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Predictors of Premature Termination of Inpatient Treatment for Anorexia Nervosa

OBJECTIVE: The authors examined predictors of premature dropout from a voluntary specialized inpatient treatment program for anorexia nervosa. METHOD: One hundred sixty-six consecutive patients with anorexia nervosa received an admission assessment that consisted of a diagnostic interview and psychometric measures of core eating pathology and associated psychopathology. Survival analysis was used to examine the rate, timing, and prediction of dropout. Predictors included a variety of clinical, demographic, and psychometric variables. RESULTS: Compared with program completers, program dropouts were more likely to have the binge eating/purging type of anorexia nervosa (65% versus 26%), had lower restraint scores, and reported more intense maturity fears and concerns about weight. CONCLUSIONS: Patients with the binge eating/purging type of anorexia nervosa are significantly less likely to complete inpatient treatment for the disorder.

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				M. Brook, D. M. Hilty, W. Liu, R. Hu, and M. A. Frye Discharge Against Medical Advice From Inpatient Psychiatric Treatment: A Literature Review Psychiatr Serv, August 1, 2006; 57(8): 1192 - 1198. [Abstract] [Full Text] [PDF]

				N. T. GODART, Z. REIN, F. PERDEREAU, F. CURT, and P. JEAMMET Predictors of Premature Termination of Anorexia Nervosa Treatment Am J Psychiatry, December 1, 2005; 162(12): 2398 - 2399. [Full Text] [PDF]

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