TY - JOUR
T1 - RELATIONSHIP BETWEEN PATIENT CHARACTERISTICS AND TREATMENT ALLOCATION FOR PATIENTS WITH PERSONALITY DISORDERS
AU - Manen, JG
AU - Andrea, Helene
AU - van den Eijnden, E
AU - Meerman, AMMA
AU - Thunnissen, MM (Moniek)
AU - Hamers, EFM
AU - Huson, N
AU - Ziegler, U
AU - Stijnen, T (Theo)
AU - van Busschbach, Jan
AU - Timman, Reinier
AU - Verheul, R
PY - 2011
Y1 - 2011
N2 - Within a large multi-center study in patients with personality disorders, we investigated the relationship between patient characteristics and treatment allocation. Personality pathology, symptom distress, treatment history, motivational factors, and sociodemographics were measured at intake in 923 patients, who subsequently enrolled in short-term or long-term outpatient, day hospital, or inpatient psychotherapy for personality pathology. Logistic regressions were used to examine the predictors of allocation decisions. We found a moderate relationship (R(2) = 0.36) between patient characteristics and treatment setting, and a weak relationship (R(2) = 0.18) between patient characteristics and treatment duration. The most prominent predictors for setting were: symptom distress, cluster C personality pathology, level of identity integration, treatment history, motivation, and parental responsibility. For duration the most prominent predictor was age. We conclude from this study that, in addition to pathology and motivation factors, sociodemographics and treatment history are related to treatment allocation in clinical practice.
AB - Within a large multi-center study in patients with personality disorders, we investigated the relationship between patient characteristics and treatment allocation. Personality pathology, symptom distress, treatment history, motivational factors, and sociodemographics were measured at intake in 923 patients, who subsequently enrolled in short-term or long-term outpatient, day hospital, or inpatient psychotherapy for personality pathology. Logistic regressions were used to examine the predictors of allocation decisions. We found a moderate relationship (R(2) = 0.36) between patient characteristics and treatment setting, and a weak relationship (R(2) = 0.18) between patient characteristics and treatment duration. The most prominent predictors for setting were: symptom distress, cluster C personality pathology, level of identity integration, treatment history, motivation, and parental responsibility. For duration the most prominent predictor was age. We conclude from this study that, in addition to pathology and motivation factors, sociodemographics and treatment history are related to treatment allocation in clinical practice.
U2 - 10.1521/pedi.2011.25.5.656
DO - 10.1521/pedi.2011.25.5.656
M3 - Article
SN - 0885-579X
VL - 25
SP - 656
EP - 667
JO - Journal of Personality Disorders
JF - Journal of Personality Disorders
IS - 5
ER -