Short-Term Treatment Outcomes and Dropout Risk in Men and Women with Eating Disorders
Agüera, Zaida (Hospital Universitari de Bellvitge)
Sánchez Díaz, Isabel María (Hospital Universitari de Bellvitge)
Granero, Roser (Instituto de Salud Carlos III)
Riesco, Nadine (Hospital Universitari de Bellvitge)
Steward, Trevor (Hospital Universitari de Bellvitge)
Martín-Romera, Virginia (Universitat Autònoma de Barcelona. Departament de Psicologia Clínica i de la Salut)
Jiménez Murcia, Susana (Hospital Universitari de Bellvitge)
Romero, Xandra (Hospital Universitari de Bellvitge)
Caroleo, Mariarita (University Magna Graecia (Itàlia). Department of Health Sciences)
Segura García, Cristina (University Magna Graecia (Itàlia). Department of Health Sciences)
Menchón Magriñá, José Manuel (Hospital Universitari de Bellvitge)
Fernández Aranda, Fernando (Hospital Universitari de Bellvitge)
Universitat Autònoma de Barcelona. Departament de Psicobiologia i de Metodologia de les Ciències de la Salut

Data:	2017
Resum:	This study compared treatment outcomes between men and women with eating disorders (EDs) and analysed clinical predictors of treatment outcome. Our sample consisted of 131 male and 131 female ED patients who underwent cognitive behavioural therapy treatment. ED severity, personality and psychopathology were assessed using standard instruments. We found that the risk of dropout was higher for men with bulimia nervosa (BN) than for women with BN and that men with BN and other specified feeding and EDs were more likely to obtain full remission in comparison with their female counterparts. Predictive models of treatment outcome indicated that higher scores in novelty seeking were a shared factor associated with higher risk of dropout and not obtaining full remission for both men and women with ED. However, only in men, younger age and lower scores in reward dependence predicted higher dropout. Contrastingly, higher persistence scores were predictors of full remission. This study reinforces the effectiveness of using outpatient cognitive behavioural therapy as treatment as usual for men with ED. Nonetheless, placing greater emphasis on strategies targeting gender-specific issues could enhance outcomes.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Llengua:	Anglès
Document:	Article ; recerca ; Versió acceptada per publicar
Matèria:	Cognitive behavioural therapy ; Dropout ; Eating disorders ; Gender ; Treatment outcome
Publicat a:	European eating disorders review, Vol. 25 Núm. 4 (2017) , p. 293-301, ISSN 1099-0968

DOI: 10.1002/erv.2519

Post-print 25 p, 682.9 KB

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