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Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

Personality disorders: patient characteristics and level of outpatient treatment service

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ABSTRACT
Background: In this naturalistic study, patients with personality disorders (N¼388) treated at
Stolpegaard Psychotherapy Center, Mental Health Services, Capital Region of Denmark were allocated
to two different kinds of treatment: a standardized treatment package with a preset number of treatment
hours (basic hospital service) and 2: a specialized treatment program for the most severely
affected patients without a predetermined restricted number of treatment hours and significantly more
individual psychotherapy (regional specialized hospital services).
Aims: To investigate patient characteristics associated with clinicians’ allocation of patients to the two
different personality disorder services.
Methods: Patient characteristics across eight domains were collected in order to study whether there
were systematic differences between patients allocated to the two different treatments. Patient characteristics
included measures of symptom severity, personality pathology, trauma and socio-demographic
characteristics. Significance testing and binary regression analysis were applied to identify important
predictors.
Results: Patient characteristics on fifteen variables differed significantly, all in the expected direction,
with patients in regional specialized hospital services showing more pathology and psychosocial problems.
In the regression model, only age and two variables capturing psychosocial functioning remained
significant predictors of allocation.
Discussion: The finding that younger age was the most significant predictor of longer treatment replicates
an earlier finding of allocation to treatment for personality disorder. Overall, this study therefore
lends further support to the importance of demographic and social contextual factors in clinicians’ allocation
of patients to different treatment services for personality disorder.
OriginalsprogEngelsk
TidsskriftNordic Journal of Psychiatry
Vol/bind71
Udgave nummer5
Sider (fra-til)325-331
Antal sider7
ISSN0803-9488
DOI
StatusUdgivet - jul. 2017

ID: 52674205