Non-completion of personality disorder treatments: A systematic review of correlates, consequences, and interventions

Clinical Psychology Review

Volumn 30, Issue 3, 2010, Pages 277-287

  McMurran, Mary ^a   Huband, Nick ^a   Overton, Eleanor ^b  

^a UNIVERSITY OF NOTTINGHAM   (United Kingdom)

^b NOTTINGHAMSHIRE HEALTHCARE NHS TRUST   (United Kingdom)

Author keywords

Personality disorder; Psychological therapies; Treatment non completion

Indexed keywords

BEHAVIOR THERAPY; BORDERLINE STATE; CLINICAL TRIAL; COGNITIVE THERAPY; COMPULSIVE PERSONALITY DISORDER; GROUP THERAPY; HISTRIONIC PERSONALITY DISORDER; HOSPITAL COST; HUMAN; PERSONALITY DISORDER; PREDICTION; PSYCHOANALYSIS; PSYCHODYNAMICS; PSYCHOPATHY; PSYCHOSOCIAL CARE; PSYCHOTHERAPY; REVIEW; SYSTEMATIC REVIEW; THERAPEUTIC COMMUNITY; TREATMENT DURATION; TREATMENT OUTCOME; TREATMENT WITHDRAWAL;

HUMANS; PATIENT COMPLIANCE; PERSONALITY DISORDERS; PSYCHOTHERAPY; PSYCHOTHERAPY, GROUP; TREATMENT OUTCOME; TREATMENT REFUSAL;

EID: 77549084594     PISSN: 02727358     EISSN: 18737811     Source Type: Journal    
DOI: 10.1016/j.cpr.2009.12.002     Document Type: Review

References (78)

1. *Alarcón M.B., Salcedo M.T., and Fernández B.C. Apego al tratamiento psicotherapéutico grupal en pacientes con trastorno límite de la personalidad: Estudio piloto en pacientes de 18 a 24 años. Salud Mental 28 (2005) 52-60
2. Anderson E.M., and Lambert M.J. Short-term dynamically oriented psychotherapy: A review and meta-analysis. Clinical Psychology Review 15 (1995) 503-514
3. Andrews D.A., and Dowden C. The risk-need-responsivity model of assessment and human service in prevention and corrections: Crime-prevention jurisprudence. Canadian Journal of Criminology and Criminal Justice 49 (2007) 439-464
4. Barkham M., Rees A., Stiles W.B., Shapiro D.A., Hardy G.E., and Reynolds S. Dose-effect relations in time-limited psychotherapy for depression. Journal of Consulting and Clinical Psychology 64 (1996) 927-935
5. Barrett M.S., Chua W., Crits-Christoph P., Gibbons M.B., Casiano D., and Thompson D. Early withdrawal from mental health treatment: Implications for psychotherapy practice. Psychotherapy Theory, Research, Practice, Training 45 (2008) 247-267
6. Ben-Porath D.B. Strategies for securing commitment to treatment from individuals diagnosed with borderline personality disorder. Journal of Contemporary Psychotherapy 34 (2004) 247-263
7. *Birtle J., Calthorpe B., McGruer F., Adie L., McCullagh G., and Kearney S. Preparing to go to Main House: This week, maybe next week!. Therapeutic Communities 28 (2007) 127-136
8. Blatt S.J., Besser A., and Ford R.Q. Two primary configurations of psychopathology and change in thought disorder in long-term intensive inpatient treatment of seriously disturbed young adults. American Journal of Psychiatry 164 (2007) 1561-1567
9. Bond M. Empirical studies of defense style: Relationships with psychopathology and change. Harvard Review of Psychiatry 12 (2004) 263-278
10. Bornovalova M.A., and Daughters S.B. How does Dialectical Behaviour Therapy facilitate treatment retention among individuals with comorbid borderline personality disorders and substance use disorders. Clinical Psychology Review 27 (2007) 923-943
11. Buss A.H., and Durkee A. An inventory for assessing different kinds of hostility. Journal of Consulting Psychology 21 (1957) 343-348
12. *Chiesa M., Drahorad C., and Longo S. Early termination of treatment in personality disorder treated in a psychotherapy hospital: Quantitative and qualitative study. British Journal of Psychiatry 177 (2000) 107-111
13. *Chiesa M., Wright M., and Neeld R. A description of an audit cycle of early dropouts from an inpatient psychotherapy unit. Psychoanalytic Psychotherapy 17 (2003) 138-149
14. Cloninger C.R., Svrakic D.M., and Przybeck T.R. A psychobiological model of temperament and character. Archives of General Psychiatry 50 (1993) 975-990
15. Coid J., Yang M., Tyrer P., Roberts A., and Ullrich S. Prevalence and correlates of personality disorder in Great Britain. British Journal of Psychiatry 188 (2006) 423-431
16. Coonerty S. An exploration of separation-individuation themes in borderline personality disorder. Journal of Personality Assessment 50 (1986) 501-511
17. Copas J.B., O'Brien M., Roberts J., and Whiteley J.S. Treatment outcome in personality disorder: The effect of social, psychological and behavioural variables. Personality and Individual Differences 5 (1984) 565-573
18. Crawford M.J., Price K., Gordon F., Josson M., Taylor B., Bateman A., et al. Engagement and retention in specialist services for people with personality disorder. Acta Psychiatrica Scandinavica 119 (2009) 304-311
19. Crawford M.J., Price K., Rutter D., Moran P., Tyrer P., Bateman A., et al. Dedicated community-based services for adults with personality disorder: Delphi study. British Journal of Psychiatry 193 (2008) 342-343
20. Derogatis L.R., Lipman R.S., and Covi L. SCL-90: An outpatient psychiatric rating scale. Psychopharmacological Bulletin 9 (1973) 13-27
21. Duggan C., Huband N., Smailagic N., Ferriter M., and Adams C. The use of psychological treatments for people with personality disorder: A systematic review of randomized controlled trials. Personality and Mental Health 1 (2007) 95-125
22. *Duggan C., Mason L., Banerjee P., and Milton J. Value of standard personality assessments in informing clinical decision-making in a medium secure unit. British Journal of Psychiatry 190 suppl. 4 9 (2007) s15-s19
23. D'Zurilla T.J., Nezu A.M., and Maydeu-Olivares A. Social Problem Solving Inventory-Revised (SPSI-R):Technical manual (2002), Multi-Health Systems, Inc, North Tonawanda, NY
24. Gaston L. The reliability and criterion-related validity of the patient version of the California Psychotherapy Alliance Scale. Psychological Assessment 3 (1991) 68-74
25. *Gunderson J.G., Frank A.F., Ronningstam E.F., Wachter S., Lynch V.J., and Wolf P.J. Early discontinuance of borderline patients from psychotherapy. Journal of Nervous and Mental Diseases 177 (1989) 38-42
26. Hahn S.R., Thompson K.S., Wills T.A., Stern V., and Budner N.S. The difficult doctor-patient relationship: Somatization, personality and psychopathology. Journal of Clinical Epidemiology 47 (1994) 647-657
27. Hansen N.B., Lambert M.J., and Forman E.M. The psychotherapy dose-response effect and its implications for treatment delivery services. Clinical Psychology: Science and Practice 9 (2002) 329-343
28. Hare R.D. The Hare Psychopathy Checklist - Revised (1991), Multi-Health Systems, North Tonawanda, NY
29. Hayes S.C., Strosahl K., Wilson K.G., Bissett R.T., Pistorello J., Toarmino D., et al. Measuring experiential avoidance: A preliminary test of a working model. Psychological Record 54 (2004) 553-578
30. *Horner M.S., and Diamond D. Object relations development and psychotherapy dropout in borderline outpatients. Psychoanalytic Psychology 13 (1996) 205-223
31. Horowitz L.M., Alden L.E., Wiggins J.S., and Pincus A.L. Inventory of Interpersonal Problems manual (2000), Psychological Corporation, San Antonio, TX
32. Horvath A.O., and Greenberg L.S. Development and validation of the Working Alliance Inventory. Journal of Counseling Psychology 36 (1989) 223-233
33. Howells K., Tonkin M., Milburn C., Lewis J., Draycot S., Cordwell J., et al. The EssenCES measure of social climate: A preliminary validation and normative data in UK high secure hospital settings. Criminal Behaviour and Mental Health 19 (2009) 308-320
34. *Iverson, K.M. (2008). Assessing aspects of emotion regulation in suicidal college students with borderline personality disorder features. (Doctoral dissertation, University of Nevada-Reno, 2008). Ann Arbor, MI: ProQuest LLC, UMI Number 3307715.
35. Jacobson N.S., and Truax P. Clinical significance: A statsitical approach to defining meaningful change in pschyotherapy research. Journal of Consulting and Clinical Psychology 59 (1991) 12-19
36. Kadera S.C., Lambert M.J., and Andrews A.A. How much therapy is really enough? A session-by-session analysis of the psychotherapy doese-effect relationship. Journal of Psychotherapy Research and Practice 5 (1996) 132-151
37. *Karterud S., Pederson G., Bjordal E., Brabrand J., Friis S., Haaseth Ø., et al. Day treatment of people with personality disorders: Experiences from a Norwegian treatment research network. Journal of Personality Disorders 17 (2003) 243-262
38. Klein M.H., Smith Benjamin L., Rosenfeld R., Treece C., Husted J., and Greist J.H. The Wisconsin Personality Disorders Inventory: Development, reliability and validity. Journal of Personality Disorders 7 (1993) 285-303
39. *Kvarstein E., Karterud S., and Pedersen G. Severely disturbed borderline patients need more than short-term day hospital treatment. Therapeutic Communities 25 (2004) 120-130
40. Linehan M.M., Comtois K.A., Murray A.M., Brown M.Z., Gallop R.J., Heard H.L., et al. Two-year randomized controlled trial and follow-up of dialectical behaviour therapy vs therapy by experts for suicidal behaviours and borderline personality disorder. Archives of General Psychiatry 63 (2006) 757-766
41. *Lingiardi V., Filippucci L., and Baiocco R. Therapeutic alliance evaluation in personality disorders psychotherapy. Psychotherapy Research 15 (2005) 45-53
42. Link B.G., Cullen F.T., Struening E.L., and Shrout P.E. A modified labelling theory approach to mental disorders: An empirical assessment. American Sociological Review 54 (1989) 400-423
43. *Löffler-Statska H., Rössler-Schülein H., and Skale E. Prädiktoren des Therapieabbruchs in psychoanalytischen Behandlungen von Patienten mit Persönlichkeitsstörungen. Zeitschrift für Psychosomatische Medizin und Psychotherapie 54 (2008) 63-76
44. Maling M.S., Gurtman M.B., and Howard K.I. The response of interpersonal problems to varying doses of psychotherapy. Psychotherapy Research 5 (1995) 63-75
45. Marziali E., Munroe-Blum H., and McCleary L. The Objective Behavioral Index: A measure for assessing treatment response of patients with severe personality disorders. Journal of Nervous and Mental Disorders 187 (1999) 290-295
46. McConnaughy E.A., DiClemente C.C., Prochaska J.O., and Velicer W.F. Stages of change in psychotherapy: A follow-up report. Psychotherapy 26 (1989) 494-503
47. McConnaughy E.A., Prochaska J.O., and Velicer W.F. Stages of change in psychotherapy: Measurement and sample profiles. Psychotherapy: Theory, Research and Practice 20 (1983) 368-375
48. McMurran M. Motivation to change: Selection criterion or treatment need?. In: McMurran M. (Ed). Motivating offenders to change: A guide to enhancing engagement in Therapy (2002), Wiley, Chichester, UK 3-13
49. *McMurran M., Huband N., and Duggan C. A comparison of treatment completers and non-completers of an inpatient treatment programme for male personality disordered offenders. Psychology and Psychotherapy: Theory, Research and Practice 81 (2008) 193-198
50. McMurran M., and Theodosi E. Is treatment non-completion associated with increased reconviction over no treatment?. Psychology, Crime and Law 13 (2007) 333-343
51. Millon T. The Millon Clinical Multiaxial Inventory manual. 2nd ed (1983), National Computer Systems, Minneapolis, MN
52. In: O'Donohue W.T., and Levensky E.R. (Eds). Promoting treatment adherence: A practical handbook for healthcare providers (2006), Sage, Thousand Oaks, CA
53. *Ogrodniczuk J.S., Joyce A.S., Lynd L.D., Piper W.E., Steinberg P.I., and Richardson K. Predictors of premature termination of day treatment for personality disorder. Psychotherapy and Psychosomatics 77 (2008) 365-371
54. Ogrodniczuk J.S., Joyce A.S., and Piper W.E. Strategies for reducing patient-initiated premature termination of psychotherapy. Harvard Review of Psychiatry 13 (2005) 57-70
55. Ogrodniczuk J.S., Piper W.E., and Joyce A.S. Treatment compliance among patients with personality disorders receiving group psychotherapy: What are the roles of interpersonal distress and cohesion?. Psychiatry 69 (2006) 249-261
56. Oldham J.M., Clarkin J., Appelbaum A., Carr A., Kernberg P., Lotterman A., et al. A self-reporting instrument for borderline personality organization. In: McGlashan T. (Ed). The Borderline: Current Empirical Research (1985), American Psychiatric Press, Washington, DC
57. *Perry J.C., Bond M., and Roy C. Predictors of treatment duration and retention in a study of long-term dynamic psychotherapy: Childhood adversity, adult personality, and diagnosis. Journal of Psychiatric Practice 13 (2007) 221-232
58. Rasmussen J.E. Relationship of ego identity to psychosocial effectiveness. Psychological Reports 15 (1964) 815-825
59. *Ravndal E., and Vaglum P. Changes in antisocial aggressiveness during treatment in a hierarchical therapeutic community: A prospective study of personality changes. Acta Psychiatrica Scandinavica 84 (1991) 524-530
60. *Rüsch N., Schiel S., Corrigan P.W., Leihener F., Jacob G.A., Olschewski M., et al. Predictors of dropout from inpatient dialectical behaviour therapy among women with borderline personality disorder. Journal of Behavior Therapy and Experimental Psychiatry 39 (2008) 497-503
61. Sheeran P., Aubrey R., and Kellett S. Increasing attendance for psychotherapy: Implementation intentions and the self-regulation of attendance-realted negative affect. Journal of Consulting and Clinical Psychology 75 (2007) 853-863
62. *Smith T.E., Koenigsberg H.W., Yeomans F.E., Clarkin J.F., and Selzer M.A. Predictors of dropout in psychodynamic psychotherapy of borderline personality disorder. Journal of Psychotherapy Practice and Research 4 (1995) 205-213
63. *Soler J., Trujols J., Pascual J.C., Portella M.J., Barrachina J., Campins J., et al. Stages of change in dialectical behaviour therapy for borderline personality disorder. British Journal of Clinical Psychology 47 (2008) 417-426
64. Spielberger C.D., Gorusch R.L., and Lushene R.E. Manual for the State-Trait Anxiety Inventory (1970), Consulting Psychologists Press, Palo Alto, CA
65. *Spinhoven P., Giesen-Bloo J., van Dyck R., Kooiman K., and Arntz A. The therapeutic alliance in schema-focused therapy and transference-focused psychotherapy for borderline personality disorder. Journal of Consulting and Clinical Psychology 75 (2007) 104-115
66. *Stiwne D. Group psychotherapy with borderline patients: Contrasting remainers and dropouts. Group 18 (1994) 37-45
67. *Thormählen B., Weinryb R.M., Norén K., Vinnars B., Bågedahl-Strindlund M., and Barber J.P. Patient factors predicting dropout from supportive-expressive psychotherapy for patients with personality disorders. Psychotherapy Research 13 (2003) 493-509
68. Tyrer P., Mitchard S., Methuen C., and Ranger M. Treatment rejecting and treatment seeking personality disorders: Type R and Type S. Journal of Personality Disorders 17 (2003) 263-268
69. Vermote R., Fonagy P., Vertommen H., Verhaest Y., Stroobants R., Vandeneede B., et al. Outcome and outcome trajectories of personality disordered patients during adb after a psychoanalytic hospitalisation-based treatment. Journal of Personality Disorders 23 (2009) 294-307
70. Walitzer K.S., Dermen K.H., and Connors G.J. Strategies for preparing clients for treatment: A review. Behavior Modification 23 (1999) 129-151
71. *Warren F., Zaman S., Dolan B., Norton K., and Evans C. Eating disturbance and severe personality disorder: Outcome of specialist treatment for severe personality disorder. European Eating Disorders Review 14 (2006) 69-78
72. *Webb D., and McMurran M. A comparison of women who continue and discontinue treatment for borderline personality disorder. Personality and Mental Health 3 (2009) 142-149
73. Westen D., and Shedler J. Revising and assessing Axis II. Part I: Developing a clinically and empirically valid assessment method. American Journal of Psychiatry 156 (1999) 258-272
74. Wierzbicki M., and Pekarik G. A meta-analysis of psychotherapy dropout. Professional Psychology: Research and Practice 24 (1993) 190-195
75. *Yeomans F.E., Gutfreund J., Selzer M.A., Clarkin J.F., Hull J.W., and Smith T.E. Factors related to drop-outs by borderline patients: Treatment contract and therapeutic alliance. Journal of Psychotherapy Practice and Research 3 (1994) 16-24
76. Yeomans F.E., Selzer M.A., and Clarkin J.F. Studying the treatment contract in intensive psychotherapy with borderline patients. Psychiatry 56 (1993) 254-263
77. Zanarini M.C., and Frankenburg F.R. The essential nature of borderline psychopathology. Journal of Personality Disorders 21 (2007) 518-535
78. *Zorn P., Roder V., Soravia L., and Tschacher W. Evaluation der "Schemazentrierten emotiv-behavioralen Therapie" (SET) für Patienten mit Persönlichkeitsstörungen: Ergebnisse einer randomisierten Untersuchung. Psychotherapie, Psychosomatik Medizinische Psychologie 58 (2008) 371-378