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Predictors of dropout from inpatient treatment for eating disorders

Published online by Cambridge University Press:  16 April 2020

S. Catellani ,
F. Arnone ,
E. De Bernardis ,
S. Ferrari ,
L. Pingani ,
G. Ziosi ,
G. Turrini  and
M. Rigatelli
S. Catellani
Affiliation:
Department of Mental Health, University of Modena and Reggio Emilia, Modena, Italy
F. Arnone
Affiliation:
Ward for Eating Disorders, Private Clinic ‘Villa Maria Luigia’, Monticelli Terme, Italy
E. De Bernardis
Affiliation:
Ward for Eating Disorders, Private Clinic ‘Villa Maria Luigia’, Monticelli Terme, Italy
S. Ferrari
Affiliation:
Department of Mental Health, University of Modena and Reggio Emilia, Modena, Italy
L. Pingani
Affiliation:
Department of Mental Health, University of Modena and Reggio Emilia, Modena, Italy
G. Ziosi
Affiliation:
Department of Mental Health, University of Modena and Reggio Emilia, Modena, Italy
G. Turrini
Affiliation:
Ward for Eating Disorders, Private Clinic ‘Villa Maria Luigia’, Monticelli Terme, Italy
M. Rigatelli
Affiliation:
Department of Mental Health, University of Modena and Reggio Emilia, Modena, Italy

Abstract

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Introduction

Drop-out from treatment for Eating Disorders is increasing (Campbell; 2007), and it is a risk factor for relapse and more chronic and severe course of the illness (Fassino et al.; 2009). Drop-out can be caused by interaction of concurrent, individual, familiar ad environmental factors (Sly; 2009).

Aim of the study

To examine possible risk factors of drop-out from inpatient treatment for eating disorders.

Materials and methods

The sample included 41 patients who voluntarily left the treatment before completion (’droppers’) and 88 patients who completed it (’completers’), in the period between 1st January 2006 and 31st December 2009 at Villa Maria Luigia Hospital (Monticelli Terme, PR, Italy). Patients were administered 2 self-report questionnaires and 3 psychometric tests: Eating Disorders Questionnaire, Predisposing, bringing on and maintaining risk factors for eating disorders, EDI-II, BUT, SCL-90.

Results

Droppers appear to be more aggressive (p = 0.022), get worse scholastic results (p = 0.016) and have less friendships and less social interaction (p = 0.021). Parental break-up (p = 0.015), moving house (p = 0.006), father's death (p = 0.005), abortition (p = 0.040), father's alcohol abuse (p = 0.011) and a mother who suffers of eating disorder (p = 0.008) are more frequent in droppers than completers. Catholic religion seems to be a protective factor from drop-out (p = 0.005).

Conclusion

Drop-out is a multifactor phenomenon; identification of risk factors can improve treatment strategies and outcome.

Type
P02-120
Information
European Psychiatry , Volume 26 , Issue S2: Abstracts of the 19th European Congress of Psychiatry , March 2011 , pp. 716
Copyright
Copyright © European Psychiatric Association 2011
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