Dropout from brief psychotherapy within a combination treatment in bulimia nervosa: Role of personality and anger.

  • Fassino S
  • Abbate-Daga G
  • Piero A
 et al. 
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Abstract

Explores the personality, psychopathology, and clinical features of bulimic patients who do not complete psychotherapy, within a combined treatment. 86 Ss 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 Ss. 3 Ss failed to engage in psychotherapy. Comparing Ss 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, Ss 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 2 groups (dropout and completers). 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. Data suggest that dropping out in a subgroup of bulimic patients could be related to borderline personality traits and to difficulties in making and maintaining a therapeutic relationship. (PsycINFO Database Record (c) 2012 APA, all rights reserved)

Author-supplied keywords

  • *Brief Psychotherapy
  • *Bulimia
  • *Client Characteristics
  • *Drug Therapy
  • *Treatment Dropouts
  • Anger
  • Personality Traits
  • Psychopathology

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Authors

  • Secondo Fassino

  • Giovanni Abbate-Daga

  • Andrea Piero

  • Paolo Leombruni

  • Giovanni Giacomo Rovera

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