Contingency Contracts for Weight Gain of Patients with Anorexia Nervosa in Inpatient Therapy: Practice Styles of Specialized Centers

被引：4

作者：

Ziser, Katrin ^{[1
]}

Giel, Katrin E. ^{[1
]}

Resmark, Gaby ^{[1
]}

Nikendei, Christoph ^{[2
]}

Friederich, Hans-Christoph ^{[3
]}

Herpertz, Stephan ^{[4
]}

Rose, Matthias ^{[5
]}

de Zwaan, Martina ^{[6
]}

von Wietersheim, Joern ^{[7
]}

Zeeck, Almut ^{[8
]}

Dinkel, Andreas ^{[9
]}

Burgmer, Markus ^{[10
]}

Loewe, Bernd ^{[11
]}

Sprute, Carina ^{[12
]}

Zipfel, Stephan ^{[1
]}

Junne, Florian ^{[1
]}

机构：

[1] Med Univ Hosp Tuebingen, Dept Psychosomat Med & Psychotherapy, Osianderstr 5, D-72076 Tubingen, Baden Wuerttemb, Germany

[2] Heidelberg Univ Hosp, Dept Gen Internal & Psychosomat Med, Neuenheimer Feld 410, D-69120 Heidelberg, Baden Wuerttemb, Germany

[3] Univ Hosp Duesseldorf, Clin Inst Psychosomat Med & Psychotherapy, Moorenstr 5, D-40225 Dusseldorf, Nordrhein Westf, Germany

[4] Ruhr Univ Bochum, LWL Univ Hosp, Dept Psychosomat Med & Psychotherapy, Alexandrinenstr 1-3, D-44791 Bochum, Nordrhein Westf, Germany

[5] Charite, Div Psychosomat Med, Hindenburgdamm 30, D-12200 Berlin, Germany

[6] Hannover Med Sch, Dept Psychosomat Med & Psychotherapy, Carl Neuberg Str 1, D-30625 Hannover, Niedersachsen, Germany

[7] Univ Hosp Ulm, Dept Psychosomat Med & Psychotherapy, Albert Einstein Allee 23, D-89081 Ulm, Baden Wuerttemb, Germany

[8] Univ Hosp Freiburg, Dept Psychosomat Med & Psychotherapy, Hauptstr 8, D-79104 Freiburg, Baden Wuerttemb, Germany

[9] Tech Univ Munich, Klinikum Rechts Isar, Dept Psychosomat Med & Psychotherapy, Langerstr 3, D-81675 Munich, Bayern, Germany

[10] Univ Hosp Muenster, Dept Psychosomat Med & Psychotherapy, Domagkstr 22, D-48149 Munster, Nordrhein Westf, Germany

[11] Univ Hosp Hamburg Eppendorf, Inst & Outpatient Clin Psychosomat Med & Psychoth, Martinistr 52, D-20246 Hamburg, Germany

[12] Univ Duisburg Essen, LVR Univ Hosp, Dept Psychosomat Med & Psychotherapy, Virchowstr 174, D-45147 Essen, Nordrhein Westf, Germany

来源：

JOURNAL OF CLINICAL MEDICINE | 2018年 / 7卷 / 08期

关键词：

Anorexia nervosa; treatment contracts; weight gain; inpatient treatment; survey; EATING-DISORDERS; EXPERIENCE;

D O I：

10.3390/jcm7080215

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The treatment of patients with anorexia nervosa (AN) is often challenging, due to a high degree of ambivalence towards recovery and weight gain these patients often express. One part of the multimodal treatment is the utilization of treatment contracts (i.e., contingency contracts) that aim to motivate patients to gain weight by applying positive and negative consequences for the (non-)achievement of weight goals. The main aim of this study is to assess and analyze current standards of contingency contracts' utilization in German eating disorder centers. n = 76 mental health professionals of twelve specialized university centers in Germany that are currently or were formerly treating patients with AN in an inpatient setting participated. Most experts use contingency contracts in their clinic with weekly weight goals ranging between 500 and 700 g. Overall effectiveness and significance of contingency contracts for the inpatient treatment of patients with AN was rated high. Typical characteristics of a contingency contract in specialized German university hospital centers, such as the most frequent consequences, are described. The survey results assist the planning of further studies aiming to improve the multimodal treatment of patients with AN. For clinical practice, using external motivators such as contingency contracts as well as targeting internal motivation (e.g., by using motivational interviewing) is proposed.

引用

页数：11