Long-term stability of anorexia nervosa treatments: follow-up study of 218 patients.

Psychiatric developments Pub Date : 1989-01-01
K Engel, M Wittern, M Hentze, A E Meyer
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Abstract

We are reporting about the stability of n = 218 female in-patient treatments of Anorexia nervosa carried out at the University Clinic at Hamburg-Eppendorf from 1965 to 1979 mainly by a special program: introductory interview (with the family present), in-patient medical treatment (bed-rest, phenothiazines, tube-feeding), strict regimen and addressing the patients' conflict situation. The average interval between the end of therapy and the follow-up examination was 9.8 years. We were able to collect data about 93 per cent (n = 202) of the former patients concerning their somatic, psychological and psychosocial status. Based on these data we could assess 30 patients (14 per cent of our basic sample) as free of symptoms while 84 patients (39 per cent) presented slight symptoms so that 53 per cent of the former patients could exercise their profession without being considerably handicapped and able to keep up a relationship with a partner. On the other hand, 39 patients (18 per cent) still showed marked symptoms at follow-up and with 19 patients (9 per cent) there were manifestations of severe or extreme symptoms. Thirty former patients (14 per cent) had died with the mortality rate distinctly increasing over the years. Possible interpretations of our results and consequences for therapy are presented.

神经性厌食症治疗的长期稳定性:218例随访研究。
我们报告了1965年至1979年在汉堡-埃彭多夫大学诊所进行的n = 218名女性神经性厌食症住院治疗的稳定性,主要是通过一个特殊的方案:介绍性访谈(有家人在场),住院治疗(卧床休息,吩噻唑类药物,管饲),严格的方案和解决患者的冲突情况。治疗结束至随访检查的平均时间间隔为9.8年。我们能够收集大约93% (n = 202)的前患者关于他们的身体、心理和社会心理状况的数据。根据这些数据,我们可以评估30名患者(占我们基本样本的14%)没有症状,84名患者(39%)有轻微症状,因此,53%的前患者可以在没有严重残疾的情况下行使其职业,并能够与伴侣保持关系。另一方面,39名患者(18%)在随访时仍表现出明显的症状,19名患者(9%)表现出严重或极端症状。30名以前的病人(14%)已经死亡,多年来死亡率明显上升。对我们的结果和治疗结果的可能解释被提出。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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