Detemining factors for target weights in an anorexia nervosa inpatient program for adolescents and young adults: Study on the links between theory-based hypotheses and the realities of clinical practice
Detemining factors for target weights in an anorexia nervosa inpatient program for adolescents and young adults: Study on the links between theory-based hypotheses and the realities of clinical practice
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DOI：
10.1007/bf03325114
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发表时间：
2009-12-01
影响因子：
2.9
通讯作者：
Jeammet, P.
中科院分区：
文献类型：
--
作者：
Godart, N.;Wallier, J.;Jeammet, P.
目的是研究在指导青少年神经性厌食症（AN）住院患者体重增加的临床治疗合同中，目标体重的确定是否基于明确预定义的客观临床要素。方法：治疗精神科医生完成了139名青少年住院患者的患者信息问卷。这些问卷包括与临床团队假设在体重合同确定中起决定性作用的因素相关的信息。比较统计程序评估这些因素是否在临床实践中实际上是决定性的。研究结果：构成我们的治疗合同的两个体重目标（分离结束体重和最终出院体重）与测试的临床变量显著相关：分离结束体重由理论分离结束体重、合同范围和患者及其父母的期望解释，最终出院体重由AN前患者体重指数和患者及其父母的期望解释。结论：治疗合同基于客观标准，并由我们的团队根据其理论设计实施。因此，有可能以明确和可靠的方式确定目标权重。（饮食失调。14：076-083，2009）。(C)2009年，Editrice Kurtis
The aim is to study if the determination of target weights in a clinical therapeutic contract which guides weight gain for adolescent inpatients with anorexia nervosa (AN) is based on clearly pre-defined, objective clinical elements. METHOD: Treating psychiatrists completed patient information questionnaires for 139 anorexic adolescent inpatients. These questionnaires included information related to factors that the clinical team had hypothesized to be decisive in weight contract determination. Comparative statistical procedures evaluated whether these factors were in fact decisive in clinical practice. RESULTS: The two weight objectives comprising our therapeutic contract (separation end weight and final discharge weight) were significantly related to the clinical variables tested: separation end weight was explained by the theoretical separation end weight, the range of contract, and the desires of the patient and her parents, final discharge weight was explained by patient body mass index before AN and by the desires of the patient and her parents. CONCLUSION: The therapeutic contract is based on objective criteria and implemented by our team in accordance with its theoretical design. It is therefore possible to establish goal weights in a defined and reliable manner. (Eating Weight Disord. 14: 076-083, 2009). (C) 2009, Editrice Kurtis