The sustainability of treatment effects is a major challenge in clinical practice. As in most other mental disorders, patients with eating disorders frequently expedence relapses following treatment termination. This calls for feasible maintenance strategies that can be implemented in clinical routine at reasonable cost and effort for both treatment providers and patients. This article introduces an Intemet-based intervention for maintenance support of patients with bulimia nervosa (BN) and related eating disorders not otherwise specified (EDNOS). The program compdses several online components for psychoeducation, self-help, peer support, and professional counseling. In the present pilot study, 22 women had access to the program for 4 months. The intervention proved feasible and well accepted, and participants' satisfaction with the program was high. Adherence to the vadous program components was overall acceptable. Patterns of utilization support the assumption that patients with eating disorders have heterogeneous needs for support following treatment termination. The study confirms the potential of flexible and individually tailored Intemet-based interventions for the optimization of care for these patients.

The Internet-based support program was feasible and well accepted but did not prove efficacious in a heterogeneous sample of patients following routine care.

BackgroundNo former investigation has been performed related to the linguistic characteristics of patients with eating disorders using online synchronous communication mediums like chats.ObjectiveThe purpose of this study was to investigate the linguistic predictors of improvement in eating disorder-related attitudes, behaviours and emotional distress of patients with eating disorders.MethodsThirty-nine women, who had received treatment for bulimia nervosa or related eating disorders not otherwise specified, utilized the moderated therapeutic group chats of an Internet-based program for 4 months. The main themes of 134 session transcripts were created using a general inductive approach. The frequency of dictionary words in the text corpus was processed by the NooJ linguistic software. Eating Disorder Examination Questionnaire and Depression Anxiety Stress Scale were administered at the beginning and at the end of 4 months. No valid questionnaire data could be obtained from 11 participants, so the statistical analyses were performed in a sample of 28 subjects.ResultsAccording to the results of multiple linear regression analyses, higher ratio of words related to “family of origin” was associated with improvements in eating disorder-related attitudes, emotional distress, and reduction in the frequency of binge eating episodes (β = 0.73, p < 0.001; β = 0.67, p = 0.002; β = 0.53, p = 0.039, respectively).DiscussionThe expression of “family of origin” words following treatment termination was a linguistic predictor of improvement during group chat communication of patients with bulimic symptomatology. The results show the importance of family issues in enhancing the treatment outcome and provide preliminary evidence to address this topic during online chat moderation.

A korábban jellegzetesen nõi betegségként emlegetett anorexia nervosa egyre gyakrabban fordul elõ férfiak között is. A tanulmány áttekinti a Peter Pan-szindrómának is nevezett férfi anorexia jellemzõit. Közöttük az egyik fontos sajátosság a posztadoleszcencia jelensé-ge. Magyarországon eddig két közlemény jelent meg, amely anorexiás férfiak pszichoterá-piás folyamatát ismertette. A jelen tanulmány egy mozaikcsaládban élõ, 19 éves anorexiás férfibeteg tíz ülésbõl álló családterápiás folyamatát ismerteti. Három hónapos utánkövetés tünetmentességet igazolt. A terápiás eredmény elérésében a családi hierarchiaviszonyok újrarendezõdése fontos szerepet játszott. A sikeres terápia arra hívja fel a figyelmet, hogy az anorexiában a családterápia fontos szerepet játszik, ezt nemzetközi adatok is megerõsí-tik. Ma egyre fontosabbá válik a posztadoleszcencia szerepe a családi diszfunkciók között. Ennek kezelése, a szeparáció-individuáció folyamatának erõsítése a terápia lényeges cél-kitûzései közé tartozik.

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