神经性厌食症住院治疗与日间门诊治疗的比较
[Comparison of inpatient and day clinic treatment of anorexia nervosa].
作者信息
Zeeck Almut, Hartmann Armin, Wetzler-Burmeister Edda, Wirsching Michael
机构信息
Abteilung Psychosomatische Medizin und Psychotherapie, Universitätsklinik Freiburg, Hauptstrasse 8, D-79104 Freiburg.
出版信息
Z Psychosom Med Psychother. 2006;52(2):190-203. doi: 10.13109/zptm.2006.52.2.190.
OBJECTIVES
Explorative comparison of short term outcomes of day clinic and inpatient treatment for anorexia nervosa.
METHODS
N = 13 consecutively admitted day clinic patients (anorexia nervosa; DSM IV) were matched with N = 13 inpatients (variables: age, duration of illness, gender, admission weight, subtype of anorexia nervosa). Results at discharge were compared using defined outcome criteria as well as scores of the SCL-90-R and EDI-2.
RESULTS
After inpatient treatment significantly more patients showed a good outcome (predefined criteria). Effect sizes also pointed to a superiority of inpatient treatment.
CONCLUSIONS
In the initial phase of therapy the structured and holding environment of an inpatient unit may be favourable for severely underweight anorexic patients. The interpretation of these results is limited due to the small sample size.
目的
对神经性厌食症日间门诊治疗和住院治疗的短期结果进行探索性比较。
方法
13例连续入院的日间门诊患者（神经性厌食症；DSM-IV）与13例住院患者进行匹配（变量：年龄、病程、性别、入院体重、神经性厌食症亚型）。使用既定的结果标准以及SCL-90-R和EDI-2评分对出院结果进行比较。
结果
住院治疗后，更多患者显示出良好的结果（预定义标准）。效应量也表明住院治疗具有优越性。
结论
在治疗的初始阶段，住院病房结构化的支持环境可能有利于体重严重不足的厌食症患者。由于样本量小，这些结果的解释受到限制。
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