Background: This study assessed the movement behaviour of patients with eating disorders and inflammatory bowel disease. Methods: Ninety female patients with anorexia nervosa (n = 30), bulimia nervosa (n = 30), inflammatory bowel disease (n = 30) and a healthy control group (n = 30) were videotaped during a 10-min standardised movement sequence. A movement analysis instrument was developed for the evaluation. Results: The patient groups had a significantly smaller area of movement, less weight shift, more isolated use of their body parts, less integration of the lower body, more peripheral initiation of movement, less strength. No significant differences could be found among the patient groups with eating disorders and inflammatory bowel disease. Conclusions: The findings are discussed in relation to body scheme disturbances and inhibition of nonverbal expression.

During the past few years, several psychosomatic day clinics have been established. The goal of this paper was to research the programs these day hospitals offer, their general set-up, as well as their indication criteria. We surveyed 18 day clinics, which we had identified via internet. Most of the day clinics have the capability to treat between ten and twenty patients and work mainly with group concepts. Mean treatment duration ranges from 7 to 12 weeks. Although having patients with different diagnoses, most day clinics treat them together, while some day clinics concentrate on special diagnoses (eating disorders, anxiety disorders, personality disorders). Overall, the day clinics' main diagnoses, therapeutic programs, and treatment durations are comparable with those of in-patient hospitals in Germany. It appears that day clinic treatment is especially appropriate for patients who have difficulties in incorporating their experiences from an (in-house) therapy into the real world, as well as patients who have to care for family members (e. g. children) while in treatment. An enquiry to the federal states of Germany showed that, in the area of psychotherapeutic medicine, there are 324 day clinic places as well as 2,639 beds for acute inpatient treatment available. Six federal states, however, do not allocate beds for psychotherapeutic medicine in particular, but assign them to the area of psychiatry.

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The ambivalence of the anorexia nervosa patients shows up mostly on the RMI, which also displays the highest correlations to the clinical data and to the EDI-2 data.

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