Schoen Clinic Roseneck, Am Roseneck 6, 83209, Prien, Germany.
Eat Weight Disord. 2013 Jun;18(2):167-73. doi: 10.1007/s40519-013-0029-8. Epub 2013 Apr 20.
There is evidence for an increased prevalence and an earlier onset of anorexia nervosa (AN) in adolescents. Early specialized treatment may improve prognosis and decrease the risk of a chronic course. The current study evaluates the effectiveness of a multimodal inpatient treatment for adolescent AN patients treated in a highly specialized eating disorder unit for adults.
177 adolescents and 1,064 adult patients were included. The evaluation focused on eating behavior, depressive symptoms and general psychopathology.
All measured variables decreased significantly in both groups during inpatient treatment. No differences were found concerning weight gain, improvement of global eating disorder symptomatology as well as depressive symptoms. However, adults showed a higher psychological distress and in this regard also a greater improvement.
Results indicate that treating adolescent AN patients in a highly specialized eating disorder unit for adults can be an effective treatment setting for these patients.
厌食症（AN）在青少年中的发病率和发病年龄都有所增加，这一点已有证据支持。早期的专业治疗可能会改善预后，并降低慢性病程的风险。本研究评估了在成人专设进食障碍病房中对青少年 AN 患者进行多模式住院治疗的效果。
共纳入 177 名青少年和 1064 名成年患者。评估重点为饮食行为、抑郁症状和一般精神病理学。
两组患者在住院治疗期间所有测量变量均显著下降。体重增加、整体进食障碍症状改善和抑郁症状方面无差异。然而，成年人的心理困扰更高，在这方面也有更大的改善。
结果表明，在成人专设进食障碍病房中治疗青少年 AN 患者可为这些患者提供有效的治疗环境。
