Predictors of dropout from inpatient dialectical behavior therapy among women with borderline personality disorder

被引:66
作者
Ruesch, Nicolas [1 ,2 ]
Schiel, Sarah [2 ]
Corrigan, Patrick W. [1 ]
Leihener, Florian [3 ]
Jacob, Gitta A. [2 ]
Olschewski, Manfred [4 ]
Lieb, Klaus [2 ]
Bohus, Martin [5 ]
机构
[1] IIT, Joint Res Programs Psychiat Rehabil, Chicago, IL 60616 USA
[2] Univ Freiburg, Dept Psychiat & Psychotherapy, Freiburg, Germany
[3] Klin Schlossli, Oetwil, Switzerland
[4] Univ Freiburg, Dept Med Biometry & Stat, Freiburg, Germany
[5] Cent Inst Mental Hlth, Dept Psychosomat Med & Psychotherapy, D-6800 Mannheim, Germany
关键词
Borderline personality disorder; Dialectical behavior therapy; Predictors; Treatment dropout;
D O I
10.1016/j.jbtep.2007.11.006
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
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. (C) 2008 Elsevier Ltd. All rights reserved.
引用
收藏
页码:497 / 503
页数:7
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