Understanding dropout and non-participation in follow-up evaluation for the benefit of patients and research: evidence from a longitudinal observational study on patients with eating disorders

Todisco, Patrizia; Meneguzzo, Paolo; Garolla, Alice; Diomidous, Eva; Αντωνιάδης, Άθως; Vogazianos, Paris; Tozzi, Federica

doi:10.1080/10640266.2022.2135738

Cited by 3 publications

(2 citation statements)

References 38 publications

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“…Our results, however, suggest that symptom-focused nutritional counseling may be less able to encompass anxiety and depression elements that interfere with the active stance, whereas psychotherapy is more suited for the containment of psychopathological symptoms, and the alliance can be maintained. Relatedly, general psychopathology and anger–hostility have recently been identified as predictors of dropout from ED intensive treatment programs, highlighting both the challenge and importance of TA maintenance enabling treatment compliance ( 46 ).…”

Section: Discussionmentioning

confidence: 99%

Therapeutic alliance with psychotherapist versus dietician: a pilot study of eating disorder treatment in a multidisciplinary team during the COVID-19 pandemic

Elran-Barak,

Grundman-Shem Tov,

Zubery

et al. 2024

Front. Psychiatry

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Little is known about the therapeutic alliance (TA) formed with different professionals in multidisciplinary eating disorder (ED) treatment, particularly in the context of online treatment during the COVID-19 pandemic. We aimed to conduct a pilot study during the COVID-19 pandemic examining characteristics of patients’ TA with their dieticians and psychotherapists, associations between patients’ and therapists’ views of the TA, and relationships between psychological characteristics and TAs. Sixty-three patients with EDs and their treating psychotherapists and dieticians were surveyed during the COVID-19 pandemic using the Working Alliance Inventory (WAI-S). Spearman correlation tests were used to examine associations between variables. Positive associations were found between the TAs examined. Concordance was stronger in patient–dietician dyads than in patient–psychotherapist dyads. Severe ED psychopathology was associated with weaker TA (bond subscale). General psychopathology was associated with weaker TA with the dietician (task subscale). Given that several differences were found between the TAs of treatment dyads, further longitudinal studies are needed to validate our pilot findings and to investigate multidisciplinary TAs and their impact on treatment outcomes in online ED treatment settings during the COVID-19 pandemic, as well as in other treatment settings (e.g., in-person settings). This study will contribute to a deeper understanding of the dynamics of TAs in multidisciplinary ED treatment and inform the development of more effective interventions.

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Section: Discussionmentioning

confidence: 99%

Therapeutic alliance with psychotherapist versus dietician: a pilot study of eating disorder treatment in a multidisciplinary team during the COVID-19 pandemic

Elran-Barak,

Grundman-Shem Tov,

Zubery

et al. 2024

Front. Psychiatry

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“…An important aspect of this study to highlight is the absence of dropouts from the CREST group and the consistent participation in all sessions. Treatments for AN often encounter high dropout rates and patient engagement challenges (Kaye & Bulik, 2021;Solmi et al, 2024;Todisco et al, 2023). The CRT and CREST protocols have consistently demonstrated this positive effect, possibly attributed to their focus on addressing everyday cognitive and emotional difficulties rather than directly confronting the psychopathological core of the disorder (Brockmeyer et al, 2018;Carr et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

Enhancing emotional abilities in anorexia nervosa treatment: A rolling‐group cognitive remediation and emotional skills training protocol

Meneguzzo,

Bonello,

Tenconi

et al. 2024

Euro Eating Disorders Rev

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IntroductionAnorexia nervosa (AN) is characterised by limited remission rates and emotional dimensions are often neglected. Cognitive remediation and emotional skills training (CREST) protocol aims to address cognitive and emotional factors. This study evaluates the feasibility and effectiveness of a modified rolling‐group CREST protocol in an inpatient setting.MethodsQuasi‐experimental design evaluated CREST protocol in a rehabilitation programme. A total of 116 females diagnosed with AN were included, of whom 63 were included in the CREST protocol and 53 in the standard rehabilitation treatment. Various standardized measures were employed to assess psychopathology. Data collection occurred longitudinally, before and after CREST implementation.ResultsNo significant differences emerged between groups regarding changes in specific eating psychopathology. CREST group exhibited significant improvements in emotion regulation (p = 0.002) and social skills (p = 0.014), besides a reduction in alexithymia (p < 0.001) and cognitive rigidity (p = 0.013). Empathic features remained stable. Participants reported positive perceptions of the CREST intervention.DiscussionThe study highlights the potential benefits of integrating emotional training within multidisciplinary intensive treatment for AN. Results emphasise the importance of treatment protocol with more affective and hot‐cognition‐related interventions, beyond weight‐related psychopathology. Implementing a rolling‐group CREST protocol in an inpatient setting showed promise in enhancing the emotional abilities of AN patients.

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Updates in the treatment of eating disorders in 2023: a year in review in eating disorders: the Journal of treatment & Prevention

Gorder,

Gonzales,

Murray

2024

Eating Disorders

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Understanding dropout and non-participation in follow-up evaluation for the benefit of patients and research: evidence from a longitudinal observational study on patients with eating disorders

Cited by 3 publications

References 38 publications

Therapeutic alliance with psychotherapist versus dietician: a pilot study of eating disorder treatment in a multidisciplinary team during the COVID-19 pandemic

Therapeutic alliance with psychotherapist versus dietician: a pilot study of eating disorder treatment in a multidisciplinary team during the COVID-19 pandemic

Enhancing emotional abilities in anorexia nervosa treatment: A rolling‐group cognitive remediation and emotional skills training protocol

Updates in the treatment of eating disorders in 2023: a year in review in eating disorders: the Journal of treatment & Prevention

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