PMID- 28511240
OWN - NLM
STAT- MEDLINE
DCOM- 20180905
LR  - 20180905
IS  - 1439-1058 (Electronic)
IS  - 0937-2032 (Linking)
VI  - 67
IP  - 9-10
DP  - 2017 Sep
TI  - [Treatment Outcome in Female In-Patients with Anorexia nervosa and Comorbid 
      Personality Disorders Prevalence - Therapy Drop out and Weight Gain].
PG  - 420-430
LID - 10.1055/s-0043-103271 [doi]
AB  - Introduction Personality disorders (PD) are among the most common comorbid 
      disorders in female patients with Anorexia Nervosa (AN). Recent research findings 
      suggest that comorbid PD are associated with a higher treatment drop-out rate and 
      a worse therapeutic outcome. However, no study to date has distinguished between 
      certain age groups concerning these issues. Research questions Therefore, the 
      present study focuses on the prevalence of PD (1), treatment drop-out rates (2) 
      and weight gain (3) in female in-patients with AN. Thereby, we differentiate 
      among three age groups (17-24 years; 25-34 years; 35-65 years). Material & 
      Methods We assessed female in-patients (N=331) with AN at the Helios Clinic in 
      Bad Gronenbach in Germany using the Eating Disorders Inventory-2 and the 
      psychotherapeutic-medical basic documentation at the beginning and at the end of 
      their treatment. Furthermore, we investigated the drop-out rate and weight gain 
      by comparing anorexic patients with and without comorbid PD that were diagnosed 
      by clinicians using ICD-10 criteria. Results In sum, our patients with AN 
      demonstrated a prevalence rate of 34% for one or more comorbid PD. Interestingly, 
      patients between 17-24 years showed a lower prevalence rate of 22% compared to 
      those between 25-34 years (42%) and 35-65 years (41%). Furthermore, younger age 
      and comorbid PD seemed to be significant predictors for treatment dropout. One of 
      the most striking results was that younger patients (17-24) without a comorbid PD 
      had the highest weight gain during treatment. This could not be observed in 
      patients with a comorbid PD, who demonstrated the highest weight gain between 25 
      and 34 years of age. Conclusion Our findings support the hypothesis that comorbid 
      PD are related to a worse outcome in patients with eating disorders. Future 
      studies might do well in assessing dimensional scores of personality disorders 
      and other relevant aspects like for example the amount of social support to draw 
      further conclusions on these associations. Our results emphasize the need for 
      more disorder-specific interventions tailoring at patients with AN and comorbid 
      PD to improve treatment outcome.
CI  - (c) Georg Thieme Verlag KG Stuttgart . New York.
FAU - Link, Timo Maximilian
AU  - Link TM
AD  - Institut fur Psychologie, Universitat Innsbruck, Osterreich.
FAU - Beermann, Ursula
AU  - Beermann U
AD  - Institut fur Psychologie, Universitat Innsbruck, Osterreich.
FAU - Mestel, Robert
AU  - Mestel R
AD  - HELIOS Klinik in Bad Gronenbach, Berlin.
FAU - Gander, Manuela
AU  - Gander M
AD  - Abteilung fur Kinder- und Jugendpsychiatrie, Medizinische Universitat Innsbruck, 
      Osterreich.
AD  - Institut fur Psychologie, Universitat Innsbruck, Osterreich.
LA  - ger
PT  - Journal Article
TT  - Stationarer Therapieerfolg bei Patientinnen mit Anorexia Nervosa und komorbiden 
      Personlichkeitsstorungen.
DEP - 20170516
PL  - Germany
TA  - Psychother Psychosom Med Psychol
JT  - Psychotherapie, Psychosomatik, medizinische Psychologie
JID - 8002823
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Age Factors
MH  - Aged
MH  - Anorexia Nervosa/epidemiology/*psychology/*therapy
MH  - Female
MH  - Humans
MH  - Inpatients
MH  - Middle Aged
MH  - Patient Dropouts/psychology/statistics & numerical data
MH  - Personality Disorders/epidemiology/*psychology/*therapy
MH  - Prevalence
MH  - Treatment Outcome
MH  - Weight Gain
MH  - Young Adult
COIS- Interessenkonflikt: Die Autoren geben an, dass kein Interessenkonflikt besteht.
EDAT- 2017/05/17 06:00
MHDA- 2018/09/06 06:00
CRDT- 2017/05/17 06:00
PHST- 2017/05/17 06:00 [pubmed]
PHST- 2018/09/06 06:00 [medline]
PHST- 2017/05/17 06:00 [entrez]
AID - 10.1055/s-0043-103271 [doi]
PST - ppublish
SO  - Psychother Psychosom Med Psychol. 2017 Sep;67(9-10):420-430. doi: 
      10.1055/s-0043-103271. Epub 2017 May 16.