Department of Psychiatry, Université Paris V René Descartes, Site Institut Mutualiste Montsouris, 75674 Paris Cedex 14, France.
Eat Weight Disord. 2009 Dec;14(4):e176-83. doi: 10.1007/BF03325114.
The aim is to study if the determination of target weights in a clinical therapeutic contract which guides weight gain for adolescent inpatients with anorexia nervosa (AN) is based on clearly pre-defined, objective clinical elements.
Treating psychiatrists completed patient information questionnaires for 139 anorexic adolescent inpatients. These questionnaires included information related to factors that the clinical team had hypothesized to be decisive in weight contract determination. Comparative statistical procedures evaluated whether these factors were in fact decisive in clinical practice.
The two weight objectives comprising our therapeutic contract (separation end weight and final discharge weight) were significantly related to the clinical variables tested: separation end weight was explained by the theoretical separation end weight, the range of contract, and the desires of the patient and her parents; final discharge weight was explained by patient body mass index before AN and by the desires of the patient and her parents.
The therapeutic contract is based on objective criteria and implemented by our team in accordance with its theoretical design. It is therefore possible to establish goal weights in a defined and reliable manner.
本研究旨在探讨临床治疗合同中目标体重的确定是否基于明确的、客观的临床要素，该合同指导患有神经性厌食症（AN）的青少年住院患者增重。
治疗精神科医生为 139 名患有厌食症的青少年住院患者完成了患者信息问卷。这些问卷包括与临床团队假设对体重合同确定具有决定性的因素相关的信息。比较统计程序评估了这些因素在临床实践中是否确实具有决定性。
我们治疗合同中的两个体重目标（分离结束时的体重和最终出院时的体重）与测试的临床变量显著相关：分离结束时的体重由理论分离结束时的体重、合同范围以及患者及其父母的愿望解释；最终出院时的体重由 AN 前患者的体重指数和患者及其父母的愿望解释。
治疗合同基于客观标准，并由我们的团队按照其理论设计来执行。因此，可以以确定和可靠的方式确定目标体重。
