摂食障害の治療様式と予後予測因子

概要

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Prognostic indicators and administered forms of therapy were identified statistically in 46 patients with the DSM-IV diagnosis of eating disorders who were treated by the authors themselves. Poor prognostic factors included firstly the existence of personality disorders, a minimum weight lower than 30 kg, and secondly depressive episodes. On the average, more than 3 forms of therapy were administered to each patient in our clinic. Cognitive-behavioral therapy was highly effective in general. There was no difference in efficacy between strict cognitive-behavioral therapy and lenient cognitive-behavioral therapy. Supportive or analytical psychotherapy was very useful in the treatment of binge-eating/purging type of anorexia nervosa, and cognitive therapy was useful in the treatment of bulimia nervosa. The patients with full recovery received more numerous forms of therapy proven to be effective. It is important that combined modalities of treatment be offered in accordance with individual needs.
三重大学の論文