Jäger B, Liedtke R, Künsebeck H W, Lempa W, Kersting A, Seide L
Department of Psychosomatics and Psychotherapy, Hannover Medical School, Germany.
Acta Psychiatr Scand. 1996 Apr;93(4):268-78. doi: 10.1111/j.1600-0447.1996.tb10647.x.
Analytic in-patient therapy (n = 32) and systemic out-patient therapy (n = 39) were applied to patients with bulimia nervosa, and the effects were evaluated 14, 26 and 38 months after the start of the treatments. Our assumptions about the general efficacy of both conflict-orientated techniques were confirmed: both therapies satisfactorily reduced the symptomatic behaviour, as well as secondary factors related to bulimia nervosa, in the long term. However, we could not identify differential effects of the two treatment regimes, which we had expected with regard to the very different therapeutic approaches. The similarities of outcome of both therapies predominate, with slightly better results in the case of the analytic in-patient treatment. The results are discussed with regard to the assumption that specific healing factors are involved in conflict-orientated treatments in addition to the "common factors' of psychotherapy.
对神经性贪食症患者采用了分析性住院治疗（n = 32）和系统性门诊治疗（n = 39），并在治疗开始后的14、26和38个月对疗效进行了评估。我们关于两种以冲突为导向的技术的总体疗效的假设得到了证实：从长期来看，两种治疗方法都令人满意地减少了症状行为以及与神经性贪食症相关的次要因素。然而，我们未能确定两种治疗方案的差异效果，而我们原本预期由于治疗方法差异很大会存在这种差异效果。两种治疗方法的结果相似性占主导，分析性住院治疗的结果略好一些。针对除心理治疗的“共同因素”之外，特定治愈因素参与以冲突为导向的治疗这一假设，对结果进行了讨论。
