Predictors of premature termination of inpatient treatment for anorexia nervosa

Am J Psychiatry. 2004 Dec;161(12):2277-81. doi: 10.1176/appi.ajp.161.12.2277.

Abstract

Objective: The authors examined predictors of premature dropout from a voluntary specialized inpatient treatment program for anorexia nervosa.

Method: One hundred sixty-six consecutive patients with anorexia nervosa received an admission assessment that consisted of a diagnostic interview and psychometric measures of core eating pathology and associated psychopathology. Survival analysis was used to examine the rate, timing, and prediction of dropout. Predictors included a variety of clinical, demographic, and psychometric variables.

Results: Compared with program completers, program dropouts were more likely to have the binge eating/purging type of anorexia nervosa (65% versus 26%), had lower restraint scores, and reported more intense maturity fears and concerns about weight.

Conclusions: Patients with the binge eating/purging type of anorexia nervosa are significantly less likely to complete inpatient treatment for the disorder.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Anorexia Nervosa / diagnosis
  • Anorexia Nervosa / psychology
  • Anorexia Nervosa / therapy*
  • Body Mass Index
  • Family Health
  • Female
  • Hospitalization*
  • Humans
  • Male
  • Patient Dropouts / statistics & numerical data*
  • Personality Inventory
  • Prognosis
  • Psychiatric Status Rating Scales
  • Psychometrics
  • Severity of Illness Index
  • Survival Analysis