Factors associated with dropout from treatment for eating disorders: a comprehensive literature review

Fassino, Secondo; Pierò, Andrea; Tomba, Elena; Abbate-Daga, Giovanni

doi:10.1186/1471-244x-9-67

Cited by 267 publications

(284 citation statements)

References 71 publications

(115 reference statements)

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“…Finally, it has been postulated that persons with an immature defense style will respond less effectively to both pharmacological (49) and psychological (48,51,52) treatment. Lower scores on SD was also previously related with less response to treatment (53,54). Consistent with this, in a previous study SD was found to be lower in short-term abstinence patients who may be perceiving higher levels of stress and use non-adaptive coping strategies than long-term abstinence group (55).…”

Section: Discussionsupporting

confidence: 75%

Personality dimensions and defense styles that are related with relapse during 12 month follow-up in male alcohol dependents

Evren¹,

Yiğiter²,

Bozkurt³

et al. 2013

Dusunen Adam

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Personality dimensions and defense styles that are related with relapse during 12 month follow-up in male alcohol dependents Objective: The aim of this study was to evaluate the defense styles and the personality dimensions that are related with relapse to alcohol use 12 months after inpatient treatment in male alcohol dependents.Methods: Participants were 70 consecutively admitted male alcohol dependents. Among these patients 44 were available to examine after 1 year. Patients were investigated with the Temperament and Character Inventory (TCI) and Defense Styles Q (DSQ) at baseline.Results: Among 44 alcohol dependent inpatients 61.4% (n=27) were considered as relapsed to alcohol use. Current age was lower in relapsed group. Age at regular alcohol use, duration of education, regular income did not differ between groups. Rate of history of self-mutilation and/or suicide attempt at baseline were higher in relapsed group. Rate of changing social environment during 12 months after inpatient treatment was lower in the relapsed group, whereas using drugs and spending time with substance using friends were higher in this group. Mean scores of "acting-out", "devaluation" and "displacement" were higher in the relapsed group. Also same immature defense styles predicted relapse together with self-directedness (SD).When current age was included in the analysis, being younger and high acting-out predicted relapse in alcohol dependents after inpatient treatment.Conclusions: Clinicians must be careful for younger alcohol dependents with lower SD and for those who use immature defense styles (particularly acting-out) since these variables may be related with relapse.Key words: Alcohol dependence, character, defense styles, relapse, temperament ÖZET Erkek alkol bağımlılarında 12 aylık takip süresindeki depreşme ile ilişkili savunma mekanizmaları ve kişilik boyutları Amaç: Bu çalışmanın amacı, erkek alkol bağımlılarında yatarak tedaviden sonraki 12 ay içinde alkol kullanımında depreşme ile ilişkili olabilecek savunma mekanizmaları ve kişilik boyutlarını değerlendirmektir. ayda sosyal çevreyi değiştirme oranı depreşen grupta düşükken, alkol dışı madde kullanmış olma ve madde kullanan arkadaşlarıyla görüşmeye devam etme oranları yüksekti. Depreşen grupta "eyleme dökme", "değersizleştirme" ve "yer değiştirme" ortalama puanları daha yüksekti. Ayrıca aynı savunma mekanizmaları, düşük düzeyde kendi kendini yönetme (KY) ile birlikte depreşmeyi belirleyen değişkenler olmuştur. Analize o anki yaş eklendiğinde ise, alkol bağımlılarında yatarak tedavi sonrası depreşmeyi genç olma ve yüksek eyleme dökme belirlemiştir.Sonuç: Klinisyenler düşük KY ve olgunlaşmamış savunma biçimlerine (özellikle eyleme dökme) sahip genç alkol bağımlıları için dikkatli olmalıdırlar, çünkü bu değişkenler depreşme ile ilişkili görünmektedir.

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Section: Discussionsupporting

confidence: 75%

Personality dimensions and defense styles that are related with relapse during 12 month follow-up in male alcohol dependents

Evren¹,

Yiğiter²,

Bozkurt³

et al. 2013

Dusunen Adam

View full text Add to dashboard Cite

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“…One of the most recent reviews shows that for ED treatments, the dropout rates ranged from 20 to 51 % for inpatient and from 29 to 73 % for outpatient [3]. Our data are right in the middle of the ranges reported in that review.…”

Section: Discussionsupporting

confidence: 58%

Mentalization in eating disorders: a preliminary trial comparing mentalization-based treatment (MBT) with a psychodynamic-oriented treatment

Balestrieri

Zuanon²,

Pellizzari

et al. 2015

Eat Weight Disord

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“…In the fields of both primary health care and psychiatric care, patients with comorbid PDs experience poorer treatment outcomes (for recent epidemiologic studies, see [6,7]). Several studies have suggested that patients with cormorbid PDs require specific treatment (For depression: [8,9]; For eating disorders: [10]; For substance dependency: [11]). …”

Section: Introductionmentioning

confidence: 99%

Adaptation and Validation of the Standardized Assessment of Personality – Abbreviated Scale as a Self-Administered Screening Test (SA-SAPAS)

Merlhiot¹

2014

J Psychol Psychother

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Personality disorder assessments are time-intensive and require trained interviewers. They are unlikely to be performed on a routine basis. In clinical and general populations, there is a requirement for short and robust self-administered screening tests for personality disorders. We first translated the original form of the SAPAS into French and validated it in a clinical sample (n=28). This adaptation revealed properties similar to those of the original version. The first and second studies validated the adaptation of the SA-SAPAS as a self-administered questionnaire in clinical (n=45) and general (n=186) populations. We were able to use the same cut-off (score ≥ 2) in both the clinical and general populations and this permitted correct identification in 89% of the clinical subjects (sensitivity of 97.3%; specificity of 50%) and 86% in the general population (sensitivity of 87.5%; specificity of 85.7%). These results suggest possible applications for researchers and clinicians, either as a routine screening test or as a selection tool in both general and clinical populations.

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Factors associated with dropout from treatment for eating disorders: a comprehensive literature review

Abstract: Background: Dropout (DO) is common in the treatment of eating disorders (EDs), but the reasons for this phenomenon remain unclear. This study is an extensive review of the literature regarding DO predictors in EDs.

Cited by 267 publications

References 71 publications

Personality dimensions and defense styles that are related with relapse during 12 month follow-up in male alcohol dependents

Personality dimensions and defense styles that are related with relapse during 12 month follow-up in male alcohol dependents

Mentalization in eating disorders: a preliminary trial comparing mentalization-based treatment (MBT) with a psychodynamic-oriented treatment

Adaptation and Validation of the Standardized Assessment of Personality – Abbreviated Scale as a Self-Administered Screening Test (SA-SAPAS)

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