Rusch, N., Schiel, S., Corrigan, P. W., Leihener, F., Jacob, G. A., Olschewski, M., et al. (2008). Predictors of dropout from inpatient dialectical behavior therapy among women with borderline personality disorder. Journal of Behavior Therapy and Experimental Psychiatry, 39, 497-503.
Inpatient dialectical behavior therapy (DBT) is an effective treatment for borderline personality disorder (BPD), but often treatment is ended prematurely and predictors of dropout are poorly understood. We, therefore, studied predictors of dropout among 60 women with BPD during inpatient DBT. Noncompleters had higher experiential avoidance and trait anxiety at baseline, but fewer life-time suicide attempts than completers. There was a trend for more anger hostility and perceived stigma among noncompleters. Experiential avoidance and anxiety may be associated with dropout in inpatient DBT. Low life-time suicidality and high anger could reflect a subtype at risk for discontinuation of inpatient treatment.