Day treatment group programme for eating disorders: reasons for drop‐out

Franzen, U; Backmund, H.; Gerlinghoff, M.

doi:10.1002/erv.515

Cited by 20 publications

(16 citation statements)

References 17 publications

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“…Muitas pesquisas não encontraram relação alguma entre tais variáveis (Zeeck et al 2004, Franzen et al, 2004Treat et al, 2005;Masson et al, 2007). Arcelus e Button (2007) (Mahon et al, 2001b).…”

Section: Transtornos Alimentares E Abandono Do Tratamentounclassified

“…Arcelus e Button (2007) (Mahon et al, 2001b). Outras pesquisas também não encontraram a idade como um fator de risco para o abandono do tratamento para TA (Franzen et al, 2004;Masson et al, 2007;Dalle Grave et al, 2008 completaram o tratamento para a anorexia nervosa (Björck et al 2008;Björk et al 2009). …”

Section: Transtornos Alimentares E Abandono Do Tratamentounclassified

“…Assim, medo da maturidade, impulsividade, baixa auto-estima, inibição social são fatores investigados como se relacionando ao abandono do tratamento, mas sem resultados consistentes (Fassino et al, 2003;Zeeck et al, 2005;Franzen et al, 2004;Halmi et al, 2005 Surgenor et al, 2004;Fassino et al, 2009). Na busca por fatores preditivos do abandono do tratamento hospitalar para anorexia nervosa, Woodside et al (2004) realizaram uma pesquisa onde era realizada uma entrevista diagnóstica na admissão.…”

Section: Transtornos Alimentares E Abandono Do Tratamentounclassified

“…Grande parte das pesquisas que investigou esta relação, não encontrou diferenças significativas entre as médias de idade entre quem completou o tratamento ou decidiu interrompê-lo sem a concordância médica seja esse tratamento oferecido na modalidade ambulatorial (Waller, 1997;Steel et al, 2000;Fassino et al, 2002;Fassino et al, 2003;Grave; 2008) hospitalar (Zeeck et al, 2005;Surgenor et al, 2004;Masson et al, 2007), em hospital -dia (Franzen et al, 2004), ou para adolescentes (Lock et al, 2006;Hoste et al, 2007).…”

Section: Análise Multivariadaunclassified

“…Embora a escolaridade também não tenha sido considerada fator de risco para o abandono do tratamento em outros estudos (Fassino et al, 2003;Zeeck et al, 2005;Swan-Kreimer et al, 2005;Dalle Grave et al, 2007;Stein et al, 2011) (Franzen et al, 2004); no segundo, os pacientes foram subdivididos em três grupos -morando com os pais, morando com um parceiro e morando sozinho (Zeeck et al, 2005). Como no estudo atual, os autores dessas pesquisas também não encontraram uma relação significativa entre o abandono do tratamento e a situação de moradia.…”

Section: Análise Multivariadaunclassified

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Fatores de risco para o abandono do tratamento hospitalar para transtorno alimentares

Carvalho¹

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SUMMARY/ABSTRACTCarvalho, LSL. Risk factors for dropping out of inpatient treatment for eating disorers [Dissertação]. São Paulo, "Faculdade de Medicina, Universidade de São Paulo"; 2013.INTRODUCTION: Although is a frequent event, there is no consensus on what factors would be involved in the dropout of treatment for eating disorders. This study aimed to identify risk factors for the dropout of an inpatient treatment for anorexia nervosa and bulimia nervosa. Aspects previous to the hospitalization, clinical features present at the admission and factors related to the period of the inpatient treatment of patients who dropped out and completed treatment were compared. METHODS: We performed a retrospective study, case-control, with the dropout of the treatment being considered the interest condition. Medical records of female patients admitted to a specialized ward in treating anorexia nervosa and bulimia nervosa between the years 2005 and 2010 were reviewed. RESULTS: A total of 259 admissions and 178 patients, research subjects were 103 women, of which 83 completed treatment and 20 dropped out, resulting in a dropout rate of treatment of 19.42%. For the statistical treatment of the data was performed univariate analysis with subsequent multivariate logistic regression with backward stepwise selection analysis of the variables considered significant. In univariate analysis, professional removal due to illness severity, existence of affective relationship, lower BMI at admission, admissions motivated by low weight, diagnosis of anorexia nervosa and existence of purging behaviors (present in all patients who dropped out the treatment) were considered as factors related to dropout treatment. After conducting the logistic regression, we found that patients at admission who were removed from the job due to the illness severity, maintained a romantic relationship and were hospitalized due to low weight were more likely to dropout the treatment. CONCLUSIONS: In this sample, the dropout of treatment was influenced by sociodemographic factors (professional removal due to illness severity and existence of a romantic relationship), for diagnostic variables (diagnosis of anorexia nervosa and purging symptoms) and aspects of symptom severity (lower BMI and hospitalization motivated by low weight). These results lead us to the egosyntonic character of eating disorders, especially anorexia nervosa, and bring a paradox: patients that on admission showed more severe symptoms of the Eating Disorder (with lower weight and disabled to work) were more likely to dropout of the treatment. Although it has several limitations, mainly due to the retrospective design, the present research is the first study of dropout of inpatient treatment for eating disorders held in Brazil. It is suggested to run with prospective investigations to confirm or refute our findings.

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Section: Transtornos Alimentares E Abandono Do Tratamentounclassified