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- Title
Dropout from brief psychotherapy within a combination treatment in bulimia nervosa: role of personality and anger.
- Authors
Fassino, Secondo; Abbate-Daga, Giovanni; Pierò, Andrea; Leombruni, Paolo; Rovera, Giovanni Giacomo; Pierò, Andrea
- Abstract
<bold>Background: </bold>To explore the personality, psychopathology, and clinical features of bulimic patients who do not complete psychotherapy, within a combined treatment.<bold>Methods: </bold>86 patients with bulimia nervosa (BN; DSM-IV) were evaluated before beginning treatment. The Eating Disorder Inventory II (EDI-II), State-Trait Anger Expression Inventory (STAXI), and the Temperament and Character Inventory (TCI) were administered to all patients.<bold>Results: </bold>3 subjects failed to engage in psychotherapy. Comparing patients who dropped out (n = 28) with those who did not drop out from psychotherapy (n = 55), significant differences were found in some psychopathologic (EDI-II, STAXI) and personality (TCI) variables. In particular, patients who dropped out from the treatment were more impulsive and more likely to feel anger; they were also less cooperative and less self-directive. No significant differences in sociodemographic, clinical variables and in response to fluoxetine were found between the two groups (dropout and completers).<bold>Conclusions: </bold>We found a characteristic profile in the bulimic patients who dropped out from brief psychotherapy, i.e., they are less cooperative and more predisposed to anger. These data suggest that dropping out in a subgroup of BN patients could be related to borderline personality traits and to difficulties in making and maintaining a therapeutic relationship. Implications for treatment are discussed.
- Subjects
BULIMIA; PSYCHOTHERAPY; EATING Disorder Inventory; STATE-Trait Anger Expression Inventory; TEMPERAMENT &; Character Inventory
- Publication
Psychotherapy & Psychosomatics, 2003, Vol 72, Issue 4, p203
- ISSN
0033-3190
- Publication type
journal article
- DOI
10.1159/000070784