Significance of personality disorders in the face of drop-outs from psychiatric hospitalizations. The case of selected psychiatric units
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Oddział Kliniczny Dzienny Leczenia Nerwic Katedry Psychiatrii Uniwersytet Medyczny we Wrocławiu
Katedra Psychiatrii Uniwersytet Medyczny we Wrocławiu
Submission date: 2015-09-11
Final revision date: 2015-11-25
Acceptance date: 2015-11-27
Online publication date: 2017-06-18
Publication date: 2017-06-18
Corresponding author
Maja Biała   

Oddział Kliniczny Dzienny Leczenia Nerwic Katedry Psychiatrii Uniwersytet Medyczny we Wrocławiu, Pasteura 10, 50-367 Wrocław, Polska
Psychiatr Pol 2017;51(3):425–436
The World Health Organization’s estimations indicate that about 50% of patients in well-developed countries may not adhere to long-term therapies. In the field of psychiatry, drop-outs from psychiatric treatment are particularly important. Personality disorders are a significant part of this sphere. The aim of this research was to empirically verify the hypothesis regarding the relation between comorbid personality disorders and drop-outs from treatment among patients of psychiatric wards.

This study was a prospective cohort study. 110 patients, hospitalized in 3 different psychiatric wards, were included. Personality disorders were assessed with the Structured Clinical Interview For DSM-IV Personality Disorders (SCID-II). The research was financed by the Polish National Science Center (DEC-2011/01/N/NZ5/05364).

The response rate was 89.1%. 72.56% of patients suffered from personality disorders (SCID-II) (among them the most prevalent were: personality disorder – not otherwise specified – 40.7% and borderline personality disorder – 12.38%; 22.95% of patients dropped out from treatment). However, occurrence of personality disorders was not relevant for those drop-outs. On the other hand, relationships at the level of certain criteria of borderline personality disorders and passive-aggressive personality have been revealed. These relationships became stronger when considered from the perspective of differences in the organization of treatment at individual wards.

Some personality disorders may play an important role in drop-outs from psychiatric treatment. Presented results require further research.