International journal of psychiatry in clinical practice · 2026
Predictors of premature treatment termination in an inpatient programme for women with PTSD and/or eating disorders.
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Mershon Fany, Handelzalts Jonathan E, Zvi Lotem, Shlomi Inbal
Аннотация
OBJECTIVE: Premature termination of treatment (PTT) is prevalent among patients with eating disorders (ED) and post-traumatic stress disorder (PTSD). PTT is associated with negative outcomes. This study examined whether variables collected at admission and during hospitalisation predicted PTT among female patients treated for PTSD and/or EDs.
METHOD: A total of 76 women hospitalised between 2019 and 2023 at the 'By Your Side' inpatient facility participated. PTT was defined as unplanned discharge without re-admission. Quantitative measures were analysed using t-tests and U-tests; qualitative measures were assessed using chi-square tests, followed by binary logistic regression.
RESULTS: A total of 97% of participants met DSM-5 Criterion A for trauma; 96% were diagnosed with PTSD, 74% with an ED and 70% with both. 43.4% terminated treatment prematurely. PTT was significantly associated with sexual risk-taking behaviours (χ2 = 4.601, df = 1, p = 0.032), impulsive departures from treatment (χ2 = 7.165, df = 1, p = 0.007) and fewer prior hospitalisations (B = 0.535, df = 1, p = 0.026). No differences were found in socio-demographic or clinical symptom scores. Outcomes were comparable between patients who left treatment and returned and those who remained continuously.
CONCLUSIONS: Findings highlight the need to address impulsivity and risk-taking behaviours, and to support therapeutic re-engagement.
METHOD: A total of 76 women hospitalised between 2019 and 2023 at the 'By Your Side' inpatient facility participated. PTT was defined as unplanned discharge without re-admission. Quantitative measures were analysed using t-tests and U-tests; qualitative measures were assessed using chi-square tests, followed by binary logistic regression.
RESULTS: A total of 97% of participants met DSM-5 Criterion A for trauma; 96% were diagnosed with PTSD, 74% with an ED and 70% with both. 43.4% terminated treatment prematurely. PTT was significantly associated with sexual risk-taking behaviours (χ2 = 4.601, df = 1, p = 0.032), impulsive departures from treatment (χ2 = 7.165, df = 1, p = 0.007) and fewer prior hospitalisations (B = 0.535, df = 1, p = 0.026). No differences were found in socio-demographic or clinical symptom scores. Outcomes were comparable between patients who left treatment and returned and those who remained continuously.
CONCLUSIONS: Findings highlight the need to address impulsivity and risk-taking behaviours, and to support therapeutic re-engagement.