personality factors associated with dropping out of cognitive behavioural treatment

BioMed Central Page 1 of 1 (page number not for citation purposes) Annals of General Psychiatry Open Access Poster presentation Personality factors associated with dropping out of cognitive behavioural treatment Yiota Goga* 1 , Thomai Lioura 1 , Agis Gouzaris 2 and Lefteris Konstandinidis 3 Address: 1 Association for Mental Health and Social Rehabilitation (Epsika), Thessaloniki, Greece, 2 CMHC of Vyronas-Kessariani, Athens University Medical School, Department of Psychiatry, Greece and 3 Private Practice, Thessaloniki, Greece * Corresponding author Background Premature termination of treatment is a considerable problem in many health care settings. However, attrition is particularly extensive among psychiatric patients. Drop- ping out of treatment depends on several demographic, clinical as well as personality factors. According to C. Swett and J. Noones, a higher value at the Paranoid Idea- tion subscale was positively related to premature discon- tinuation of treatment. Although treatment outcome relates directly to adherence to therapy, we do not know much on what kind of patients will remain in or drop-out from treatment. Materials and methods Aim of the present study was to investigate personality and clinical factors that could predict drop-out from a CB treatment using MMPI-I. We studied 225 consecutive patients referred to a clinical psychologists' private practice between 1997 and 2004 and treated with cognitive behavioural psychotherapy. 160 patients completed their psychotherapy whereas 65 patients dropped out of therapy early, i.e.1–5 sessions. All patients had completed MMPI-I just after their intake and evaluation interview. The two groups of patients were compared using the scores of the questionnaires' sub- scales. One-way ANOVA was used. Results Only the Validity K-scale and the Paranoid Pa-scale showed a statistically significant difference between the two groups of patients (p = 0.023 and p = 0.011 respec- tively). The depression D-scale tended to show a statistically significant difference between the two groups of patients. Discussion MMPI-I is a well-known and widely used instrument in the assessment of personality. It can be used to predict patients in high risk of dropping out of therapy. Our results agree with those of other studies concerning drop- out from therapy. References 1. Konstandinidis L, Goga Y, Simos G, Gouzaris A, Lioura T, Nikolaidis N: Predicting Drop-Out from CBT: Pre-Treatment Psycho- metric Variables. Poster presentation in: 34th Annual Congress of European Association for Behavioural and Cognitive Therapies (Manches- ter) 2004:9-11. 2. Swett C, Noones J: Factors Associated With Premature Ter- mination From Outpatient Treatment. Hospital and Community Psychiatry 1989, 40:947-951. 3. Tehrani E, Krussel J, Borg L, Munk-Jorgensen P: Dropping out of psychiatric treatment: a prospective study of a first admis- sion cohort. Acta Psychiatry Scand 1996, 94:266-271. from International Society on Brain and Behaviour: 2nd International Congress on Brain and Behaviour Thessaloniki, Greece. 17–20 November 2005 Published: 28 February 2006 Annals of General Psychiatry 2006, 5(Suppl 1):S230 doi:10.1186/1744-859X-5-S1-S230 <supplement> <title> <p>International Society on Brain and Behaviour: 2nd International Congress on Brain and Behaviour</p> </title> <note>Meeting abstracts – A single PDF containing all abstracts in this Supplement is available <a href="http:// www.biomedcentral.com/content/files/pdf/1744-859X-5-S1-full.pdf">here</a>.</note> </supplement>

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Page 1: Personality factors associated with dropping out of cognitive behavioural treatment

BioMed Central

Page 1 of 1(page number not for citation purposes)

Annals of General Psychiatry

Open AccessPoster presentationPersonality factors associated with dropping out of cognitive behavioural treatmentYiota Goga*1, Thomai Lioura1, Agis Gouzaris2 and Lefteris Konstandinidis3

Address: 1Association for Mental Health and Social Rehabilitation (Epsika), Thessaloniki, Greece, 2CMHC of Vyronas-Kessariani, Athens University Medical School, Department of Psychiatry, Greece and 3Private Practice, Thessaloniki, Greece

* Corresponding author

BackgroundPremature termination of treatment is a considerableproblem in many health care settings. However, attritionis particularly extensive among psychiatric patients. Drop-ping out of treatment depends on several demographic,clinical as well as personality factors. According to C.Swett and J. Noones, a higher value at the Paranoid Idea-tion subscale was positively related to premature discon-tinuation of treatment. Although treatment outcomerelates directly to adherence to therapy, we do not knowmuch on what kind of patients will remain in or drop-outfrom treatment.

Materials and methodsAim of the present study was to investigate personalityand clinical factors that could predict drop-out from a CBtreatment using MMPI-I.

We studied 225 consecutive patients referred to a clinicalpsychologists' private practice between 1997 and 2004and treated with cognitive behavioural psychotherapy.160 patients completed their psychotherapy whereas 65patients dropped out of therapy early, i.e.1–5 sessions. Allpatients had completed MMPI-I just after their intake andevaluation interview. The two groups of patients werecompared using the scores of the questionnaires' sub-scales. One-way ANOVA was used.

ResultsOnly the Validity K-scale and the Paranoid Pa-scaleshowed a statistically significant difference between thetwo groups of patients (p = 0.023 and p = 0.011 respec-tively). The depression D-scale tended to show a statisti-cally significant difference between the two groups ofpatients.

DiscussionMMPI-I is a well-known and widely used instrument inthe assessment of personality. It can be used to predictpatients in high risk of dropping out of therapy. Ourresults agree with those of other studies concerning drop-out from therapy.

References1. Konstandinidis L, Goga Y, Simos G, Gouzaris A, Lioura T, Nikolaidis

N: Predicting Drop-Out from CBT: Pre-Treatment Psycho-metric Variables. Poster presentation in: 34th Annual Congress ofEuropean Association for Behavioural and Cognitive Therapies (Manches-ter) 2004:9-11.

2. Swett C, Noones J: Factors Associated With Premature Ter-mination From Outpatient Treatment. Hospital and CommunityPsychiatry 1989, 40:947-951.

3. Tehrani E, Krussel J, Borg L, Munk-Jorgensen P: Dropping out ofpsychiatric treatment: a prospective study of a first admis-sion cohort. Acta Psychiatry Scand 1996, 94:266-271.

from International Society on Brain and Behaviour: 2nd International Congress on Brain and BehaviourThessaloniki, Greece. 17–20 November 2005

Published: 28 February 2006

Annals of General Psychiatry 2006, 5(Suppl 1):S230 doi:10.1186/1744-859X-5-S1-S230<supplement> <title> <p>International Society on Brain and Behaviour: 2nd International Congress on Brain and Behaviour</p> </title> <note>Meeting abstracts – A single PDF containing all abstracts in this Supplement is available <a href="http://www.biomedcentral.com/content/files/pdf/1744-859X-5-S1-full.pdf">here</a>.</note> </supplement>

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