1. Οι έρευνες για τα I.C.P δείχνουν σημαντικά θεραπευτικά αποτελέσματα,τόσο στο επίπεδο του συμπτώματος όσο και στο επίπεδο του βάρους (Gerlinghoff,Backmund,&Franzen, 1998; Piran et al., 1989); τα οποία συχνά υπερτερούν των αντίστοιχων της Ι.T (Zipfel et al., 2002)
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4. It has been recommended that anorexic patients of very low body weight may benefit from a more intensive programme such as in-patient treatment (Baran, Weltzin, & Kaye, 1995; Hebebrand et al.,1997; Zipfel, Lowe, Reas, Deter, & Herzog, 2000). BMI of below 15 would lead to poorer outcomes in day therapy.
7. ΒΑΣΙΚΗ ΠΡΟΥΠΟΘΕΣΗ ΤΟ ΑΙΤΗΜΑ ΓΙΑ ΑΛΛΑΓΗ. ΤΕΛΙΚΟ ΣΤΑΔΙΟ ΤΗΣ ΦΑΣΗΣ ΤΗΣ ΠΕΡΙΣΚΕΨΗΣ Η ΤΟΥ ΣΧΕΔΙΑΣΜΟΥ . ΠΡΟΣΟΧΗ ΣΤΟΥΣ ΧΡΟΝΙΟΥΣ ΑΣΘΕΝΕΙΣ ΚΑΙ ΤΟΥΣ ΑΣΘΕΝΕΙΣ ΜΕ ΔΙΑΤΑΡΑΧΗ ΠΡΟΣΩΠΙΚΟΤΗΤΑΣ ΓΙΑΤΙ Η ΣΥΓΚΡΙΣΗ (ΜΕ ΜΙΚΡΟΤΕΡΗΣ ΗΛΙΚΙΑΣ ΚΑΙ ΠΙΟ ΔΕΚΤΙΚΑ ΣΤΗΝ ΑΛΛΑΓΗ ΠΕΡΙΣΤΑΤΙΚΑ) ΕΠΙΤΕΙΝΕΙ ΤΗΝ ΚΟΙΝΩΝΙΚΗ ΤΟΥΣ ΑΠΟΜΟΝΩΣΗ ΚΑΙ ΤΗΝ ΑΙΣΘΗΣΗ ΤΗΣ ΕΛΛΕΙΨΗΣ ΕΛΠΙΔΑΣ . ΟΙ ΧΡΟΝΙΟΙ ΚΑΙ ΟΙ ΑΣΘΕΝΕΙΣ ΜΕ Δ.Π ΔΗΜΙΟΥΡΓΟΥΝ ΠΡΟΒΛΗΜΑΤΑ ΣΤΗΝ ΠΡΟΟΔΟ ΤΗΣ ΟΜΑΔΑΣ ΚΑΙ ΤΙΣ ΣΧΕΣΕΙΣ ΜΕ ΤΟΥΣ ΘΕΡΑΠΕΥΤΕΣ.
8. ΑΝΤΙΣΤΑΣΗ ΣΤΗΝ ΑΛΛΑΓΗ Αν η θεραπευτική παρέμβαση δεν αντιστοιχεί στην φάση του κύκλου της αλλαγής.
12. individual goals are discussed that are incorporated into a written treatment agreement. A Dutch day treatment program for Anorexia and Bulimia Nervosa
13. Goals of treatment (1) the normalization of weigh t. When underweight, grow toward a BMI of 19 or 20, depending on age. When bulimic,stabilization of weight within normal parameters (BMI between 19/20 and 25); (2) the normalization of disturbed eating behaviours , including the complete cessation of bingeing-purging and other compensatory behaviours aimed at weight control, such as the use of laxatives and excessive movement; (3) the reduction of the over-evaluation of eating, body shape and weight as part of the self-concept; (4 ) the identification of and intervention with other , more general factors that cause and maintain the eating disorder. Before entering the program the patient discusses individual goals. Every six weeks the patient evaluates progress and sets new sub-goals.
14. Exclusion criteria for admission Admission requirements include meeting the criteria for anorexia nervosa (AN), bulimia nervosa (BN) or eating disorder not otherwise specified (EDNOS) resembling AN or BN (DSM-IV; American Psychiatric Association, 1994). The severity of the eating disorder has to be such that it interferes with important aspects of life and/or developmental tasks (e.g.engaging in work and relationships). Additionally, patients must have some c apacity to relate in a group setting and show motivation to engage in an intensive treatment program that is directed toward changing detrimental eating patterns and developing healthy coping strategies. In terms of the transtheoretical model of change, they have to be in a late contemplative- or preparation stage of change (Prochaska & DiClemente, 1982; Treasure & Schmidt, 2001). The interviewer evaluates in global terms whether or not this is the case.Patients are excluded from the 5-day program when they are diagnosed with EDNOS meeting the criteria for binge eating disorder (BED) (American Psychiatric Association, 1994), when there’s medical risk, such as cardiovascular or gastrointestinal complications requiring in-hospital treatment, severe substance abuse or dependency , or acute suicide risk .