The impact of duration of illness on treatment nonresponse and drop-out: Exploring the relevance of enduring eating disorder concept.

摘要: OBJECTIVE There are no generally accepted definitions or markers of treatment nonresponse in eating disorders (EDs). The aim this paper was to examine how the duration illness and other potential prognostic impacted on drop-out from across different EDs subtypes. METHODS A total sample 1199 consecutively treated patients with EDs, according Diagnostic Statistical Manual Mental Disorders, fifth edition criteria, participated study. Kaplan-Meier curves were calculated for each ED diagnosis which probability recovery plotted against illness. RESULTS Full remission more likely people binge disorder (BED; 47.4%) anorexia nervosa (AN; 43.9%) compared bulimia (BN; 25.2%) specified feeding (OSFED; 23.2%). cut-off points related high likelihoods poor response 6-8 years among OSFED, 12-14 AN BN 20-21 BED. Other variables predicting included dysfunctional personality traits. CONCLUSIONS Nonresponse is associated turn previous treatment. However, there evidence staging using specific criteria. Nevertheless, shorter temporal trajectory OSFED suggests that early interventions may be importance group.