{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T20:47:00Z","timestamp":1792097220986,"version":"4.4.0"},"reference-count":50,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,3,1]],"date-time":"2018-03-01T00:00:00Z","timestamp":1519862400000},"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":[[2018,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Cognitive<jats:bold>\u2010<\/jats:bold>behavioral therapy (CBT) is efficacious for a range of eating disorder presentations, yet premature dropout is one factor that might limit CBTs effectiveness. Improved understanding of dropout from CBT for eating disorders is important. This meta\u2010analysis aimed to study dropout from CBT for eating disorders in randomized controlled trials (RCTs), by (a) identifying the types of dropout definitions applied, (b) providing estimates of dropout, (c) comparing dropout rates from CBT to non\u2010CBT interventions for eating disorders, and (d) testing moderators of dropout.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>RCTs of CBT for eating disorders that reported rates of dropout were searched. Ninety\u2010nine RCTs (131 CBT conditions) were included.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Dropout definitions varied widely across studies. The overall dropout estimate was 24% (95% CI\u00a0=\u00a022\u201327%). Diagnostic type, type of dropout definition, baseline symptom severity, study quality, and sample age did not moderate this estimate. Dropout was highest among studies that delivered internet\u2010based CBT and was lowest in studies that delivered transdiagnostic enhanced CBT. There was some evidence that longer treatment protocols were associated with lower dropout. No significant differences in dropout rates were observed between CBT and non\u2010CBT interventions for all eating disorder subtypes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Present study dropout estimates are hampered by the use of disparate dropout definitions applied. This meta\u2010analysis highlights the urgency for RCTs to utilize a standardized dropout definition and to report as much information on patient dropout as possible, so that strategies designed to minimize dropout can be developed, and factors predictive of CBT dropout can be more easily identified.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.22850","type":"journal-article","created":{"date-parts":[[2018,3,1]],"date-time":"2018-03-01T16:00:46Z","timestamp":1519920046000},"page":"381-391","source":"Crossref","is-referenced-by-count":133,"title":["Dropout from cognitive\u2010behavioral therapy for eating disorders: A meta\u2010analysis of randomized, controlled trials"],"prefix":"10.1002","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4475-7139","authenticated-orcid":false,"given":"Jake","family":"Linardon","sequence":"first","affiliation":[{"name":"School of Psychology Deakin University, 221 Burwood Highway Burwood Victoria 3125 Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annemarie","family":"Hindle","sequence":"additional","affiliation":[{"name":"School of Psychology Australian Catholic University, 115 Victoria Parade\/Locked Bag 4115 Melbourne Victoria 3065 Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leah","family":"Brennan","sequence":"additional","affiliation":[{"name":"School of Psychology Australian Catholic University, 115 Victoria Parade\/Locked Bag 4115 Melbourne Victoria 3065 Australia"},{"name":"Centre for Eating and Weight Disorders 382 Victoria Parade East Melbourne Victoria 3002 Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,3]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22135"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.68.2.331"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.57.2.215"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.57.5.459"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2014.01.003"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/9780470743386"},{"key":"e_1_2_6_8_1","doi-asserted-by":"crossref","first-page":"616","DOI":"10.1037\/0022-006X.66.4.616","article-title":"Cognitive\u2010behavioral self\u2010help for binge eating disorder: A controlled effectiveness study","volume":"66","author":"Carter J. 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