Table 3.

Factors contributing to extensive care needs

Factor type	Description
Individual factors	Social isolation and lack of meaningful societal roles Ambivalence and mistrust regarding treatments, providers, and the support system Struggles to gain or delegate responsibility and agency Difficulties with emotional self-regulation, such as managing intense emotions and impulsive reactions
Systemic factors	Failed communication between patients and providers, especially doctors Unclear procedures, policies, and treatment plans leading to patient dissatisfaction and mistrust

The table outlines the individual and systemic factors contributing to the extensive care needs of participants with personality disorders