Author/ Year/ Country

Focus

Method

Conclusion

Diagnostic

inclusion criteria

N =

Treatment

Regimen

Clinton,

1996 [20]

Sweden

Role of patient-therapist relationship and other variables for DO by ED patients.

Quantitative

DO by ED patients is related to the patient-therapist relationship; Therapists should discuss patients’ expectations of treatment from the outset and focus on particular areas of discrepancy.

AN, BN,

atypical ED

_DSM III-R

60

Inpatient

Zeeck & Herzog, 2000 [12]

Germany

Prospective study searching for predictors of DO.

Quantitative

Form of termination of treatment should be routinely assessed. Previous DO and comorbidity are indicators of DO risk.

AN _ICD-10

80

Inpatient

Mahon et al., 2001 [21]

United Kingdom

Retrospective study searching for pre-treatment factors predicting DO in BN and atypical BN outpatients.

Quantitative

Witnessing parental breakup, being younger, being employed outside the home, and having previous experience of psychiatric treatment predicted DO. Experiences of childhood

trauma had a dose-effect relationship with DO. An impaired ability to trust resulting from disturbed attachments may link childhood trauma and dropping out.

BN,

atypical BN

_ICD-10

111

Outpatient

Fassino et al., 2003 [27]

Italy

Exploring personality, psychopathology and clinical features of bulimic patients who do not complete psychotherapy.

Quantitative

Profile of bulimic patients who dropped out from brief psychotherapy: they are less cooperative and more predisposed to anger, suggesting that dropping out in a subgroup of Bulimic patients could be related to borderline personality traits and to difficulties to maintain a therapeutic relationship.

BN _DSM IV

86

Outpatient

Surgenor et al., 2004 [9]

New Zealand

Whether the risk of treatment drop-out can be determined by information routinely collected at admission.

Mixed

Methods

Few variables commonly collated by clinicians contribute to identify patients likely to DO.

AN _DSM IV

213

Inpatient

Zeeck et al., 2005 [13]

Germany

Identifying patient characteristics that distinguish dropouts from completers of in-patient treatment for AN.

Quantitative

Addressing the high ambivalence and maturity fears of anorexic patients should be an essential issue in psychotherapy with this patient group.

AN restrictive and

purging subtypes

_DSM IV/ICD-10

133

Inpatient

Peake et al., 2005 [22]

United Kingdom

Factors associated with dropping out of treatment at the Oxford Adult Eating Disorders Service.

Quantitative

Higher levels of depressive symptoms and cognitions, and the characteristic of impulsivity were related to DO. Identifying those patients and adopting an individually adapted treatment approach may reduce their ambivalence towards engaging in treatment.

It doesn’t mention

diagnostic criteria.

261

Outpatient

Swan-Kremeiet al.,

2005 [28]

USA

Impact, on treatment attrition, of the distance traveled for treatment.

Quantitative

The higher DO rate in employed subjects suggests possible work conflicts. It is possible that subjects who live further away do not consider coming unless their motivation is high, whereas those less motivated do not even call.

BN, AN, EDNOS No reference to source of diagnostic criteria.

209

Outpatient