Predictors of treatment attendance in patients with posttraumatic stress disorder and comorbid personality disorders

van den End, Arne; Snoek, Aishah; Aarts, Inga; Beekman, Aartjan T.F.; Dekker, Jack; Blankers, Matthijs; Lommerse, Nick; Thomaes, Kathleen

doi:10.1016/j.comppsych.2024.152516

Comprehensive Psychiatry

2024

DOI: 10.1016/j.comppsych.2024.152516

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Predictors of treatment attendance in patients with posttraumatic stress disorder and comorbid personality disorders

Arne van den End,

Aishah Snoek,

Inga Aarts

et al.

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2024

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Predictors and Patterns of Dropout From Psychiatric Treatment Among Trauma‐Affected Refugees: A Large Data Pool Analysis

Vindbjerg,

Sandahl,

Lindberg

et al. 2024

Clin Psychology and Psychoth

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Dropout from mental health treatment is a substantial hindrance to relevant and effective treatment. Despite the high prevalence of PTSD among refugees, research into their treatment dropout has received limited attention. This study aimed to identify patterns and predictors of treatment dropout versus completion through different treatment stages. The sample included 940 patients with a refugee background undergoing outpatient treatment for PTSD in Denmark. All patients were offered 10 medical doctor sessions and 16–20 psychotherapy sessions. Dropout was analysed in three stages: (1) during the first six MD sessions, (2) during the first eight psychotherapy sessions upon completion of Stage 1, and (3) during psychotherapy sessions 9 to 16. A stepwise multiple regression analysis was conducted for each stage to identify predictors of stage‐specific dropout. Counter to expectations, both early dropout and full completion were associated with better symptom outcomes, relative to late‐treatment dropout. Key predictors varied by stage, with younger age predicting early dropout, whereas chronic pain and poor Danish proficiency predicted late dropout. Female gender and a clearly articulated motivation for active participation were predictors for full treatment completion. Practical advice is suggested to accommodate at‐risk patients and to re‐evaluate patient engagement after familiarisation with treatment.

show abstract

Predictors and Patterns of Dropout From Psychiatric Treatment Among Trauma‐Affected Refugees: A Large Data Pool Analysis

Vindbjerg,

Sandahl,

Lindberg

et al. 2024

Clin Psychology and Psychoth

View full text Add to dashboard Cite

show abstract

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Predictors of treatment attendance in patients with posttraumatic stress disorder and comorbid personality disorders

Cited by 1 publication

References 38 publications

Predictors and Patterns of Dropout From Psychiatric Treatment Among Trauma‐Affected Refugees: A Large Data Pool Analysis

Predictors and Patterns of Dropout From Psychiatric Treatment Among Trauma‐Affected Refugees: A Large Data Pool Analysis

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