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Relationship between patient characteristics and treatment allocation for patients with personality disorders
Authors:van Manen Janine G  Andrea Helene  van den Eijnden Ellen  Meerman Anke M M A  Thunnissen Moniek M  Hamers Elisabeth F M  Huson Nelleke  Ziegler Uli  Stijnen Theo  Busschbach Jan J V  Timman Reinier  Verheul Roel
Affiliation:Viersprong Institute for Studies on Personality Disorders-VISPD, Halsteren, The Netherlands. janine.van.manen@deviersprong.nl
Abstract: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.
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