Dropout from psychological treatment for borderline personality disorder: a multilevel survival meta-analysis.

ABSTRACT:

Background

Dropout from psychotherapy for borderline personality disorder (BPD) is a notorious problem. We investigated whether treatment, treatment format, treatment setting, substance use exclusion criteria, proportion males, mean age, country, and other variables influenced dropout.

Methods

From Pubmed, Embase, Cochrane, Psycinfo and other sources, 111 studies (159 treatment arms, N = 9100) of psychotherapy for non-forensic adult patients with BPD were included. Dropout per quarter during one year of treatment was analyzed on participant level with multilevel survival analysis, to deal with multiple predictors, nonconstant dropout chance over time, and censored data. Multiple imputation was used to estimate quarter of drop-out if unreported. Sensitivity analyses we

SUBMITTER: Arntz A 

PROVIDER: S-EPMC9975988 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature