TY  - JOUR
PY  - 2011//
TI  - Predictors of dropout from inpatient treatment for anorexia nervosa: data from a large French sample
JO  - Psychiatry research
A1  - Huas, Caroline
A1  - Godart, Nathalie
A1  - Foulon, Christine
A1  - Pham-Scottez, Alexandra
A1  - Divac, Snezana
A1  - Fedorowicz, Valérie
A1  - Peyracque, Emilie
A1  - Dardennes, Roland
A1  - Falissard, Bruno
A1  - Rouillon, Frédéric
SP  - 421
EP  - 426
VL  - 185
IS  - 3
N2  - Dropout from anorexia nervosa inpatient treatment programs is frequent and is linked to a poorer outcome. This study aimed to identify predictive factors for dropout among anorexia nervosa inpatients. Between 1988 and 2004, 601 consecutive female inpatients with anorexia, restrictive (AN-R) or binge/purging (AN-B/P) subtype (Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV)), were assessed at admission (clinical, socio-demographic, and psychological data). A stepwise logistic model was developed. Dropout rates were respectively 50.0% and 56.2% for AN-R and AN-B/P. Seven predictive factors were identified in multivariate analysis: having one or more children, low desired body mass index (BMI), a low minimum BMI, high scores on the SCL-90 paranoid ideation and the Morgan and Russell eating behavior subscales, and low educational status. Early dropouts had a particular profile: lower desired BMI, higher score on SCL90 paranoid subscale, and more impulsive behaviors (alcohol use, suicide attempts). Dropout appeared as a multifactorial event. In clinical practice, certain factors could serve as warning messages reflecting the severity of the illness (high EDI score and low minimum BMI); while others could be targeted before hospitalization (having at least one child and low desired BMI).<p /> <p>Language: en</p>
LA  - en
SN  - 0165-1781
UR  - http://dx.doi.org/10.1016/j.psychres.2009.12.004
ID  - ref1
ER  -