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Self-image and treatment drop-out in eating disorders
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology.
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2008 (English)In: Psychology and Psychotherapy: Theory, Research and Practice, ISSN 1476-0835, Vol. 81, no 1, 95-104 p.Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: Drop-out from treatment is a serious problem in eating disorders which remains poorly understood. The present study investigated whether self-image and interpersonal theory could help to explain why eating disorder patients drop out of treatment. METHOD: Intake data on eating disorder patients who terminated treatment prematurely (N=54) were compared with patients who had completed treatment (N=54) and those who were still in treatment after 12 months (N=54). Self-image was assessed using the structural analysis of social behaviour (SASB), and comparisons were made on demographic and clinical variables. RESULTS: Patients who dropped out had initially presented with less negative self-image and fewer psychological problems compared with remainers. Low levels of SASB self-blame discriminated drop-outs from completers and remainers and significantly predicted treatment drop-out. DISCUSSION: Drop-out in eating disorders appears to be a complex phenomenon, not necessarily as pathological as often assumed. There may be important differences in the treatment goals of drop-outs and therapists; patients who drop out may be choosing to disengage at a time when symptom improvement creates space for closer examination of interpersonal issues.

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2008. Vol. 81, no 1, 95-104 p.
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URN: urn:nbn:se:uu:diva-101392DOI: 10.1348/147608307X224547ISI: 000253899700006PubMedID: 17631699OAI: oai:DiVA.org:uu-101392DiVA: diva2:212899
Available from: 2009-04-24 Created: 2009-04-24 Last updated: 2011-01-11Bibliographically approved

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