{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T12:16:34Z","timestamp":1773922594754,"version":"3.50.1"},"reference-count":23,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2013,10,28]],"date-time":"2013-10-28T00:00:00Z","timestamp":1382918400000},"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":[[2014,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To investigate treatment drop\u2010out by comparing clinical indicators of patients whose discharge was initiated by staff with those who initiated discharge themselves.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Ninety participants with anorexia completed questionnaires at admission and four weeks into hospitalized treatment. Weight data was collected over this same period. At discharge, participants were categorized into completer (<jats:italic>n<\/jats:italic>\u2009=\u200938) or patient\u2010initiated (<jats:italic>n<\/jats:italic>\u2009=\u200936) \/staff\u2010initiated (<jats:italic>n<\/jats:italic>\u2009=\u200916) premature termination groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Significant differences between staff\u2010initiated and patient\u2010initiated discharge groups were found at admission. Staff initiated groups were on average older (<jats:italic>p<\/jats:italic>\u2009=\u2009.035), and more likely to have had prior compelled treatment (<jats:italic>p<\/jats:italic>\u2009=\u2009.039). At 4 weeks those in the patient\u2010initiated group had put on weight at a faster rate (<jats:italic>p<\/jats:italic>\u2009=\u2009.032) and reported a decrease in alliance (<jats:italic>p<\/jats:italic>\u2009=\u2009.017). At discharge, staff initiated discharge demonstrated greater time in treatment (<jats:italic>p<\/jats:italic>\u2009=\u2009.001), greater weight gain (<jats:italic>p<\/jats:italic>\u2009=\u2009.027), and a higher discharge BMI (<jats:italic>p<\/jats:italic>\u2009=\u2009.013). At discharge, staff\u2010initiated drop\u2010outs had comparable end\u2010of\u2010treatment outcomes to those who completed treatment as planned.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>There are key differences between those who prematurely discharge themselves from treatment, compared to those who are prematurely discharged by clinical staff. Future research into drop\u2010out needs to take into account and recognize these differences. \u00a9 2013 Wiley Periodicals, Inc. 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