Björk Tabita, Björck Caroline, Clinton David, Sohlberg Staffan, Norring Claes
School of Health and Medical Sciences, Psychiatric Research Centre, Orebro University, Sweden.
Eur Eat Disord Rev. 2009 Mar;17(2):109-19. doi: 10.1002/erv.911.
There is a lack of knowledge about the outcome of eating disorder patients who terminate treatment prematurely. The present study followed-up eating disorder patients who had previously dropped out of treatment and examined clinical status 36 months after intake.
Dropouts (n = 30) were compared with treatment completers (n = 52) on diagnostic status, clinical symptoms, psychosocial adjustment and treatment satisfaction at follow-up. Patterns of change from intake to follow-up within groups, as well as between groups, were explored.
No significant differences were found between groups at follow-up, except for more treatment dissatisfaction reported among dropouts. When patterns of change were examined between groups, patients who completed treatment were found to have made significantly greater changes (less eating disorder symptoms, less psychological problems and more positive self-image) compared to dropouts.
Although no significant differences in outcome were found between dropouts and completers, greater clinical improvement was found among those who completed treatment. The dropouts examined in this study did well despite premature termination of treatment. Clinical and research implications are discussed.
对于过早终止治疗的饮食失调患者的治疗结果，我们了解不足。本研究对之前退出治疗的饮食失调患者进行了随访，并在入院36个月后检查了他们的临床状况。
将退出治疗者（n = 30）与完成治疗者（n = 52）在随访时的诊断状况、临床症状、心理社会适应情况和治疗满意度方面进行比较。探讨了组内以及组间从入院到随访的变化模式。
随访时两组之间未发现显著差异，只是退出治疗者报告的治疗不满更多。在检查组间变化模式时，发现完成治疗的患者与退出治疗者相比有显著更大的变化（饮食失调症状更少、心理问题更少且自我形象更积极）。
尽管在退出治疗者和完成治疗者之间未发现结果上的显著差异，但完成治疗者有更大的临床改善。本研究中检查的退出治疗者尽管过早终止治疗，但情况良好。讨论了临床和研究意义。
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