Zanetti et al., 2005 [10]

Italy

Dropping out in a sample of anorexic patients and the evolution of those within the sample who abandoned treatment.

Mixed

Methods

Variables related to the severity of the disease are not a predictive factor for dropping out, whereas clinical features such as depressive symptoms, hostility and presence of self-injurious compulsive behavior were quite important. Initial response to treatment seems to lead to a favorable medium-term prognosis among patients who abandoned therapy.

AN _DSM IV

163

Outpatient

Bandini et al., 2006 [25]

Italy

Dropping out by EDed patients from outpatient cognitive-behavioral therapy.

Quantitative

DO from ED treatment was affected primarily by factors which were related to patients’ attitude and behavior. Therefore, these factors should be carefully addressed in patients with ED to improve participation in treatment and outcome.

AN, BN, EDNOS

_DSM IV

67

Outpatient

Masson et al., 2007 [19]

Canada

Rates, timing and predictors of patient who DO and are administrative discharged.

Quantitative

Timing of termination was related to whether it was due to ED or DO. Presence of DSM Axis-I comorbidity was the only factor related to risk of AD. No factors were predictive of patients dropping out of treatment. The findings support the notion that AD and patient DO are different events that may have different factors influencing their rates and timing.

AN, BN, EDNOS

_DSM IV

186

Inpatient

Wallier et al., 2009 [4]

France

Critical review of studies on DO from inpatient treatment for AN.

Review

Studies often don’t distinguish between staff and patient initiated DO and research should analyze both categories separately. Multi-center studies and larger samples reduce biases. Weight on admission, AN subtype and the absence of depression appear to be related to DO from inpatient care.

AN _DSM IV,

DSM-IV+

ICD-10, Feighner

__

Inpatient

Vandereycken & Vansteenkiste, 2009 [18]

Belgium

Comparing two treatment strategies in terms of short-term outcome, as to the number of DO and (in case of AN) the amount of weight change during treatment.

Quantitative

Patients can stop treatment for various reasons, such as defiance against those who force them into treatment, a lack of confidence in making therapeutic changes, or because the treatment program does not meet the patients’ needs or expectations. Provision of choice within treatment may reduce rebellious DO.

AN, BN, EDNOS

_DSM-IV

174

Inpatient

Campbell et al., 2009 [23]

United Kingdom

The relationship between narcissism and drop-out from the early stage of CBT for ED.

Quantitative

The presence of the narcissistically abused personality defense style was associated with a higher likelihood of DO of outpatient CBT, thus reducing their access to evidence-based care.

AN, BN, EDNOS

atypical AN, BN,

BED _ DSM-IV

41

Outpatient

Campbell,

2009 [3]

United Kingdom

Difficulties that drop-out poses to clinicians and researchers.

Viewpoint

Journals need to enforce rules for identifying and reporting drop-outs to allow for greater precision in research and hence, more effective measures to prevent DO.

It doesn’t mention

diagnostic criteria

adopted.

___

_________

Bjork et al.,

2009 [26]

Sweden

Examining clinical status of ED patients 36 months after admission.

Quantitative

The greatest treatment response was shown by patients who completed treatment according to plan. DO may not only be about problems with accepting a treatment plan, or a patient’s resistance to therapy, but also about important interpersonal reasons, such as interpersonal aspects of the therapeutic alliance.

AN, BN, EDNOS

_ DSM-IV

82

Outpatient and Inpatient