Relationship between patient characteristics and treatment allocation for patients with personality disorders.
Within a large multi-center study in patients with personality disorders, we investigated the relationship between patient characteristics and treatment allocation. Personality pathology, symptom distress, treatment history, motivational factors, and sociodemographics were measured at intake in 923 patients, who subsequently enrolled in short-term or long-term outpatient, day hospital, or inpatient psychotherapy for personality pathology. Logistic regressions were used to examine the predictors of allocation decisions. We found a moderate relationship (R(2) = 0.36) between patient characteristics and treatment setting, and a weak relationship (R(2) = 0.18) between patient characteristics and treatment duration. The most prominent predictors for setting were: symptom distress, cluster C personality pathology, level of identity integration, treatment history, motivation, and parental responsibility. For duration the most prominent predictor was age. We conclude from this study that, in addition to pathology and motivation factors, sociodemographics and treatment history are related to treatment allocation in clinical practice.
Viersprong Institute for Studies on Personality Disorders-VISPD, Halsteren, The Netherlands. janine.van.manen@deviersprong.nl
Janine G
JG
van Manen
Helene
H
Andrea
Ellen
E
van den Eijnden
Anke M M A
AM
Meerman
Moniek M
MM
Thunnissen
Elisabeth F M
EF
Hamers
Nelleke
N
Huson
Uli
U
Ziegler
Theo
T
Stijnen
Jan J V
JJ
Busschbach
Reinier
R
Timman
Roel
R
Verheul
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002986:Clinical Trials as Topic; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D018579:Patient Selection; D010551:Personality; D010554:Personality Disorders / Q000523:psychology* / Q000628:therapy; D011795:Surveys and Questionnaires