Table 1 Sum-up of the litterature about drop in treatment for anorexia nervosa
From: Predictive factors of dropout from inpatient treatment for anorexia nervosa
Vandereycken and Pierloot (1983) [33]) | Kahn and Pike (2001) [18]) | Woodside et al. (2004) [38] | Surgenor et al (2004) [30] | Zeeck et al. (2005) [40] | Godart et al. (2005) [11] | Carter et al. (2006) [6] | Huas et al. (2011) [16] | Hubert et al. (2013) [17] | Sly et al. (2014) [27] | Pham-Scottez et al. (2014) [24] | |
|---|---|---|---|---|---|---|---|---|---|---|---|
Multi-centre study | No | No | No | Yes | No | No | No | No | No | Yes | No |
Number of patients included | 133 women | 81 women | 166 men and women | 213 men and women | 133 men and women | 268 women | 77 women | 601 women | 304 women hospitalisations | 130 women and 5 men | 64 women |
Age of patients m(Sd) | 20.5 (4.8) | 26.3 (7.4) | 27.1 (9) | 21.4 (6.6) | 24.3 (6.8) | 16.7 (2) | 25.5 (7.8) | 20.5 (4.8) | 16.6 (1.9) | 28.8 (10.1) | 24.9 (5.9) |
Definition of dropout | Leaving hospital before end of treatment | Leaving hospital before reaching 90 % ideal BMI | Premature departure at BMI <20, discharge decided by healthcare team in absence of progress or violation of rules | Leaving hospital against medical advice or abandonment of treatment | Decision by patient or healthcare team to abandon treatment prematurely | Weight contract not met or loss of weight | Patient can leave the programme as desired in case of lack of progress or failure to gain weight | Leaving hospital before planned discharge in therapeutic contract. The patient and/or the healthcare team can decide on termination of contract | Weight target fixed in contract not met | Patient who initiated discharge themselves | Any discharge before normal treatment program termination |
Predictive factors | Greater maturity fears (EDI) Lesser restraint concern (EDE) | AN-P Lower BMI at admission | Larger number of symptoms at admission (SCL-90R) Absence of diagnosis of depression (DSM-IV) | Higher BMI at admission Lower BMI at discharge Later age at onset, Longer duration of hospitalisation | -Having one or more child -Lower Educational status, - Higher SCL-90 paranoid ideation, - Higher Morgan-Russell food intake subscale - Minimum BMI - Desired BMI - Diuretic use - Laxative use - Previous hospitalization for ED | Living with a single parent Previous hospitalisation for ED lower BMI at admission patient over 18 | Having a lack of motivation and alliance | Having a personality disorders in comorbidity with AN (SIDP-IV) |