Vandereycken & Devidt,

2010 [11]

Belgium

Comparing the viewpoints of patients and staff about premature termination from an inpatient treatment program for ED.

Mixed methods

Both patients and staff were reported as important reasons for patients dropping out: not enough freedom, treatment being too difficult, and lack of trust. Patients were more often satisfied with the therapy and therefore did not expect further benefit in continuing the inpatient treatment. The authors propose abandoning the term “drop-out” because of its negative connotation.

AN Restrictive and

purging subtypes,

BN, EDNOS

_no reference to

source of diagnostic

criteria

21

Inpatient

Leavey et al.,

2011 [8]

Ireland

Reasons for patients’ non-attendance and failure to engage with ED treatment health services.

Qualitative

The narratives suggest deep social-psychological problems and the ambivalence of confronting or losing a relationship with food that had been both comforting and debilitating.

_It doesn’t mention

diagnostic criteria

adopted.

13

Outpatient

Stein et al.,

2011 [29]

USA

Whether differential treatment effects on targeted mechanisms of change and ED symptoms are associated with patterns of attrition in ED patients.

Quantitative

No significant predictors were found. Attention to changes both in symptoms and mediating factors that occur during treatment and follow-up may help identify those who are at risk for DO, and help develop strategies to promote RCT participant retention.

AN, BN

and subthreshold

_DSM-IV

AN, BN _DSM-IV

EDNOS, Strober

69

Outpatient

Pingani et al., 2012 [17]

Italy

Possible risk factors for DO from in-patient treatment for ED.

Quantitative

Predictive DO factors included poor educational and professional achievements, parents’ divorcing, parents’ history of substance abuse and difficulties in interpersonal relationships. DO is a multifactorial phenomenon. Recognizing possible risk factors may support specific therapeutic strategies to improve treatment for ED and its outcomes.

AN, BN, EDNOS

_DSM-IV TR

186

Inpatient

Carter et al.,

2012 [24]

Australia

Roles of individual patient characteristics and process-based factors in DO.

Quantitative

Lowest reported weight, tendency to avoid affect, and time spent on the waiting list for treatment, were significant predictors of DO. Increased resources for ED services may reduce waiting list times, which would help reduce DO.

AN, BN, EDNOS

_DSM-IV TR

189

Outpatient

Pham-Scottez et al., 2012 [14]

France

To identify personality factors predictive of DO from hospitalization.

Quantitative

There was no link between clinical features and DO, and among demographic variables, only age was associated with DO. Personality traits (Temperament and Character Inventory personality dimension and comorbid personality disorder) are significantly associated with DO from inpatient treatment for AN.

AN (DSM-IV)

64

Inpatient

Weiss et al.,

2013 [16]

Canada

Motivational Interviewing and completion rates in intensive treatment for ED.

Quantitative

Participants in the MI condition were significantly more likely to complete intensive treatment (69% completion rate) than were those in the control condition (31%). MI as a brief prelude to hospital-based treatment for ED may help improve completion rates. Further research is required to determine the precise therapeutic mechanisms of change in MI.

AN, BN, EDNOS

_DSM-IV

32

Inpatient

Clinton et al.,

2014 [7]

Sweden

Advantages and disadvantages of drop-in access for specialized ED services.

Qualitative

Results suggest that drop-in access may strengthen the therapeutic alliance, motivate engagement in treatment, and reduce DO.

AN, BN, EDNOS

_DSM-IV

11

Outpatient