The inpatient treatment of patients with anorexia nervosa in German clinics

被引：9

作者：

Foecker, Manuel ^{[1
]}

Heidemann-Eggert, Elke ^{[1
]}

Antony, Gisela ^{[2
]}

Becker, Katja ^{[3
,4
]}

Egberts, Karin ^{[5
]}

Ehrlich, Stefan ^{[6
]}

Fleischhaker, Christian ^{[7
]}

Hahn, Freia ^{[8
]}

Jaite, Charlotte ^{[9
]}

Kaess, Michael ^{[10
,11
]}

Schulze, Ulrike M. E. ^{[12
]}

Sinzig, Judith ^{[13
]}

Wagner, Catharina ^{[14
]}

Legenbauer, Tanja ^{[15
]}

Renner, Tobias ^{[16
]}

Wessing, Ida ^{[17
]}

Herpertz-Dahlmann, Beate ^{[18
]}

Hebebrand, Johannes ^{[1
]}

Buehren, Katharina ^{[18
]}

机构：

[1] Kliniken & Inst Univ Duisburg Essen, LVR Klinikum Essen, Klin Psychiat Psychosomat & Psychotherapie Kindes, Wickenburgstr 21, D-45147 Essen, Germany

[2] Univ Marburg, Marburg, Germany

[3] Philipps Univ, Klin Kinder & Jugendpsychiat Psychosomat & Psycho, Marburg, Germany

[4] Univ Klinikum Marburg, Marburg, Germany

[5] Univ Klinikum Wurzburg, Klin Poliklin Kinder & Jugendpsychiat Psychosomat, Wurzburg, Germany

[6] Tech Univ Dresden, Dept Child & Adolescent Psychiat, Eating Disorders Res & Treatment Ctr, Fac Med, Dresden, Germany

[7] Univ Med Ctr Freiburg, Dept Child & Adolescent Psychiat & Psychotherapy, Freiburg, Germany

[8] LVR Klin Viersen, Abt Kinder & Jugendpsychiat Psychosomat & Psychot, Viersen, Germany

[9] Charite, Klin Psychiat Psychosomat & Psychotherapie Kindes, Berlin, Germany

[10] Univ Klinikum Heidelberg, Zentrum Psychosoziale Med, Klin Kinder & Jugendpsychiat, Heidelberg, Germany

[11] Univ Bern, Univ Klin Kinder & Jugendpsychiat & Psychotherapi, Bern, Switzerland

[12] Univ Klinikum Ulm, Klin Kinder & Jugendpsychiat & Jugendpsychiat Psy, Ulm, Germany

[13] LVR Klin Bonn, Abt Kinder & Jugendpsychiat Psychosomat & Psychot, Bonn, Germany

[14] Univ Klinikum Saarlandes, Klin Kinder & Jugendpsychiat Psychosomat & Psycho, Homburg, Germany

[15] Ruhr Univ Bochum, Klin Kinder & Jugendpsychiat Psychotherapie & Psy, LWL Univ Klin Hamm, Hamm, Germany

[16] Univ Klinikum Tubingen, Abt Psychiat & Psychotherapie Kindes & Jugendalte, Tubingen, Germany

[17] Univ Klinikum Munster, Klin Kinder & Jugendpsychiat Psychosomat & Psycho, Munster, Germany

[18] Rhein Westfal TH Aachen, Klin Psychiat Psychosomat & Psychotherapie Kindes, Aachen, Germany

来源：

ZEITSCHRIFT FUR KINDER-UND JUGENDPSYCHIATRIE UND PSYCHOTHERAPIE | 2017年 / 45卷 / 05期

关键词：

anorexia nervosa; child and adolescent psychiatry; inpatient service structure; diagnostics; therapy; EATING-DISORDERS; ADOLESCENTS; THERAPY; TRIAL; PERSPECTIVE; MANAGEMENT; MORTALITY; CHILDREN;

D O I：

10.1024/1422-4917/a000545

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Objective: 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. Methods: 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. Results: 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. Conclusions: 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.

引用

页码：381 / 390

页数：10

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