Morlino M, Di Pietro G, Tuccillo R, Galietta A, Bolzan M, Senatore I, Marozzi M, Valoroso L
Department of Neuroscience and Behavioral Science, Section of Psychiatry, University Medical School Federico II, Naples, Italy.
Eat Weight Disord. 2007 Sep;12(3):e64-7. doi: 10.1007/BF03327645.
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.
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).
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.
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.
饮食失调（ED）中影响退出治疗的因素仍不明确。本研究的目的是确定依从性是否与患者 - 治疗师关系密切相关。
在14个月期间，对所有转诊至我们专科服务中心的受饮食失调影响的新患者进行评估和随访，他们接受了EAT 40、EDI II评估以及饮食失调的计算机化病史记录。此外，我们使用GCI量表从治疗师处收集数据，并记录患者对自己体重的认知（PPW）。
我们发现，在纳入的100名患者中，有53人退出。当根据数字模型预测概率时，它不受EDI - II子量表、年龄、性别、教育程度、EAT - 40评分、疾病持续时间和诊断的影响，而当GCI评分增加时概率显著降低，当PPW改变时概率也降低。
这些结果似乎证实，一些与患者 - 治疗师关系相关的心理因素对于稳定和持续的治疗方案可能起着关键作用。
