Literature DB >> 17984632

Drop-out rate in eating disorders: could it be a function of patient-therapist relationship?

M Morlino1, G Di Pietro, R Tuccillo, A Galietta, M Bolzan, I Senatore, M Marozzi, L Valoroso.   

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.

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Year:  2007        PMID: 17984632     DOI: 10.1007/BF03327645

Source DB:  PubMed          Journal:  Eat Weight Disord        ISSN: 1124-4909            Impact factor:   4.652


  11 in total

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2.  Drop-out and failure to engage in individual outpatient cognitive behavior therapy for bulimic disorders.

Authors:  G Waller
Journal:  Int J Eat Disord       Date:  1997-07       Impact factor: 4.861

3.  Why the high rate of dropout from individualized cognitive-behavior therapy for bulimia nervosa?

Authors:  Z Steel; J Jones; S Adcock; R Clancy; L Bridgford-West; J Austin
Journal:  Int J Eat Disord       Date:  2000-09       Impact factor: 4.861

4.  What happens to eating disorder outpatients who withdrew from therapy?

Authors:  G Di Pietro; L Valoroso; M Fichele; C Bruno; F Sorge
Journal:  Eat Weight Disord       Date:  2002-12       Impact factor: 4.652

5.  Why do eating disorder patients drop out?

Authors:  D N Clinton
Journal:  Psychother Psychosom       Date:  1996       Impact factor: 17.659

6.  Drop-out during in-patient treatment of anorexia nervosa: a clinical study of 133 patients.

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Journal:  Br J Med Psychol       Date:  1983-06

7.  Patients with bulimia nervosa who fail to engage in cognitive behavior therapy.

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Journal:  Int J Eat Disord       Date:  1993-01       Impact factor: 4.861

8.  Patients dropping out of treatment in Italy.

Authors:  M Morlino; G Martucci; V Musella; M Bolzan; G de Girolamo
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9.  The Eating Attitudes Test: an index of the symptoms of anorexia nervosa.

Authors:  D M Garner; P E Garfinkel
Journal:  Psychol Med       Date:  1979-05       Impact factor: 7.723

10.  Factors affecting dropout rate from cognitive-behavioral group treatment for bulimia nervosa.

Authors:  J Blouin; K Schnarre; J Carter; A Blouin; L Tener; C Zuro; J Barlow
Journal:  Int J Eat Disord       Date:  1995-05       Impact factor: 4.861

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  3 in total

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2.  Predictors of dropout from in-patient treatment of eating disorders: an Italian experience.

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