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Cited by 37Personality Disorders and PsychopathologyPsychotherapy Techniques and ApplicationsPsychiatric care and mental health services

Patient factors predicting early dropout from psychiatric outpatient care for borderline personality disorder

De Panfilis, Chiara, Marchesi, Carlo, Cabrino, Chiara, Monici, Alberto, Politi, Virginia, Rossi, Matteo, Maggini, Carlo·2012·Psychiatry Research
DOI 10.1016/j.psychres.2012.03.016
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Abstract

Despite obvious clinical need, factors underlying early treatment discontinuation among 'real world' borderline personality disorder (BPD) patients are still unknown. This study investigates individual characteristics that can predict early (<three months) dropout among BPD outpatients at a general psychiatric service. Out of a sample of 1437 consecutively treatment-seeking psychiatric outpatients, 162 BPD subjects have been identified by means of the Structured Interview for Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV) Personality. Sociodemographic, clinical and personality variables potentially relevant for dropout were assessed for all participants at baseline. Early dropouts (n=54) were compared to continuers (n=108) on all measures. Logistic regression was then used to identify independent predictors of early dropout. A history of suicide attempts predicted early discontinuation, whereas the presence of an eating disorder and of avoidant personality features protected from early dropout. If confirmed, these findings may help clinicians operating in general psychiatric settings with estimating the risk of premature treatment discontinuation, and stress the need to specifically address suicidal behaviours in order to improve treatment retention among borderline outpatients. In this regard, implementing general psychiatric care with specialised, evidence-based psychotherapeutic interventions may be deemed necessary.

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  • The presence of an eating disorder and avoidant personality features were negatively associated with early dropout.

    “whereas the presence of an eating disorder and avoidant personality features were negatively associated with early dropout.”

    From Determinants of dropout in a community-based mental health crisis centre (2016) · cites this paper as [21]

  • A history of suicide attempts predicted early discontinuation of therapy.

    “De Panfilis et al. [21] showed that a history of suicide attempts predicted early discontinuation of therapy”

    From Determinants of dropout in a community-based mental health crisis centre (2016) · cites this paper as [21]

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Authors
De Panfilis, C., Marchesi, C., Cabrino, C., Monici, A., Politi, V., Rossi, M., & Maggini, C.
Affiliations
University of Parma (IT)
ORCID
Politi, Virginia
Venue
Psychiatry Research
Publisher
Elsevier BV
Published
2012-12
Volume
200
Issue
2-3
Pages
422-429
ISSN
0165-1781 (ISSN-L)
DOI
10.1016/j.psychres.2012.03.016
OpenAlex
W2085619629
Cited by
37
References
76
Citations by year
2026: 1 · 2025: 2 · 2024: 4 · 2023: 4 · 2022: 1 · 2021: 1 · 2020: 3 · 2019: 2 · 2018: 2 · 2017: 2 · 2016: 7 · 2015: 2 · 2014: 3 · 2013: 3
FWCI
2.91
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Psychiatry Research (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
Keywords
borderline personality disorder, outpatient psychiatric care, predictors of treatment discontinuation, patient characteristics, psychotherapy adherence
MeSH terms
Adolescent, Adult, Aged, Borderline Personality Disorder, Female, Humans, Middle Aged, Outpatients, Patient Dropouts, Personality, Predictive Value of Tests, Suicide, Attempted

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