Föcker Manuel, Heidemann-Eggert Elke, Antony Gisela, Becker Katja, Egberts Karin, Ehrlich Stefan, Fleischhaker Christian, Hahn Freia, Jaite Charlotte, Kaess Michael, M E Schulze Ulrike, Sinzig Judith, Wagner Catharina, Legenbauer Tanja, Renner Tobias, Wessing Ida, Herpertz-Dahlmann Beate, Hebebrand Johannes, Bühren Katharina
1 Klinik für Psychiatrie, Psychosomatik und Psychotherapie des Kindes- und Jugendalters, LVR-Klinikum Essen, Kliniken und Institut der Universität Duisburg-Essen, Essen.
2 Universität Marburg, Marburg.
Z Kinder Jugendpsychiatr Psychother. 2017 Sep;45(5):381-390. doi: 10.1024/1422-4917/a000545. Epub 2017 Aug 21.
The medium- and long-term effects and side effects of inpatient treatment of patients with anorexia nervosa is still a matter of debate. The German S3-guidelines underline the importance of providing specialized and competent treatment. In this article we focus on the inpatient service structure in German child and adolescent psychiatric clinics with regard to their diagnostic and therapeutic concepts.
A self-devised questionnaire was sent to 163 German child and adolescent psychiatric clinics. The questionnaire focused on the characteristics of the respective clinic as well as its diagnostic and therapeutic strategies.
All clinics with an inpatient service for patients with anorexia nervosa (N = 84) provide single-therapy, family-based interventions and psychoeducation. A target weight is defined in nearly all clinics, and the mean intended weight gain per week is 486 g (range: 200 g to 700 g/week; SD = 117). Certain diagnostic tests and therapeutic interventions are used heterogeneously.
This is the first study investigating the inpatient service structure for patients with anorexia nervosa in German clinics. Despite the provision of guideline-based therapy in all clinics, heterogeneous approaches were apparent with respect to specific diagnostic and therapeutic concepts.
神经性厌食症患者住院治疗的中长期效果及副作用仍存在争议。德国S3指南强调了提供专业且有效的治疗的重要性。在本文中，我们聚焦于德国儿童和青少年精神科诊所的住院服务结构及其诊断和治疗理念。
向163家德国儿童和青少年精神科诊所发送了一份自行设计的问卷。该问卷聚焦于各诊所的特点及其诊断和治疗策略。
所有为神经性厌食症患者提供住院服务的诊所（N = 84）均提供个体治疗、基于家庭的干预措施和心理教育。几乎所有诊所都设定了目标体重，每周预期体重增加的平均值为486克（范围：200克至700克/周；标准差 = 117）。某些诊断测试和治疗干预措施的使用存在差异。
这是第一项调查德国诊所中神经性厌食症患者住院服务结构的研究。尽管所有诊所都提供基于指南的治疗，但在具体的诊断和治疗理念方面，方法存在差异。
