[Drop-out from clinical psychotherapeutic treatment of personality problems]. / Drop-out bij klinisch psychotherapeutische behandeling van persoonlijkheidsproblematiek.
Tijdschr Psychiatr
; 52(1): 17-27, 2010.
Article
em Nl
| MEDLINE
| ID: mdl-20054794
ABSTRACT
BACKGROUND:
Drop-out is a serious problem in psychotherapy. Earlier studies have shown that the main factors associated with drop-out are young age, low socio-economic status and pathological symptoms such as severity of the problems and problematic substance-abuse.AIM:
To investigate patient's and pathological characteristics that predict drop-out among patients with predominantly personality problems.METHOD:
Patient's characteristics and pathological characteristics of 372 subjects were ascertained via a retrospective study by means of four databases intake letters, scid-ii personality questionnaires, scid-i and ii interviews and discharge letters. The association between these characteristics and drop-out was tested by means of bivariate and multivariate analysis. results The drop-out rate was 33.3 %. The main predictors of drop-out were young age, a low Global Assessment of Functioning (gaf)-score and the existence of problematic substance-abuse at discharge. The degree and severity of axis i disorders and the nature of personality problems made hardly any contribution to the prediction of drop-out.CONCLUSION:
These findings indicate that more attention needs to be given to the existence of substance-abuse before psychotherapy begins. Drop-out is still a problem and is difficult to predict and hard to influence.
Buscar no Google
Coleções:
01-internacional
Base de dados:
MEDLINE
Contexto em Saúde:
2_ODS3
Problema de saúde:
2_sustancias_psicoativas
Assunto principal:
Pacientes Desistentes do Tratamento
/
Transtornos da Personalidade
/
Psicoterapia
/
Aceitação pelo Paciente de Cuidados de Saúde
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Limite:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
Nl
Revista:
Tijdschr Psychiatr
Ano de publicação:
2010
Tipo de documento:
Article