Subscribe to RSS
DOI: 10.1055/s-0034-1387651
Prävention und Versorgung von Essstörungen: Das Gesundheitsnetz Magersucht und Bulimie
Prevention and Treatment of Eating Disorders: The Health Care Network Anorexia and Bulimia nervosaPublication History
Publication Date:
02 July 2015 (online)
Zusammenfassung
Im „Gesundheitsnetz Magersucht und Bulimie“, einem Teilprojekt von psychenet – Hamburger Netz psychische Gesundheit, wird das Ziel verfolgt, Neuerkrankungen von Essstörungen zu reduzieren und das Risiko für chronische Krankheitsverläufe zu verringern. Im Fokusprojekt „Prävention und Aufklärung“ wurde dazu ein schulisches Präventionsprogramm mithilfe einer randomisierten Studie evaluiert. Im Fokusprojekt „Früherkennung und Frühbehandlung“ wurde die Möglichkeit untersucht, durch eine Public-Health-Intervention die Dauer bis zur Erstbehandlung bei Anorexie zu verkürzen. Der Artikel stellt beide Fokusprojekte sowie erste Ergebnisse vor.
Abstract
The “Health care network anorexia and bulimia nervosa“, a subproject of psychenet – the Hamburg network for mental health – aims to decrease the incidence of eating disorders as well as the risk for chronic illness courses. One focal project, therefore, evaluates a school-based prevention manual in a randomized controlled trial. The other one examines the impact of a systemic public health intervention on early treatment initiation in anorexia nervosa. The present article provides an overview about study design and interventions in both focal projects as well as preliminary results.
-
Literatur
- 1 American Psychiatric Association. The Diagnostic and Statistical Manual of Mental Disorders. Arlington: American Psychiatric Association; 2013
- 2 Jacobi F, Hofler M, Strehle J et al. Mental disorders in the general population: Study on the health of adults in Germany and the additional module mental health (DEGS1-MH). Nervenarzt 2014; 85: 77-87
- 3 Stuhldreher N, Wild B, König HH et al. Determinants of direct and indirect costs in anorexia nervosa. Int J Eat Disord 2015; 48: 139-146
- 4 Lucas AR, Beard CM, O’Fallon WM et al. 50-year trends in the incidence of anorexia nervosa in Rochester, Minn.: a population-based study. Am J Psychiatry 1991; 148: 917-922
- 5 Hilbert A, Pike KM, Goldschmidt AB et al. Risk factors across the eating disorders. Psychiatry Res 2014; 220: 500-506
- 6 Swanson SA, Crow SJ, Le Grange D et al. Prevalence and correlates of eating disorders in adolescents. Results from the national comorbidity survey replication adolescent supplement. Arch Gen Psychiatry 2011; 68: 714-723
- 7 Blinder BJ, Cumella EJ, Sanathara VA. Psychiatric comorbidities of female inpatients with eating disorders. Psychosom Med 2006; 68: 454-462
- 8 Löwe B, Zipfel S, Buchholz C et al. Long-term outcome of anorexia nervosa in a prospective 21-year follow-up study. Psychol Med 2001; 31: 881-890
- 9 Stice E, Shaw H, Marti CN. A meta-analytic review of eating disorder prevention programs: encouraging findings. Annu Rev Clin Psychol 2007; 3: 207-231
- 10 Berger U, Sowa M, Bormann B et al. Primary prevention of eating disorders: characteristics of effective programmes and how to bring them to broader dissemination. Eur Eat Disord Rev 2008; 16: 173-183
- 11 Berger U, Ziegler P, Strauss B. Barbie goes PriMa: formative evaluation of a school-based program for the primary prevention of anorexia nervosa developed for girls up to the age of 12. Z Psychosom Med Psychother 2008; 54: 32-45
- 12 Berger U, Schafer JM, Wick K et al. Effectively Preventing Eating Disorders with the School-Based Programs "PriMa" and "Torera" for Adolescents in the 6th and 7th Grades. Gesundheitswesen DOI: 10.1055/s-0032-1330034.
- 13 Minarik C, Moessner M, Ozer F et al. Implementierung und Dissemination eines internetbasierten Programms zur Prävention und frühen Intervention bei Essstörungen. Psychiat Prax 2013; 40: 332-338
- 14 Zipfel S, Wild B, Gross G et al. Focal psychodynamic therapy, cognitive behaviour therapy, and optimised treatment as usual in outpatients with anorexia nervosa (ANTOP study): randomised controlled trial. Lancet 2014; 383: 127-137
- 15 Hoek HW, van Hoeken D. Review of the prevalence and incidence of eating disorders. Int J Eat Disord 2003; 34: 383-396
- 16 Zipfel S, Löwe B, Reas DL et al. Long-term prognosis in anorexia nervosa: lessons from a 21-year follow-up study. Lancet 2000; 355: 721-722
- 17 Schoemaker C. Does early intervention improve the prognosis in anorexia nervosa? A systematic review of the treatment-outcome literature. Int J Eat Disord 1997; 21: 1-15
- 18 Guarda AS, Pinto AM, Coughlin JW et al. Perceived coercion and change in perceived need for admission in patients hospitalized for eating disorders. Am J Psychiatry 2007; 164: 108-114
- 19 Linville D, Benton A, O’Neil M et al. Medical providers' screening, training and intervention practices for eating disorders. Eat Disord 2010; 18: 110-131
- 20 Waller G, Schmidt U, Treasure J et al. Problems across care pathways in specialist adult eating disorder services. Psychiatr Bull 2009; 33: 26-29
- 21 Herpertz S, Herpertz-Dahlmann B, Fichter M et al., Hrsg. S3-Leitlinie: Diagnostik und Behandlung der Essstörungen. 1.. Aufl. Heidelberg: Springer; 2011
- 22 Härter M, Kentgens M, Brandes A et al. Rationale and content of psychenet – the Hamburg Network for Mental Health. Eur Arch Psychiatry Clin Neurosci 2012; 262: 57-63
- 23 Gumz A, Uhlenbusch N, Weigel A et al. Decreasing the duration of untreated illness for individuals with anorexia nervosa: study protocol of the evaluation of a systemic public health intervention at community level. BMC Psychiatry 2014; 14: 300
- 24 Hilbert A, Buerger A, Hartmann AS et al. Psychometric evaluation of the eating disorder examination adapted for children. Eur Eat Disord Rev 2013; 21: 330-339
- 25 Weigel A, Rossi M, Wendt H et al. Duration of untreated illness and predictors of late treatment initiation in anorexia nervosa. J Public Health 2014; 22: 519-527
- 26 Neubauer K, Weigel A, Daubmann A et al. Paths to first treatment and duration of untreated illness in anorexia nervosa: are there differences according to age of onset?. Eur Eat Disord Rev 2014; 22: 292-298