Childhood trauma has dose-effect relationship with dropping out from psychotherapeutic treatment for bulimia nervosa: A replication Export

@article{citeulike:3070856, abstract = {The primary goal of this study was to replicate the finding that experiences of childhood trauma have a dose-effect relationship with dropping out from psychotherapeutic treatment for bulimia nervosa. It also aimed to replicate logistic regression findings that parental break-up predicts dropping out.The cohort consisted of 114 women consecutively presenting to an outpatient eating disorders clinic with bulimia nervosa or atypical bulimia nervosa. Data were gathered using a retrospective, case-note approach and were analysed using logistic regression (LR). A correlation technique was employed to assess the presence of a dose-effect relationship between experiences of trauma in childhood and dropping out. LR models were double cross-validated between this and an earlier cohort.The dose-effect relationship between experiences of childhood trauma and dropping out was confirmed. Witnessing parental break-up in childhood again predicted dropping out of treatment in adulthood. Cross-validation of LR equations was unsuccessful.These results strongly suggest that experiences of childhood trauma have a dose-effect relationship with dropping out. Parental break-up is a stable predictor of dropping out. It is possible that these experiences influence attachment style, particularly the ability to make and maintain a trusting relationship with a psychotherapist. Clinical implications are discussed. {\copyright} 2001 by John Wiley \& Sons, Inc. Int J Eat Disord 30: 138-148, 2001.}, address = {Department of Psychiatry, University of Leicester, Leicester, United Kingdom; Department of Geology, University of Leicester, Leicester, United Kingdom}, author = {Mahon, Jennifer and Bradley, Nicole S. and Harvey, Peter K. and Winston, Anthony P. and Palmer, Robert L.}, citeulike-article-id = {3070856}, citeulike-linkout-0 = {http://dx.doi.org/10.1002/eat.1066}, citeulike-linkout-1 = {http://www3.interscience.wiley.com/cgi-bin/abstract/84504717/ABSTRACT}, doi = {10.1002/eat.1066}, journal = {International Journal of Eating Disorders}, keywords = {bulimia, childhoodtrauma, drop-out}, number = {2}, pages = {138--148}, posted-at = {2008-08-01 11:03:08}, priority = {2}, title = {Childhood trauma has dose-effect relationship with dropping out from psychotherapeutic treatment for bulimia nervosa: A replication}, url = {http://dx.doi.org/10.1002/eat.1066}, volume = {30}, year = {2001} }

TY - JOUR ID - citeulike:3070856 L3 - citeulike-article-id:3070856 N2 - The primary goal of this study was to replicate the finding that experiences of childhood trauma have a dose-effect relationship with dropping out from psychotherapeutic treatment for bulimia nervosa. It also aimed to replicate logistic regression findings that parental break-up predicts dropping out.The cohort consisted of 114 women consecutively presenting to an outpatient eating disorders clinic with bulimia nervosa or atypical bulimia nervosa. Data were gathered using a retrospective, case-note approach and were analysed using logistic regression (LR). A correlation technique was employed to assess the presence of a dose-effect relationship between experiences of trauma in childhood and dropping out. LR models were double cross-validated between this and an earlier cohort.The dose-effect relationship between experiences of childhood trauma and dropping out was confirmed. Witnessing parental break-up in childhood again predicted dropping out of treatment in adulthood. Cross-validation of LR equations was unsuccessful.These results strongly suggest that experiences of childhood trauma have a dose-effect relationship with dropping out. Parental break-up is a stable predictor of dropping out. It is possible that these experiences influence attachment style, particularly the ability to make and maintain a trusting relationship with a psychotherapist. Clinical implications are discussed. © 2001 by John Wiley & Sons, Inc. Int J Eat Disord 30: 138-148, 2001. IS - 2 JF - International Journal of Eating Disorders AD - Department of Psychiatry, University of Leicester, Leicester, United Kingdom; Department of Geology, University of Leicester, Leicester, United Kingdom EP - 148 TI - Childhood trauma has dose-effect relationship with dropping out from psychotherapeutic treatment for bulimia nervosa: A replication VL - 30 SP - 138 KW - bulimia KW - childhoodtrauma KW - drop-out AU - Mahon, Jennifer AU - Bradley, Nicole AU - Harvey, Peter AU - Winston, Anthony AU - Palmer, Robert PY - 2001/// UR - http://dx.doi.org/10.1002/eat.1066 ER -