1. Personality Structure Features Associated with Early Dropout in Patients with Substance-Related Disorders and Comorbid Personality Disorders
- Author
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Rossella Di Pierro, Fabio Madeddu, Emanuele Preti, S Dainese, Chiara Rottoli, Fabio Rancati, Preti, E, Rottoli, C, Dainese, S, DI PIERRO, R, Rancati, F, and Madeddu, F
- Subjects
medicine.medical_specialty ,Personality disorder ,media_common.quotation_subject ,Personality structure ,education ,Sadistic personality disorder ,Dual diagnosi ,Assessment ,medicine.disease ,Personality disorders ,Psychiatry and Mental health ,Health psychology ,Borderline personality disorder ,Structured interview ,medicine ,Dual diagnosis ,Personality ,M-PSI/08 - PSICOLOGIA CLINICA ,Psychiatry ,Psychology ,Substance-related disorders ,Dropout (neural networks) ,Clinical psychology ,media_common - Abstract
This study aims at investigating factors associated with early dropout in dual diagnosis patients, considering socio-demographic, diagnostic and personality structure variables. We hypothesized that the personality structure of the patient will show stronger associations with dropout, as compared to descriptive variables. Forty-seven patients consecutively admitted in a dual diagnosis residential treatment unit were administered the Structured Interview of Personality Organization (STIPO), the Structured Clinical Interview for Axis II Disorders (SCID II), the Response Evaluation Measure 71 (REM71), the Symptom Check List 90–R (SCL90-R), and the Borderline Personality Disorder Check List (BPDCL). Significant differences emerged between the dropout and no-dropout group: Investments and self-coherence problems (STIPO) were higher among dropouts; moreover, in the dropout group a significantly higher number of patients showed a borderline personality organization (88.9 %). Results support the use of structural interviews in the assessment of dual diagnosis patients; implications regarding research and clinical practice are discussed.
- Published
- 2015