Increased wait-list time predicts dropout from outpatient enhanced cognitive behaviour therapy (CBT-E) for eating disorders
Between 30 and 70% of patients with eating disorders drop out from outpatient treatment. However, research has been unable to identify factors that consistently predict dropout from eating disorder treatment. Most studies have exclusively investigated the role that individual patient characteristics...
| Main Authors: | , , , , , |
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| Format: | Journal Article |
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Elsevier Ltd
2012
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| Online Access: | http://hdl.handle.net/20.500.11937/23534 |
| _version_ | 1848751177904160768 |
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| author | Carter, O. Pannekoek, Linda Fursland, A. Allen, K. Lampard, Amy Byrne, S. |
| author_facet | Carter, O. Pannekoek, Linda Fursland, A. Allen, K. Lampard, Amy Byrne, S. |
| author_sort | Carter, O. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Between 30 and 70% of patients with eating disorders drop out from outpatient treatment. However, research has been unable to identify factors that consistently predict dropout from eating disorder treatment. Most studies have exclusively investigated the role that individual patient characteristics play in dropout and have ignored more process-based factors such as expectations about treatment, the therapeutic alliance, or time spent on a treatment waiting list. This study aimed to investigate the roles of both individual patient characteristics and process-based factors in dropout from outpatient treatment or eating disorders. The study involved data collected from consecutive eating disorder referrals to the only public specialist eating disorder service for youth and adults in Perth, Western Australia. The standard treatment provided at this service is Enhanced Cognitive Behaviour Therapy on an individual basis. The study involved 189 patients referred to the service between 2005 and 2010. Forty five percent of this sample dropped out of treatment. Results showed that, in this sample, two individual factors, lowest reported weight and the tendency to avoid affect, and one process-based factor, time spent on the wait list for treatment, were significant predictors of dropout. These findings are valuable because a process-based factor, such as wait-list time, may be easier to address and modify than a patient’s weight history or the trait of mood intolerance. Increased resources for eating disorder services may reduce waiting list times which would help to reduce dropout and maximize treatment outcomes. |
| first_indexed | 2025-11-14T07:48:35Z |
| format | Journal Article |
| id | curtin-20.500.11937-23534 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T07:48:35Z |
| publishDate | 2012 |
| publisher | Elsevier Ltd |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-235342017-09-13T13:59:02Z Increased wait-list time predicts dropout from outpatient enhanced cognitive behaviour therapy (CBT-E) for eating disorders Carter, O. Pannekoek, Linda Fursland, A. Allen, K. Lampard, Amy Byrne, S. Waiting list Eating disorders Dropout Enhanced cognitive behaviour therapy Outpatient treatment Between 30 and 70% of patients with eating disorders drop out from outpatient treatment. However, research has been unable to identify factors that consistently predict dropout from eating disorder treatment. Most studies have exclusively investigated the role that individual patient characteristics play in dropout and have ignored more process-based factors such as expectations about treatment, the therapeutic alliance, or time spent on a treatment waiting list. This study aimed to investigate the roles of both individual patient characteristics and process-based factors in dropout from outpatient treatment or eating disorders. The study involved data collected from consecutive eating disorder referrals to the only public specialist eating disorder service for youth and adults in Perth, Western Australia. The standard treatment provided at this service is Enhanced Cognitive Behaviour Therapy on an individual basis. The study involved 189 patients referred to the service between 2005 and 2010. Forty five percent of this sample dropped out of treatment. Results showed that, in this sample, two individual factors, lowest reported weight and the tendency to avoid affect, and one process-based factor, time spent on the wait list for treatment, were significant predictors of dropout. These findings are valuable because a process-based factor, such as wait-list time, may be easier to address and modify than a patient’s weight history or the trait of mood intolerance. Increased resources for eating disorder services may reduce waiting list times which would help to reduce dropout and maximize treatment outcomes. 2012 Journal Article http://hdl.handle.net/20.500.11937/23534 10.1016/j.brat.2012.03.003 Elsevier Ltd restricted |
| spellingShingle | Waiting list Eating disorders Dropout Enhanced cognitive behaviour therapy Outpatient treatment Carter, O. Pannekoek, Linda Fursland, A. Allen, K. Lampard, Amy Byrne, S. Increased wait-list time predicts dropout from outpatient enhanced cognitive behaviour therapy (CBT-E) for eating disorders |
| title | Increased wait-list time predicts dropout from outpatient enhanced cognitive behaviour therapy (CBT-E) for eating disorders |
| title_full | Increased wait-list time predicts dropout from outpatient enhanced cognitive behaviour therapy (CBT-E) for eating disorders |
| title_fullStr | Increased wait-list time predicts dropout from outpatient enhanced cognitive behaviour therapy (CBT-E) for eating disorders |
| title_full_unstemmed | Increased wait-list time predicts dropout from outpatient enhanced cognitive behaviour therapy (CBT-E) for eating disorders |
| title_short | Increased wait-list time predicts dropout from outpatient enhanced cognitive behaviour therapy (CBT-E) for eating disorders |
| title_sort | increased wait-list time predicts dropout from outpatient enhanced cognitive behaviour therapy (cbt-e) for eating disorders |
| topic | Waiting list Eating disorders Dropout Enhanced cognitive behaviour therapy Outpatient treatment |
| url | http://hdl.handle.net/20.500.11937/23534 |