Predictors of Treatment Acceptance and Completion in Anorexia Nervosa

• DOI: 10.1001/archpsyc.62.7.776
• Publication Date: 2005-07-04T16:22:49Z
• Authors: Katherine A. Halmi; W. Stewart Agras; Scott Crow; James Mitchell; G. Terence Wilson; Susan W. Bryson; Helena C. Kraemer
• Keywords: Anorexia nervosa; Dropout (neural networks); Anorexia

<h3>Context</h3> There have been very few randomized controlled treatment studies of anorexia nervosa. <h3>Objective</h3> To evaluate factors leading to nonacceptance and noncompletion for 2 specific therapies their combination in the <h3>Design</h3> Randomized prospective study. <h3>Setting</h3> Weill-Cornell Medical Center, White Plains, NY; University Minnesota, Minneapolis; Stanford University, Stanford, Calif. <h3>Patients</h3> One hundred twenty-two patients meeting<i>DSM-IV</i>criteria <h3>Interventions</h3> Treatment with cognitive-behavioral therapy, fluoxetine hydrochloride, or 1 year. <h3>Main Outcome Measures</h3> Dropout rate acceptance (defined as staying at least 5 weeks). <h3>Results</h3> Of 122 cases, 21 (17%) were withdrawn; overall dropout was 46% (56/122) remaining patients. occurred 89 (73%) cases. 41 assigned medication alone, 23 (56%). In other groups, differentiated by high low obsessive preoccupation scores (rates 91% 60%, respectively). The only predictor completion self-esteem, which associated a 51% acceptance. <h3>Conclusion</h3> Acceptance relatively rates pose major problem research Differing characteristics predict acceptance, need be carefully studied before comparative trials are conducted.