Dropout from Brief Psychotherapy within a Combination Treatment in Bulimia nervosa: Role of Personality and AngerFassino S. · Abbate-Daga G. · Pierò A. · Leombruni P. · Rovera G.G.
Department of Neurosciences, Psychiatry Section, Service for Eating Disorders, Turin University, Turin, Italy
Background: To explore the personality, psychopathology, and clinical features of bulimic patients who do not complete psychotherapy, within a combined treatment. Methods: 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. Results: 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). Conclusions: 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.
Prof. Secondo Fassino, MD, Associated Professor of Psychiatry
Department of Neuroscience, Psychiatric Institute, University of Turin
Via Cherasco 11, I–10126 Torino (Italy)
Tel. +39 011 6634848, Fax +39 011 673473
Number of Print Pages : 8
Number of Figures : 0, Number of Tables : 2, Number of References : 59
Psychotherapy and Psychosomatics
Founded 1953 as ‘Acta Psychotherapeutica et Psychosomatica’ by E.A.D.E. Carp and B. Stokvis, continued by Th. Spoerri (1964–1974) and P.E. Sifneos (1974–1991)
Official Journal of the International College of Psychosomatic Medicine (ICPM)
Vol. 72, No. 4, Year 2003 (Cover Date: July-August 2003)
Journal Editor: G.A. Fava, Bologna
ISSN: 0033–3190 (print), 1423–0348 (Online)
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