Short-Term Treatment Outcomes and Dropout Risk in Men and Women with Eating Disorders

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 psychopathol...

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Detalles Bibliográficos
Autores: Agüera, Zaida|||0000-0003-4453-4939, Sánchez Díaz, Isabel María|||0000-0001-5874-8204, Granero, Roser|||0000-0001-6308-3198, Riesco, Nadine|||0000-0002-6336-4907, Steward, Trevor|||0000-0003-3116-8175, Martín-Romera, Virginia, Jiménez Murcia, Susana|||0000-0002-3596-8033, Romero, Xandra|||0000-0003-4276-9793, Caroleo, Mariarita|||0000-0001-5856-5344, Segura García, Cristina|||0000-0002-5756-3045, Menchón Magriñá, José Manuel|||0000-0002-6231-6524, Fernández Aranda, Fernando|||0000-0002-2968-9898
Tipo de recurso: artículo
Fecha de publicación:2017
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:319786
Acceso en línea:https://ddd.uab.cat/record/319786
https://dx.doi.org/urn:doi:10.1002/erv.2519
Access Level:acceso abierto
Palabra clave:Cognitive behavioural therapy
Dropout
Eating disorders
Gender
Treatment outcome
Descripción
Sumario: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.

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