{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:40:38Z","timestamp":1786977638688,"version":"build-2736575974"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2001,7,6]],"date-time":"2001-07-06T00:00:00Z","timestamp":994377600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2001,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The primary goal of this study was to replicate the finding that experiences of childhood trauma have a dose\u2010effect relationship with dropping out from psychotherapeutic treatment for bulimia nervosa. It also aimed to replicate logistic regression findings that parental break\u2010up predicts dropping out.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>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\u2010note approach and were analysed using logistic regression (LR). A correlation technique was employed to assess the presence of a dose\u2010effect relationship between experiences of trauma in childhood and dropping out. LR models were double cross\u2010validated between this and an earlier cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The dose\u2010effect relationship between experiences of childhood trauma and dropping out was confirmed. Witnessing parental break\u2010up in childhood again predicted dropping out of treatment in adulthood. Cross\u2010validation of LR equations was unsuccessful.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>These results strongly suggest that experiences of childhood trauma have a dose\u2010effect relationship with dropping out. Parental break\u2010up 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. \u00a9 2001 by John Wiley &amp; Sons, Inc. Int J Eat Disord 30: 138\u2013148, 2001.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.1066","type":"journal-article","created":{"date-parts":[[2002,8,25]],"date-time":"2002-08-25T16:38:31Z","timestamp":1030293511000},"page":"138-148","source":"Crossref","is-referenced-by-count":65,"title":["Childhood trauma has dose\u2010effect relationship with dropping out from psychotherapeutic treatment for bulimia nervosa: A replication"],"prefix":"10.1002","volume":"30","author":[{"given":"Jennifer","family":"Mahon","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. Nicole","family":"Bradley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter K.","family":"Harvey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony P.","family":"Winston","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert L.","family":"Palmer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2001,7,6]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.172.1.64"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0077132"},{"issue":"1","key":"e_1_2_1_4_1","first-page":"69","article-title":"A cross\u2010validation of factors predictive of AMA discharge","volume":"34","author":"Beck N.","year":"1983","journal-title":"Hospital and Community Psychiatry"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/0140-6736(93)90769-D"},{"key":"e_1_2_1_6_1","doi-asserted-by":"crossref","unstructured":"Bifulco A. Moran P. Ball C. &Bernazzani O.(2001).Adult attachment style and onset of depression: The Attachment Style Interview (ASI). 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Palmer R.L. &Harvey P.K.(in press).Do broken relationships in childhood relate to bulimic women breaking off psychotherapy in adulthood?International Journal of Eating Disorders."},{"key":"e_1_2_1_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(198703)6:2<293::AID-EAT2260060212>3.0.CO;2-8"},{"key":"e_1_2_1_22_1","volume-title":"Statistical package for the social sciences for Windows (Version 7.5)","author":"Nie N.","year":"1996"},{"key":"e_1_2_1_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1939-0025.1983.tb03394.x"},{"key":"e_1_2_1_24_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-3204.27.3.404"},{"key":"e_1_2_1_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(199211)12:3<341::AID-EAT2260120316>3.0.CO;2-W"},{"key":"e_1_2_1_26_1","volume-title":"The ICD\u201010 classification of mental and behavioural disorders: Clinical descriptions and diagnostic guidelines","author":"World Health Organization","year":"1992"}],"container-title":["International Journal of Eating Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Feat.1066","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/eat.1066","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,19]],"date-time":"2023-11-19T07:21:39Z","timestamp":1700378499000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/eat.1066"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2001,7,6]]},"references-count":25,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2001,9]]}},"alternative-id":["10.1002\/eat.1066"],"URL":"https:\/\/doi.org\/10.1002\/eat.1066","archive":["Portico"],"relation":{},"ISSN":["0276-3478","1098-108X"],"issn-type":[{"value":"0276-3478","type":"print"},{"value":"1098-108X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2001,7,6]]}}}