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Premature Termination of Treatment among Adults Attending Treatment for Eating Disorders: A Critical Review

机译:参加饮食障碍治疗的成人治疗过早终止:批判性审查

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The article presents a critical review regarding the premature termination of eating disorder’s treatment among inpatients and outpatients, with the aim of identifying—emotional, psychodynamic and family-related aspects involved. The search strategy used the following MeSH terms combined by Boolean operators: “eating disorders” AND “treatment” OR “patient dropouts” OR “drop-out/dropouts” OR “attrition” OR “premature termination” AND “empirical study” OR “qualitative research”, for on Medline/PUBMED, PsycINFO and EMBASE databases. This article follows the PRISMA Guidelines. A total of 26 studies composed this review, of which 24 were original research articles, 1 was a review and 1 a theoretical article. Only two articles applied qualitative methods analyzing categories of content obtained by in-depth interviews, three combine quantitative and qualitative methods and other three present qualitative analyses while discussing quantitative studies. Further qualitative studies should be carried out to clarify meanings of dropout, premature termination of treatment, and attrition. Different expectations held by patients and by therapeutic teams, and the interpersonal difficulties of these types of patients, stand out as difficulties in constructing “therapeutic alliances”, with impacts on dropout, premature termination and attrition rates.
机译:本文提出了有关在住院患者和门诊患者饮食障碍治疗的过早终止的严重审查,目的是识别 - 情绪,心理动力和家庭相关方面。搜索策略使用了布尔运算符组合的以下网格术语:“饮食障碍”和“治疗”或“患者辍学”或“辍学/辍学”或“磨损”或“过早终止”和“经验研究”或“经验研究”或“”定性研究“,​​在Medline / PubMed,Psycinfo和Embase数据库上。本文遵循PRISMA指南。共有26项研究组成了这一综述,其中24条是原始的研究文章,1是审查和1个理论文章。只有两篇文章的定性方法分析通过深入访谈获得的内容类别,三种结合定量和定性方法等三种目前的定性分析,同时讨论了定量研究。应进行进一步的定性研究,以澄清辍学,治疗过早终止和磨损的含义。患者和治疗队伍​​持有的不同期望以及这些类型患者的人际关系困难,难以构建“治疗联盟”,影响对辍学,过早的终止和磨损率的影响。

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