Detail Treating Bulimia Nervosa With A Stratified-Care Approach   Oleh:  Golan, Moria ; Heyman, Noa ; Enten, Roni Jenis: Article from Article Dalam koleksi: ICAN: Infant, Child, & Adolescent Nutrition vol. 1 no. 1 (Feb. 2009), page 45-53. Topik: bulimia nervosa; eating disorder; treatment Fulltext: 45.pdf (333.43KB) Isi artikel This study examines the long-term outcome of a stratified-care regimen for patients with bulimia nervosa. Each patient admitted to the program is stratified by severity of illness, comorbidity, and level of functioning in the community and offered a personalized program from 2 to 16 hours per week. Of 398 candidates for treatment in the community-based eating disorder treatment facilities, 257 were admitted and 141 were interviewed and served as controls. Symptoms and global outcome were assessed using the 17-item Outcome Scale devised by Eckert et al. Of the admitted patients, 24% dropped out after less than 2 months, 91% of those treated for at least 2 months achieved improvement of symptoms and general functioning, 62% were fully recovered, 22% were nearly recovered, 7% were symptomatic but less than at baseline, and 9% experienced no remission. At the 5-year follow-up from termination, 77% of treated patients were fully recovered, 3% were nearly recovered, 16% felt remission but still were symptomatic, and 4% were in poor condition. The above services address the needs of patients based on course of illness and level of functioning, allowing them to stay in the community and avoid hospitalization while discouraging enrollment in unsuccessful therapy and minimalist programs. Opini Anda Klik untuk menuliskan opini Anda tentang koleksi ini! Kembali

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