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Predictors of response and drop-out during intensive dialectical behavior therapy

Uher, Rudolf
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, PsychologicalAdultAttitude to HealthBehavior Therapy/*methodsBorderline Personality Disorder/epidemiology/*therapyCommunity Mental Health Services/methodsFemaleFollow-Up StudiesHumansLongitudinal StudiesMaleMiddle AgedOutpatients/psychology/*statistics & numerical dataPatient Acceptance of Health Care/psychology/*statistics & numerical dataPatient Compliance/statistics & numerical dataPatient Dropouts/psychology/*statistics & numerical dataReproducibility of ResultsSwitzerland/epidemiologyTreatment OutcomeYoung Adult
PMID: 20958172
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Research group Psychiatrie communautaire (688)
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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

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Deposited on : 2012-05-22

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