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Drop-out from adolescent and young adult inpatient treatment for anorexia nervosa
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International audience. We examined factors predictive of dropout from inpatient treatment for anorexia nervosa (AN) amongadolescents in a prospective study of 359 consecutive hospitalizations for AN (DSM-IV). Patients wereassessed at admission (clinical, socio-demographic, and psychological data). Multivariate analyses wereperformed. Drop-out (i.e. leaving hospital before the target weight is achieved) occurred in 24% (n¼86)of hospitalizations; in 42.3% (n¼30) of the cases, dropout was initiated by the treatment team and in58.6% (n¼41) by the patients and/or their parents. 18.6% (16/86) occurred during the first half of theinpatient program. Frequency of drop-out was significantly higher when the patient was living with onlyone parent, had been hospitalized previously, had a lower BMI at admission and was over 18 atadmission. These elements should draw the attention of the clinician, so that he/she can preparehospitalization with patients presenting lower admission BMI, particularly by motivational interventionsfor a better therapeutic alliance, and by the deployment of intensive accompaniment of single parents.Further studies aiming to replicate these results, and including the evaluation of other clinicaldimensions such as impulsivity and other personality traits, are needed to elucidate this important topic.
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