatients/psychology/*statistics & numerical data — Patient Acceptance of Health Care/psychology/*statistics & numerical data — Patient Compliance/statistics & numerical data — Patient Dropouts/psychology/*statistics & numerical data — Reproducibility of Results — Switzerland/epidemiology — Treatment Outcome — Young Adult|
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|Research group||Psychiatrie communautaire (688)|
|PERROUD, Nader Ali et al. Predictors of response and drop-out during intensive dialectical behavior therapy. In: Journal of Personality Disorders, 2010, vol. 24, n° 5, p. 634-650. https://archive-ouverte.unige.ch/unige:20543|