Long-Term Effectiveness of Inpatient and Day-Hospital Treatment of Eating Disorders in Departments of Psychosomatic Medicine and Psychotherapy in Germany.
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Pape Magdalena, Herpertz Stephan, Doering Stephan, Kessler Henrik, de Zwaan Martina, Zeeck Almut, Hartmann Armin, Hofmann Tobias, Rose Matthias, Imbierowicz Katrin, Geiser Franziska, Croy Ilona, Weidner Kerstin, Rademacher Jörg, Michalek Silke, Morawa Eva, Erim Yesim, Skoda Eva-Maria, Teufel Martin, Heinzmann Stanislav, Lahmann Claas, Peters Eva Milena Johanne, Kruse Johannes, von Boetticher Dirk, Herrmann-Lingen Christoph, Nöhre Mariel, Dinger Ulrike, Friederich Hans-Christoph, Niecke Alexander, Albus Christian, Zwerenz Rüdiger, Beutel Manfred, Roenneberg Casper, Henningsen Peter, Stein Barbara, Waller Christiane, Hake Karsten, Spitzer Carsten, Stengel Andreas, Zipfel Stephan, Weimer Katja, Gündel Harald, Kehyayan Aram
Аннотация
METHOD: Data were retrieved from a naturalistic multi-center effectiveness study of inpatient and day-hospital treatment in departments of psychosomatic medicine and psychotherapy in Germany (MEPP). N = 151 patients with Anorexia Nervosa (AN) and atypical AN, as well as n = 120 patients with Bulimia Nervosa (BN) and atypical BN were included. Eating disorder pathology (EDE-Q) and BMI were assessed on admission, at discharge, and 1 year after discharge. Changes over time were analysed in both outcomes. Treatment success was assessed individually using reliable change (RC) indices. Regression analyses were used to identify predictors of RC.
RESULTS: EDE-Q scores decreased in both patient groups. One year after discharge, RC was estimated in 33.8% of patients with AN and 43.3% of patients with BN. 24.2% of patients with AN and 54.3% with BN showed partial remission.
DISCUSSION: Results from this multi-center effectiveness study are comparable to those of former national and European studies. Based on the results of individual treatment success, recommendations for inpatient/day-hospital treatment can be derived.
TRIAL REGISTRATION: The study was registered at the German Clinical Trials Register (www.drks.de; ID: DRKS00016412).