CoChat
Sign Up
Cited by 15Personality Disorders and PsychopathologyPsychotherapy Techniques and ApplicationsPsychoanalysis and Psychopathology Research

Premature Termination of Psychotherapy in Patients With Borderline Personality Disorder: A Cluster-Analytic Study

Gamache, Dominick, Savard, Claudia, Lemelin, Sophie, Côté, Alexandre, Villeneuve, Évens·2018·Journal of Nervous & Mental Disease
DOI 10.1097/nmd.0000000000000764
Open this paper in CoChat — free account

Abstract

The goal of the present study was to establish profiles of patients with borderline personality disorder (BPD) who dropped out early from an outpatient psychotherapy program. From a sample of 56 BPD patients who dropped out after the first of a three-year program, a TwoStep cluster analysis procedure was performed, using the five factors of the Treatment Attrition-Retention Scale for Personality Disorders (Gamache et al., J Pers Disord 1–21, 2017) and the Global Assessment of Functioning score (Spitzer et al., Global Assessment of Functioning [GAF] Scale. In Sederer LI, Dickey B [Eds], Outcomes assessment in clinical practice [pp 76–78]. Baltimore, MD: Walter and Williams) as clustering variables. Four clusters emerged: Higher-functioning, Narcissistic features/entitlement, Pseudo-normality, and Highly dysfunctional. Differences between the clusters were found on sex, occupational status, and presence of antisocial features. These findings could help both identify BPD patients at potential risk of dropping out of psychotherapy and adjust interventions accordingly to reduce premature termination.

Integrity signals

Registry

Crossref · 10.1097/nmd.0000000000000764

Cites

26 of 26 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Categorical diagnosis of narcissistic personality disorder has been associated with a 63%-64% drop-out rate from psychotherapy.

    “When samples of patients with the disorder have been followed, categorical diagnosis of narcissistic personality disorder has been associated with a 63%–64% drop-out rate from psychotherapy (87, 88)”

    From Narcissistic Personality Disorder: Progress in Understanding and Treatment (2022) · cites this paper as [88]

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Related

Authors
Gamache, D., Savard, C., Lemelin, S., Côté, A., & Villeneuve, É.
Affiliations
Institut Universitaire en Santé Mentale de Québec (CA)
Corresponding author
  • Gamache, Dominick
  • Côté, Alexandre
ORCID
Venue
Journal of Nervous & Mental Disease
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2018-04
Volume
206
Issue
4
Pages
231-238
ISSN
  • 0022-3018 (ISSN-L)
  • 1539-736X
DOI
10.1097/nmd.0000000000000764
OpenAlex
W2773088185
Cited by
15
References
26
Citations by year
2026: 3 · 2025: 1 · 2024: 2 · 2023: 3 · 2022: 2 · 2021: 1 · 2020: 3
FWCI
1.02
Type
journal article
Language
en
Open access
closed
Locations
  • The Journal of Nervous and Mental Disease (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 › Psychoanalysis and Psychopathology Research
Keywords
borderline personality disorder, early termination, psychotherapy dropout, treatment discontinuation, Global Assessment of Functioning, narcissism, patient characteristics, outpatient psychotherapy
MeSH terms
Adult, Borderline Personality Disorder, Female, Humans, Male, Patient Dropouts, Personality, Psychiatric Status Rating Scales, Psychotherapy, Risk Factors, Sex Factors, Cluster Analysis

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review