Department of Child and Adolescent Psychiatry, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Center for Chronic Sick Children, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Eat Weight Disord. 2020 Apr;25(2):445-452. doi: 10.1007/s40519-018-0620-0. Epub 2018 Nov 29.
The current study investigates determinants of treatment evaluation by adolescent outpatients with anorexia nervosa (AN) and the accordance with their parents' and psychotherapists' evaluation.
The sample included 50 female adolescent outpatients (mean age: 16.9 ± 1.8) with AN (DSM-IV). They were randomly assigned to either cognitive-behavior therapy (CBT) or dialectical-behavior therapy (DBT). Before (T1) and after treatment (T2) diagnostic interviews as well as self-report questionnaires were administered measuring eating disorder-specific and general psychopathology. The subjective evaluation of the therapy was assessed by a self-report questionnaire. Data on the evaluation of treatment of 42 parents were considered as well as treatment evaluations of the therapists for 48 patients.
Our results revealed significant correlations of treatment satisfaction between parents and therapists, whereas patients and therapists as well as patients and parents did not agree in their treatment evaluation. The change in body mass index (BMI) was a significant predictor of the patients' treatment satisfaction.
Adolescent patients displaying high severity of AN at the beginning of treatment put little emphasis on the importance of body weight even after treatment. Satisfaction ratings of this special group of patients could be heavily distorted and have to be interpreted carefully.
Level I, randomized controlled trial.
本研究旨在探讨青少年神经性厌食症（AN）门诊患者治疗评估的决定因素，以及其与父母和心理治疗师评估的一致性。
该样本包括 50 名女性青少年神经性厌食症门诊患者（平均年龄：16.9±1.8 岁），他们被随机分配到认知行为疗法（CBT）或辩证行为疗法（DBT）组。在治疗前（T1）和治疗后（T2）进行诊断访谈和自我报告问卷，以测量特定的饮食障碍和一般的精神病理学。治疗的主观评估通过自我报告问卷进行评估。还考虑了 42 名父母对治疗评估的数据，以及 48 名患者对治疗师的治疗评估。
我们的结果显示，父母和治疗师之间的治疗满意度存在显著相关性，而患者和治疗师以及患者和父母在治疗评估上并不一致。体重指数（BMI）的变化是患者治疗满意度的一个显著预测因素。
在治疗开始时表现出严重 AN 症状的青少年患者，即使在治疗后，对体重的重要性也不太重视。这一特殊患者群体的满意度评分可能存在严重的偏差，需要谨慎解读。
I 级，随机对照试验。
