Predictors of response and drop-out during intensive dialectical behavior therapy.
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.
Department of Psychiatry, University of Geneva, Geneva, Switzerland. nader.perroud@hcuge.ch
Nader
N
Perroud
Rudolf
R
Uher
Karen
K
Dieben
Rosetta
R
Nicastro
Philippe
P
Huguelet
D000223:Adaptation, Psychological; D000328:Adult; D001294:Attitude to Health; D001521:Behavior Therapy / Q000379:methods*; D001883:Borderline Personality Disorder / Q000453:epidemiology / Q000628:therapy*; D003156:Community Mental Health Services / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D010045:Outpatients / Q000523:psychology / Q000706:statistics & numerical data*; D010342:Patient Acceptance of Health Care / Q000523:psychology / Q000706:statistics & numerical data*; D010349:Patient Compliance / Q000706:statistics & numerical data; D010352:Patient Dropouts / Q000523:psychology / Q000706:statistics & numerical data*; D015203:Reproducibility of Results; D013557:Switzerland / Q000453:epidemiology; D016896:Treatment Outcome; D055815:Young Adult