Inpatient versus Day Clinic Treatment for Bulimia Nervosa: A Randomized TrialZeeck A. · Weber S. · Sandholz A. · Wetzler-Burmeister E. · Wirsching M. · Hartmann A.
Department of Psychosomatic Medicine and Psychotherapy, University of Freiburg, Freiburg, Germany
Background: In bulimia nervosa, more intense treatments are recommended if outpatient treatment fails. This is the first randomized controlled trial comparing the options of inpatient versus day clinic treatment. Method: Patients with severe bulimia nervosa were randomly assigned to inpatient or day clinic treatment of similar length and intensity. Specific and general psychopathology was assessed at the end of treatment and a 3-month follow-up. Results: Fifty-five patients were randomized; 22 day clinic patients and 21 inpatients started the program. At the end of treatment, a significant reduction of general and specific pathology was found in both settings. Following discharge, there was more deterioration in bulimic symptoms after inpatient treatment, but overall, results were comparable. Conclusions: Inpatient and day clinic programs are effective treatments for severely disturbed bulimic patients with similar results at the 3-month follow-up. Further follow-up will show if a higher instability of results after inpatient treatment is of importance in the long term.
© 2009 S. Karger AG, Basel
Received: August 20, 2007
Accepted after revision: April 18, 2008
Published online: March 9, 2009
Number of Print Pages : 9
Number of Figures : 1, Number of Tables : 3, Number of References : 33
Psychotherapy and Psychosomatics
Vol. 78, No. 3, Year 2009 (Cover Date: April 2009)
Journal Editor: Fava G.A. (Bologna)
ISSN: 0033-3190 (Print), eISSN: 1423-0348 (Online)
For additional information: http://www.karger.com/PPS