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Day clinic or inpatient care for severe bulimia nervosa?
Author(s) -
Zeeck Almut,
Herzog Thomas,
Hartmann Armin
Publication year - 2003
Publication title -
european eating disorders review
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.511
H-Index - 67
eISSN - 1099-0968
pISSN - 1072-4133
DOI - 10.1002/erv.535
Subject(s) - partial hospitalization , medicine , bulimia nervosa , eating disorders , context (archaeology) , pediatrics , inpatient care , anorexia nervosa , complete remission , psychodynamics , psychiatry , psychology , mental health , health care , psychotherapist , chemotherapy , paleontology , economics , biology , economic growth
Objective: Treating severe eating disorders in a day treatment programme has advantages, but also limitations compared with inpatient settings. A day clinic can provide intense, specialized psychotherapy while patients stay in their social context. Method: The integrated treatment programme of the day clinic in Freiburg, which has a psychodynamic background, will be presented. In an exploratory study a group of consecutively treated bulimic patients ( N = 18) was matched with an inpatient sample ( N = 18) and examined concerning short‐term course. Symptomatology was evaluated again in a 1.5‐year follow‐up. Results: At discharge, 27.8 per cent of the day clinic patients and 33.3 per cent of the inpatients showed complete remission and 22.2 vs. 38.9 per cent partial remission—50 vs. 27.8 per cent still fulfilled DSM‐IV criteria for the last 4 weeks of treatment. At follow‐up, 50 per cent of the day clinic patients showed complete remission, 28.6 per cent partial remission and 21.4 per cent were still fully symptomatic. Copyright © 2003 John Wiley & Sons, Ltd and Eating Disorders Association.