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神经性厌食症中的体重减轻对治疗提前终止有何预测作用?

[What can weight losses in anorexia nervosa predict about the premature termination of treatment?].

作者信息

Tagay Sefik, Herpertz Stephan, Mewes Ricarda, Schlegl Sandra, Senf Wolfgang

机构信息

Klinik für Psychosomatische Medizin und Psychotherapie, LVR-Klinikum Essen/Universitätsklinik Duisburg-Essen.

出版信息

Psychother Psychosom Med Psychol. 2010 May;60(5):164-8. doi: 10.1055/s-0029-1225362. Epub 2009 Jul 21.

Abstract

It was analysed if the weight course in the first half of a four-step psychosomatic treatment program for inpatients with Anorexia nervosa (AN) was useful to predict premature termination of treatment. The weight courses, sociodemographic and disorder-related data of 121 female adult inpatients were investigated. 39% of the studied patients did not reach their target weight (not completers). 61% of the patients completed all four steps of treatment (completers). The not completers showed significant more time with weight losses in the first step and had more and bigger weight losses in the second step of treatment than the completers. Furthermore, they had fewer comorbid depression. In contrast to the sociodemografic and disorder-related data, the weight courses in the first treatment half were very useful to predict premature termination of treatment for inpatients with AN.

摘要

对神经性厌食症(AN)住院患者四阶段身心治疗方案前半程的体重变化过程是否有助于预测治疗提前终止进行了分析。研究了121名成年女性住院患者的体重变化过程、社会人口统计学和疾病相关数据。39%的研究患者未达到目标体重(未完成治疗者)。61%的患者完成了治疗的所有四个阶段(完成治疗者)。与完成治疗者相比,未完成治疗者在第一阶段体重减轻的时间明显更长,在治疗的第二阶段体重减轻更多、幅度更大。此外,他们共患抑郁症的情况较少。与社会人口统计学和疾病相关数据不同,治疗前半程的体重变化过程对预测AN住院患者治疗提前终止非常有用。

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