Bossert S, Schnabel E, Krieg J C, Berger M
Max-Planck-Institute of Psychiatry, Munich, Federal Republic of Germany.
Acta Psychiatr Scand. 1988 Jan;77(1):105-10. doi: 10.1111/j.1600-0447.1988.tb05085.x.
Several treatment modalities, especially behaviour therapy, had been successfully administered in order to normalize body weight in anorexia nervosa inpatients. However, improvement in affective, cognitive and psychosocial features and associated psychopathologic symptoms was rather poor. It is hypothesized that the limited effect of behaviour therapy may be also due to therapeutic shortcomings of the behavioural treatment programme. In the present study of 16 anorectic inpatients a behavioural treatment programme, which had been applied in a former investigation at the same unit, was modified and yielded the following results: rapid increase in weight, good improvement of anorectic and depressive symptoms and a treatment duration of less than 3 months. Although the short-term outcome of the modified treatment programme is encouraging, the therapeutic difficulties encountered in this programme deserve special attention and its long-term effects on the course and prognosis of anorexia nervosa have to be established.
为使神经性厌食症住院患者的体重恢复正常，已成功采用了多种治疗方式，尤其是行为疗法。然而，在情感、认知和心理社会特征以及相关精神病理症状方面的改善相当有限。据推测，行为疗法效果有限可能也归因于行为治疗方案的治疗缺陷。在本项针对16名厌食症住院患者的研究中，对之前在同一科室进行的一项调查中应用过的行为治疗方案进行了修改，结果如下：体重迅速增加，厌食和抑郁症状得到显著改善，治疗时长不到3个月。尽管修改后的治疗方案的短期效果令人鼓舞，但该方案中遇到的治疗困难值得特别关注，其对神经性厌食症病程和预后的长期影响也有待确定。
