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Vol. 78, No. 3, 2009
Issue release date: April 2009
Section title: Regular Article
Psychother Psychosom 2009;78:152–160
(DOI:10.1159/000206869)

Inpatient versus Day Clinic Treatment for Bulimia Nervosa: A Randomized Trial

Zeeck A. · Weber S. · Sandholz A. · Wetzler-Burmeister E. · Wirsching M. · Hartmann A.
Department of Psychosomatic Medicine and Psychotherapy, University of Freiburg, Freiburg, Germany

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Article / Publication Details

First-Page Preview
Abstract of Regular Article

Received: 4/14/2008
Accepted: 4/18/2008
Published online: 3/9/2009

Number of Print Pages: 9
Number of Figures: 1
Number of Tables: 3

ISSN: 0033-3190 (Print)
eISSN: 1423-0348 (Online)

For additional information: http://www.karger.com/PPS

Abstract

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.


Article / Publication Details

First-Page Preview
Abstract of Regular Article

Received: 4/14/2008
Accepted: 4/18/2008
Published online: 3/9/2009

Number of Print Pages: 9
Number of Figures: 1
Number of Tables: 3

ISSN: 0033-3190 (Print)
eISSN: 1423-0348 (Online)

For additional information: http://www.karger.com/PPS


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Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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