Eating Disorders Unit, General Hospital of Ciudad Real, Spain.
Eur Eat Disord Rev. 2012 May;20(3):e123-8. doi: 10.1002/erv.2157. Epub 2012 Feb 2.
This study examined dropout-related factors at the Outpatient Eating Disorders Treatment Programme.
One hundred ninety-six eating disorders patients following DSM-IV diagnostic criteria that consecutively commenced treatment were recruited and followed up for a 2-year period. A total of 151 patients completed the whole assessment with a set of questionnaires evaluating eating and general psychopathology. The Attitudes towards Change in Eating Disorders questionnaire was used, and personality was evaluated using the Temperament and Character Inventory. During the follow-up period, patients were re-assessed. Two years later, 102 patients continued on treatment.
Scores on Precontemplation at the beginning were predictors for dropout at 2-year follow-up. Character variables, as Responsibility, Integrity and Self-acceptance were protective factors to be at Precontemplation stage.
The clinician's challenge is to help eating disorders patients to develop an unyielding sense of responsibility and self-acceptance, aimed to integrate the therapeutic choice into their own intrapersonal frame of goals.
本研究考察了门诊饮食失调治疗计划中的辍学相关因素。
本研究共招募了 196 名符合 DSM-IV 诊断标准的饮食失调患者，他们连续接受治疗，并在 2 年内进行随访。共有 151 名患者完成了一整套问卷评估，包括饮食和一般精神病理学评估。使用饮食障碍改变态度问卷进行评估，使用气质和性格量表评估人格。在随访期间对患者进行重新评估。两年后，102 名患者继续接受治疗。
开始时处于前沉思阶段的分数是 2 年随访时辍学的预测因素。性格变量，如责任感、正直和自我接纳，是处于前沉思阶段的保护因素。
临床医生的挑战是帮助饮食失调患者培养不屈不挠的责任感和自我接纳感，旨在将治疗选择纳入他们自己的内在目标框架内。
