Why do eating disorder patients drop out?
Why do eating disorder patients drop out?
复制标题
DOI：
10.1159/000289028
复制
发表时间：
1996-01-01
影响因子：
22.8
通讯作者：
Clinton, DN
中科院分区：
文献类型：
--
作者：
Clinton, DN
背景：心理治疗退出是一个重要问题，但很少受到系统性关注。尽管先前的研究表明，退出的患者数量相当可观，但尚不清楚他们退出的原因，也不清楚如何限制这一问题。本研究试图探讨的作用，病人与治疗师的关系，以及其他变量之间的辍学进食障碍患者。研究方法：进食障碍患者和他们的治疗师进行了评估的治疗预期的措施，以前开发的作者：前者也评估了精神症状的措施（冠脆经验指数）和进食障碍的精神病理学（进食障碍量表），以及相关的背景和治疗变量。患者被分为完成疗程的患者和在评估或治疗期间退出的患者。结果如下：患者和治疗师对潜在治疗干预的期望之间缺乏一致性与辍学风险增加相关，而其他患者，治疗师和治疗特定因素则无关。特别是，辍学者比他们的治疗师更期望得到与洞察力相关的干预措施的帮助。结论：进食障碍患者的脱落似乎与患者-治疗师关系有关。对于治疗师来说，从一开始就公开讨论患者对治疗的期望可能很重要，并专注于特定的差异领域，以限制潜在的脱落。
Background: Dropout from psychotherapy is an important problem that has received little systematic attention. Although previous research suggests that the number of patients who drop out is considerable, it is not clear why they drop out or what might be done to limit the problem. The present study attempted to examine the role of the patient-therapist relationship as well as other variables for dropout among eating disorder patients. Methods: Eating disorder patients and their therapists were assessed on a measure of treatment expectations previously developed by the author: the former were also assessed on measures of psychiatric symptoms (Crown-Crisp Experiential Index) and eating disorder psychopathology (Eating Disorder Inventory), as well as relevant background and treatment variables. Patients were divided into those who had completed their course of treatment, and those who dropped out during assessment or treatment. Results: Lack of congruence between patients' and therapists' expectations of potential treatment interventions was associated with increased risk of dropout, whereas other patient-, therapist- and treatment-specific factors were not. In particular, dropouts had significantly greater expectations of being helped by insight-related interventions than their therapists. Conclusions: Dropout among eating disorder patients appears to be related to the patient-therapist relationship. It may be important for therapists to openly discuss patient expectations of treatment from the outset, and focus on particular areas of discrepancy to limit potential dropout.