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 |