Læknablaðið : fylgirit - 01.08.2003, Síða 29

ABSTRACTS / 27TH NORDIC PSYCHIATRIC CONGRESS I
research, epidemiology, suicide prevention, psychopathology, and
psychiatric genetics. Pre- and postgraduation education in psychiatry
is well integrated into the clinical activities - with many senior staff
members serving as teachers or supervisors.
S-V/6 Thursday 14/8,11:00-12:30
A joint effort in research and development between
patients, local authorities, health service providers and
fhe university
Mikael Sandlund. Assoc. Professor/Head, Socialpsykiatriskt kunskapscentrum i
Vasterbotten, Psyk klin, NUS, SE-901 85 Umeá, Sweden. Urban Markström.
mikael.sandlund@vll.se
The responsibility to provide service for persons suffering from
functional impairments due to long-term mental disorders is divi-
ded between several authorities in Sweden. Local authorities (the
communes) are supposed to support an independent living and
offer daily activities, the health care providers (county councils)
should give primary care services as well as specialised psychiatric
services. The regional social insurance offices have the responsi-
bility to co-ordinate vocational rehabilitation, in co-operation with
the employment offices. The users and family members’ organisa-
tions have gradually taken a more active part, both as “pressure
groups” and as suppliers of supporting services. “Socialpsykiatriskt
kunskapscentrum” is a joint effort to improve the services to per-
sons with functional impairments due to mental disorders living in
the community. Tlie means are to promote research and develop-
ment in this area, with a high degree of involvement from users,
relatives and professionals. All local authorities in the county as
well as the users’ organisations, the psychiatric services and Umeá
University’s own “Socialpsykiatriskt kunskapscentrum.” The pre-
sentation will give some examples of projects which have been in
focus for our efforts during the last 3 years of operation.
®~^I/1 Thursaday 14/8,11:00-12:30
General introduction
'*an Roscnvinge, prof. dr. psychol., Department of Psychology, University of Tromsp
and Modum Bad, Nor
The introduction to the symposium aims to cover the following
aspects:
• an overview of hospital treatment programmes,
• criteria for hospital admission,
• models for coordinating inpatient and outpatient treatment,
• empirical evidence for the effect of hospital treatment.
S~v|/2 Thursday 14/8,11:00-12:30
Hospital treatment of adults with eating disorders: The
treatment program at Modum Bad, Norway
Astrid Mortensen, occupational therapist
Modum Bad is the only hospital in Norway receiving adult patients
with long-lasting eating disorders from the whole country. The
hospital has over 10 years experience of treating chronic eating
disorder patients in a specialised inpatient treatment program.
During this period the number of patients treated each year has
increased and is now about 40 palients.
The treatmenl is a multicomponent inpatient programme.
Patients are treated in groups, one slow open group for patients
with anorexia nervosa and one closed group for bulimia nervosa.
The length of the hospital stay for anorexia nervosa is varying from
one to nine months and for bulimia nervosa about 12-14 weeks. The
program is based on group, cognitive behavioural and interpersonal
therapy.
The presentation will describe the inpatient treatment program.
S-VI/3 Thursday 14/8, 11:00-12:30
Two year follow-up of adults with chronic eating disorders
after inpatient treatment at Modum Bad, Norway
0yvind R«, MD
Background: There are few follow-up studies of patients with treat-
ment resistant eating disorders with comorbid personality dis-
orders, and there is little knowledge about what kind of treatment
they will benefit from.
Aims: The aims of this prospective study were to report on the two-
year outcome of adults with chronic eating disorders, to investigate
whether a specialised inpatient treatment might influence the
course of the illness, and to search for prognostic factors.
Method: Seventy-two patients received inpatient treatment. Sixty-
five patients (90 %) with mean age 30 years were available for the
follow-up assessment.
Kcsults: Forty-six (71 %) had improved at two-year follow-up, and
of these had 12 (18 %) had recovered. Reductions in symptoms per
time unit were statistically significant larger during the inpatient
period than in waiting list and follow-up periods. No predictors of
outcome were identified. Patients with an avoidant personality dis-
order had a higher level of distress at all points of time but im-
proved at the same rate as the other patients.
Conclusion: At two-year follow-up there were substantially reduc-
tions in eating disorder symptoms and general psychiatric symp-
toms. Most of the improvement occurred during inpatient treat-
ment. This might be a treatment option for patients with chronic
eating disorders.
S-VI/4 Thursday 14/8,11:00-12:30
The course of personality disorders in chronic eating
disorders
Oyvind Ro, MD
Background: Several studies have shown high rates of personality
disorder among patients with eating disorders. They range from
30% to 80% depending on what patient group that has been inves-
tigated.
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