Department of Psychology, Ryerson University, Toronto, Ontario, Canada.
Centre for Addiction and Mental Health, Toronto.
J Pers Disord. 2020 Apr;34(2):216-230. doi: 10.1521/pedi_2018_32_391. Epub 2018 Sep 4.
Treatment dropout among individuals with borderline personality disorder (BPD) is associated with negative psychosocial outcomes. Identifying predictors of dropout among this population is critical to understanding how to improve treatment retention. The present study extends the current literature by examining both static and dynamic predictors of dropout. Chronically suicidal outpatients diagnosed with BPD ( = 42) were randomly assigned to a 20-week dialectical behavior therapy (DBT) skills training group. Static and dynamic predictors were assessed at baseline, 5, 10, 15, 20 weeks, and 3 months post-intervention. A post-hoc two-stage logistic regression analysis was conducted to predict dropout propensity. Receiving disability benefits at baseline and decreases in mindfulness were associated with significantly increased probability of dropout. Clinicians working with chronically self-harming outpatients diagnosed with BPD would benefit from prioritizing clinical interventions that enhance mindfulness in order to decrease dropout propensity.
治疗脱落率在边缘型人格障碍（BPD）个体中与负面的心理社会结果相关。确定该人群的脱落预测因素对于了解如何提高治疗保留率至关重要。本研究通过检查脱落的静态和动态预测因素，扩展了当前文献。诊断为 BPD 的慢性自杀门诊患者（n=42）被随机分配到 20 周的辩证行为治疗（DBT）技能训练组。静态和动态预测因素在基线、5、10、15、20 周和干预后 3 个月进行评估。进行事后两阶段逻辑回归分析以预测脱落倾向。基线时领取残疾津贴和正念降低与脱落的可能性显著增加相关。为了降低脱落倾向，治疗慢性自我伤害的门诊患者的临床医生将从优先考虑增强正念的临床干预中受益。
