Abstract
OBJECTIVE: The factors influencing drop-out in eating disorders (ED) are still unclear. The aim of the present study was to determine whether compliance is strongly related to the patient-therapist relationship. MATERIALS AND METHODS: During 14 months all new patients affected by EDs referring to our Specialist Service Center, were assessed and followed up, they underwent EAT 40, EDI II, and computerized case history for ED. Moreover, we collected data from therapist using the GCI scale, and we recorded as the patient perceived his weight (PPW). RESULTS: We found that out of the 100 patients enrolled, 53 withdraw and when probability was predicted according to a digit model, it was not influenced by EDI-II subscales, age, sex, education, EAT-40 score, duration of the disorder and diagnosis while it significantly decreased when GCI scores increased and decreased when the PPW was altered. CONCLUSION: These results seem to confirm that some psychological factors related to patient-therapist relationship can play a key role for a stable and continuous therapeutic program.
References
Bacaltchuk J., Hay P., Trefiglio R.: Antidepressants versus psychological treatments and their combination for bulimia nervosa. Cochrane Database Syst. Rev., 4, CD003385, 2001.
Vandereycken W., Pierloot R.: Dropout during in-patient treatment of anorexia nervosa: A clinical study of 133 patients. Br. J. Med. Psychol., 56, 145–156, 1983.
Di Pietro G., Valoroso L., Fichele M., Bruno C., Sorge F.: What happens to eating disorder outpatients who withdrew from therapy? Eat Weight Disord; 7, 289–303, 2002.
Kahn C., Pike K.M.: In search of predictors of dropout from inpatient treatment for anorexia nervosa. Int. J. Eat. Disord., 30, 237–244, 2001.
Van Strien D.C., Van der Ham T., Van Engeland H.: Dropout characteristics in a follow-up study of 90 eating-disordered patients. Int. J. Eat. Disord., 12, 341–343, 1992.
Steel Z., Jones J., Adcock S., Clancy R., Bridgford-West L., Austin J.: Why the high rate of dropout from individualized cognitive-behavior therapy for bulimia nervosa? Int. J. Eat. Disord., 28, 209–214, 2000.
Waller G.: Drop-out and failure to engage in individual outpatient cognitive behavior therapy for bulimic disorders. Int. J. Eat. Disord., 22, 35–41, 1997.
Clinton D.N.: Why do eating disorder patients drop out? Psychother. Psychosom., 65, 29–35, 1996.
Di Pietro G., Muscettola G., Bellini O., Sorge F.: Disturbi dell’alimentazione: ipotesi per una nuova Cartella Clinica Informatizzata (CIDA-IIR). Giornale Italiano di Psicopatologia, 6, 223–239, 2000.
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 4th ed. (DSM IV). APA, Washington DC., 1994.
Garner D.M:. Eating Disorder Inventory-2. Professional manual. Psychol. Assess. Res., Odessa FL, 1991.
Garner D.M., Garfinkel P.E.: The Eating Attitude Test (EAT): an index of the symptoms of anorexia nervosa. Psychol. Med., 9, 273, 1979.
Guy W.: ECDEU Assessment Manual for psychopharmacology. Revised, DHEW Publication, 1976.
Dobson A.J.: An introduction to generalized linear models. Chapman & Hall, 1990.
Morlino M., Martucci G., Musella V., Bolzan M., de Girolamo G.: Patients dropping out of treatment in Italy. Acta Psychiatr. Scand., 92, 1–6, 1995.
Blouin J., Schnarre K., Carter J., Blouin A., Tener L., Zuro C., Barlow J.: Factors affecting dropout rate from cognitive-behavioral group treatment for bulimia nervosa. Int. J. Eat. Disord., 17, 323–329, 1995.
Coker S., Vize C., Wade T., Cooper P.J.: Patients with bulimia nervosa who fail to engage in cognitive behavior therapy. Int. J. Eat. Disord., 11, 97–110, 1993.
Griffiths R.A.: Characteristics of dropouts and completers from hypnobehavioural treatment for bulimia nervosa. Int. J. Eat. Disord., 9, 217–219, 1990.
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Morlino, M., Di Pietro, G., Tuccillo, R. et al. Drop-out rate in eating disorders: Could it be a function of patient-therapist relationship?. Eat Weight Disord 12, e64–e67 (2007). https://doi.org/10.1007/BF03327645
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DOI: https://doi.org/10.1007/BF03327645