Linked Life Data

8850095

Source:http://linkedlifedata.com/resource/pubmed/id/8850095

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
1996-12-17
pubmed:abstractText
Inpatient treatment programs for severely anorectic patients often combine or integrate psychodynamic approaches with an explicit focus on symptoms. There is a dearth of studies evaluating treatments, let alone in a controlled way. In a quasi-experimental design we compare the normalization of body weight in the 20 consecutive admission episodes before ("PD") and the 20 episodes after ("PD & SY") introduction and integration of explicit symptom orientation derived from the St. Georges model (Crisp 1980) on a psychoanalytically oriented psychosomatic ward. All patients fulfill ICD-10 criteria for either restrictive (F50.00) or bulimic (F50.01) anorexia nervosa. In addition to AN(C)OVAS growth curve modelling and multi state analysis, a variant of survival analysis, are used to model the shape and temporal course of treatment responses. Clinical features at admission and total duration of treatment and drop-out rates are comparable. The PD & SY group reaches target weight significantly more frequently (14 vs. 5 episodes, p = 0.023) and with a much higher total probability (0.70 vs. 0.25 in the PD group, Cox regression p = 0.002). After a phase of adaptation the treatment team feels relieved by the more systematically structured approach and is now able to treat a far larger number of patients. It does not seem justifiable anymore to withhold anorectic patients explicitely symptom-oriented treatment components. These and other conclusions for clinical practice and research are discussed.
pubmed:commentsCorrections
pubmed:language
ger
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Jan
pubmed:issn
0937-2032
pubmed:author
pubmed:issnType
Print
pubmed:volume
46
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
11-22
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:year
1996
pubmed:articleTitle
[Total symptom-oriented and psychodynamic concept in inpatient treatment of anorexia nervosa. A quasi-experimental comparative study of 40 admission episodes].
pubmed:affiliation
Abteilung Psychotherapie und Psychosomatische Medizin Albert-Ludwigs-Universität Freiburg.
pubmed:publicationType
Journal Article, Comparative Study, English Abstract