Zeeck A, Hartmann A, Buchholz C, Herzog T
Department of Psychosomatics and Psychotherapeutic Medicine, University of Freiburg, Freiburg, Germany.
Acta Psychiatr Scand. 2005 Jan;111(1):29-37. doi: 10.1111/j.1600-0447.2004.00378.x.
Aim of the study was to identify patient characteristics that distinguish drop outs and completers from in-patient treatment for anorexia nervosa.
A total of 133 consecutively admitted in-patients with anorexia nervosa (age range 16-50 years; 92.5% women) were analysed using sociodemographic variables as well as measures of psychopathology (SCL-90-R, EDI-2) and interpersonal difficulties (IIP-C). Patients were treated in a multimodal treatment setting, combining cognitive-behavioural and psychodynamic components.
Patients, who reported fewer symptoms, were hospitalized before and had a comorbid depression stayed more often in psychotherapy. Patients dropping out of treatment (31.6%) showed a trend to higher levels of maturity fears. Subtype, age, duration of illness, comorbid personality disorders or previous drop outs were not predictive of dropping out.
Addressing the high ambivalence and maturity fears of anorexic patients should be an essential issue in psychotherapy with this patient group.
本研究旨在确定能够区分神经性厌食症住院治疗中的退出者和完成治疗者的患者特征。
共对133例连续入院的神经性厌食症患者（年龄范围16 - 50岁；92.5%为女性）进行了分析，使用了社会人口统计学变量以及心理病理学测量指标（SCL - 90 - R、EDI - 2）和人际困难测量指标（IIP - C）。患者在多模式治疗环境中接受治疗，结合了认知行为和心理动力成分。
报告症状较少、之前曾住院且患有共病性抑郁症的患者更常接受心理治疗。退出治疗的患者（31.6%）表现出成熟恐惧水平较高的趋势。亚型、年龄、病程、共病性人格障碍或之前的退出情况均不能预测退出治疗。
解决厌食症患者的高度矛盾心理和成熟恐惧应是针对该患者群体进行心理治疗的一个重要问题。
