|Beitragstitel||Comparison of the Treatment Outcome in Patients with an Eating disorder with patients with a Psychosomatic Disorder|
Patients with severe depressive, anxiety, eating, somatoform, personality and trauma related disorders improve during a multidisciplinary psychotherapeutic treatment. We explored whether the treatment outcome was affected by the presence of an eating disorder.
From 6/2006 until 8/2016 928 patients were treated as in-patients and/or in the day clinic of the Department of Psychosomatic and Psychotherapeutic Medicine. 39.7% suffered from a depressive disorder, 9.6% from anxiety disorders, 24% from eating disorders, 5.4% from somatoform disorders, 5.4% from personality disorders and 7 % from disorders related to trauma.
All patients were assessed at the beginning and at the end of treatment with the SF36, BSCL, HADS, and (for patients with eating disorders only) EDI-2.
The improvement of the mental component of QOL ( p< 0.0001), depressive symptoms ( p< 0.0001), anxiety (p< = 0.0001), distress (p< 0.0001) and somatization ( p< 0.0001) was equal in the two groups and was predicted by the value at the beginning but was not affected by the presence of an eating disorder. However, the presence of an eating disorder affected stat. sig. the physical component of QOL ( p< 0.0001).
The improvement in QOL, distress, depressive symptoms, anxiety and somatization is comparable in patient with psychosomatic disorders and patients with eating disorders. Only the physical component of QOL is differentially affected by the presence of an eating disorder.