Zuber J, Gromus B, Potreck-Rose F, Koch U
Psychologisches Institut, Universität Freiburg.
Psychother Psychosom Med Psychol. 1992 Mar-Apr;42(3-4):110-9.
The article deals with reflections about the differential indication for out-patient group therapy treatment of patients suffering from a considerable overweight by the example of the "Interdisciplinary therapy of obesity". First the conception of the "Interdisciplinary therapy of obesity" is presented. Within the context of evaluation of the therapy program, especially the results of a long-term follow-up study and the special conditions for severely obese people are dealt with. Empirical results and clinical experiences build the foundations to work out differential indication criteria like therapy motivation, degree of overweight and degree of psychological strain. On this basis modifications of the therapy program are suggested in the form of three different kinds of treatment, taking into account the clinically different groups of obese people.
本文以“肥胖症的跨学科治疗”为例,探讨了对门诊集体治疗相当超重患者的差异适应症的思考。首先介绍了“肥胖症的跨学科治疗”的概念。在评估治疗方案的背景下,特别讨论了长期随访研究的结果以及重度肥胖人群的特殊情况。实证结果和临床经验为制定如治疗动机、超重程度和心理压力程度等差异适应症标准奠定了基础。在此基础上,考虑到临床上不同类型的肥胖人群,以三种不同治疗方式的形式提出了治疗方案的修改建议。