Predictors of dropout from inpatient dialectical behavior therapy among women with borderline personality disorder.
Inpatient dialectical behavior therapy (DBT) is an effective treatment for borderline personality disorder (BPD), but often treatment is ended prematurely and predictors of dropout are poorly understood. We, therefore, studied predictors of dropout among 60 women with BPD during inpatient DBT. Non-completers had higher experiential avoidance and trait anxiety at baseline, but fewer life-time suicide attempts than completers. There was a trend for more anger-hostility and perceived stigma among non-completers. Experiential avoidance and anxiety may be associated with dropout in inpatient DBT. Low life-time suicidality and high anger could reflect a subtype at risk for discontinuation of inpatient treatment.
Rüsch
Nicolas
N
Department of Psychiatry and Psychotherapy, University of Freiburg, Freiburg, Germany. nicolas.ruesch@uniklinik-freiburg.de
Schiel
Sarah
S
Corrigan
Patrick W
PW
Leihener
Florian
F
Jacob
Gitta A
GA
Olschewski
Manfred
M
Lieb
Klaus
K
Bohus
Martin
M
D000328:Adult; D000786:Anger; D001007:Anxiety / Q000175:diagnosis / Q000523:psychology; D001294:Attitude to Health; D001521:Behavior Therapy / Q000379:methods*; D001883:Borderline Personality Disorder / Q000523:psychology / Q000628:therapy*; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006760:Hospitalization; D006791:Hostility; D006801:Humans; D016015:Logistic Models; D008960:Models, Psychological; D010352:Patient Dropouts / Q000523:psychology / Q000706:statistics & numerical data*; D010555:Personality Inventory / Q000706:statistics & numerical data; D011336:Probability; D011569:Psychiatric Status Rating Scales / Q000706:statistics & numerical data; D012737:Sex Factors; D013240:Stereotyping; D013406:Suicide, Attempted / Q000523:psychology / Q000706:statistics & numerical data; D016896:Treatment Outcome