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Title

Predictors of response and drop-out during intensive dialectical behavior therapy
Authors
Perroud, Nader Ali
Uher, Rudolf
Dieben, Karen
Nicastro, Rosetta
Huguelet, Philippe
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
Identifiers
PMID: 20958172
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Structures
Faculté de médecine / Section de médecine clinique / Département de psychiatrie
Research group Psychiatrie communautaire (688)
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. https://archive-ouverte.unige.ch/unige:20543

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Deposited on : 2012-05-22

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