Scientific article

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

Published inJournal of personality disorders, vol. 24, no. 5, p. 634-650
Publication date2010

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.

  • 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
Citation (ISO format)
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. doi: 10.1521/pedi.2010.24.5.634
ISSN of the journal0885-579X

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