Psychopathological features of anorectic patients who dropped out of inpatient treatment as assessed by the Minnesota Multiphasic Personality InventoryReport as inadecuate




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BioPsychoSocial Medicine

, 1:15

First Online: 25 July 2007Received: 03 February 2007Accepted: 25 July 2007

Abstract

BackgroundAnorexia nervosa often requires inpatient treatment that includes psychotherapeutic intervention in addition to physical and nutritional management for severe low body weight. However, such patients sometimes terminate inpatient treatment prematurely because of resistance to treatment, poor motivation for treatment, unstable emotions, and problematic behaviors. In this study, the psychopathological factors related to the personality of anorexic patients that might predict discontinuation of inpatient treatment were investigated using the Minnesota Multiphasic Personality Inventory MMPI.

MethodsSubjects were 75 consecutive anorectic inpatients who received cognitive behavioral therapy with a behavior protocol governing privileges in a university hospital based general not psychiatric ward. The MMPI was done on admission for all patients. A comparison was done of patients who completed the process of inpatient treatment, including attainment of target body weight completers, and patients who dropped out of inpatient treatment dropouts. Results: No significant differences between completers n = 51 and dropouts n = 24 were found in the type of eating disorder, age of onset, duration of illness, age, or BMI at admission. Logistic regression analysis found the MMPI scales schizophrenia Sc, hypomania HYP, deviant thinking and experience, and antisocial attitude to be factors predicting completion or dropout.

ConclusionDropouts have difficulty adapting to inpatient treatment protocols such as our behavior protocol governing privileges because they have social and emotional alienation, a lack of ego mastery Sc, emotional instability HYP and an antisocial attitude. As a result, they have decreased motivation for treatment, leave the hospital without permission, attempt suicide, or shoplift, which leads them to terminate inpatient treatment prematurely. Treatments based on cognitive behavioral therapy with a behavior protocol governing privileges should be carefully adopted for anorectic patients who exhibit the psychopathological elements identified in this study.

Electronic supplementary materialThe online version of this article doi:10.1186-1751-0759-1-15 contains supplementary material, which is available to authorized users.

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Author: Takehiro Nozaki - Satoko Motoyama - Tatsuyuki Arimura - Chihiro Morita - Chikako Koreeda-Arimura - Keisuke Kawai - Masato T

Source: https://link.springer.com/







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