Today, psychotherapy is the treatment of choice for patients with a personality disorder (PD). PD patients are however difficult to engage into treatment and little is known about the factors that lead to dropout. The aim of this study was to increase our understanding of dropout in PD patients. In particular, and based on earlier studies, we aimed to identify baseline patient factors predicting dropout from a psychodynamic hospitalization-based treatment program. Results in a sample of 129 well-screened PD patients showed (a) a dropout rate of 34%, which is in line with earlier studies; (b) univariate analysis indicated that a lower educational level, the presence of Cluster A PD, especially schizoid PD, the total number of Axis II disorders, and the total number of Axis I disorders were predictive of dropout; and (c) when these variables were entered in a stepwise logistic regression analysis, the only significant predictor of dropout was the number of Axis II diagnoses. Dropout from a hospitalization-based psychodynamic treatment program was thus associated with a higher number of Axis II diagnoses (odds ratio = 1.73, 95% confidence interval [1.16, 2.57]). These findings suggest that the more serious one’s personality pathology is at the start of treatment, the higher the chance patients will drop out from our treatment program. Implications for the psychosocial treatment of PD patients are formulated.

中文翻译：

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基于心理动力学住院治疗的人格障碍治疗辍学的预测因素。

今天，心理治疗是人格障碍 (PD) 患者的首选治疗方法。然而，PD 患者很难参与治疗，对导致辍学的因素知之甚少。本研究的目的是增加我们对 PD 患者辍学的理解。特别是，基于早期研究，我们旨在确定预测心理动力学住院治疗计划退出的基线患者因素。129 名经过良好筛选的 PD 患者样本的结果显示 (a) 退出率为 34%，这与早期研究一致；(b) 单变量分析表明，较低的教育水平、A 类 PD，尤其是精神分裂症 PD 的存在、轴 II 障碍的总数和轴 I 障碍的总数是辍学的预测因素；(c) 当这些变量被输入到逐步逻辑回归分析中时，辍学的唯一重要预测因素是轴 II 诊断的数量。因此，退出基于住院治疗的心理动力学治疗计划与更多 Axis II 诊断相关（优势比 = 1.73，95% 置信区间 [1.16, 2.57]）。这些发现表明，治疗开始时一个人的人格病理越严重，患者退出我们的治疗计划的可能性就越大。制定了对 PD 患者的社会心理治疗的影响。因此，退出基于住院治疗的心理动力学治疗计划与更多 Axis II 诊断相关（优势比 = 1.73，95% 置信区间 [1.16, 2.57]）。这些发现表明，治疗开始时一个人的人格病理越严重，患者退出我们的治疗计划的可能性就越大。制定了对 PD 患者的社会心理治疗的影响。因此，退出基于住院治疗的心理动力学治疗计划与更多 Axis II 诊断相关（优势比 = 1.73，95% 置信区间 [1.16, 2.57]）。这些发现表明，治疗开始时一个人的人格病理越严重，患者退出我们的治疗计划的可能性就越大。制定了对 PD 患者的社会心理治疗的影响。