{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T08:03:08Z","timestamp":1770969788587,"version":"3.50.1"},"reference-count":34,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2018,8,2]],"date-time":"2018-08-02T00:00:00Z","timestamp":1533168000000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100007636","name":"German Federal Environmental Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007636","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002347","name":"Bundesministerium f\u00fcr Bildung und Forschung","doi-asserted-by":"publisher","award":["01GV0603"],"award-info":[{"award-number":["01GV0603"]}],"id":[{"id":"10.13039\/501100002347","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Provision of eating disorder (ED) treatment in practice is often guided by national health service structures rather than evidence\u2010based treatment recommendations. Especially for more severely or chronically ill patients, clinicians seem to advocate a \u201cthe more the better\u201d strategy of treatment provision. Exploring the dose\u2010response relationship in ED treatment may shed light on both beneficial and detrimental effects of prolonged treatment provision.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>We utilized data from 64 women from the treatment\u2010as\u2010usual (TAU) group of a randomized controlled trial on Internet\u2010based aftercare for women with bulimia nervosa who had received inpatient treatment. We examined the relationship between treatment duration and dose and (1) baseline patient characteristics and (2) treatment outcomes (abstinence from binge eating and compensatory behaviors, frequency of binge eating and vomiting, thin ideal internalization, and general psychopathology) at 18\u2010month follow up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>On average, the women in our study were hospitalized for 9 weeks and most received high doses of subsequent outpatient psychotherapy (median: 45 sessions). The severity of symptoms that a patient experienced at hospital admission or discharge was largely unrelated to the amount of outpatient treatment she subsequently received. Longer inpatient treatments or higher doses of subsequent outpatient treatment did not result in more favorable outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Our findings suggest that, instead of providing costly long treatment without evidenced benefit to patients, there is a need for further exploration of and discussion about the risks and benefits of providing high doses of treatment for both individuals and the health care system.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.22894","type":"journal-article","created":{"date-parts":[[2018,8,5]],"date-time":"2018-08-05T20:58:21Z","timestamp":1533502701000},"page":"899-905","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Are we overdosing treatment? Secondary findings from a study following women with bulimia nervosa after inpatient treatment"],"prefix":"10.1002","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1779-9878","authenticated-orcid":false,"given":"Ina","family":"Beintner","sequence":"first","affiliation":[{"name":"Technische Universit\u00e4t Dresden, Institute of Clinical Psychology and Psychotherapy  Chemnitzer Stra\u00dfe 46, 01187 Dresden Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0982-0596","authenticated-orcid":false,"given":"Corinna","family":"Jacobi","sequence":"additional","affiliation":[{"name":"Technische Universit\u00e4t Dresden, Institute of Clinical Psychology and Psychotherapy  Chemnitzer Stra\u00dfe 46, 01187 Dresden Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,8,2]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"Gu\u00eda de pr\u00e1ctica cl\u00ednica sobre trastornos de la conducta alimentaria","author":"Grupo de Trabajo de la Gu\u00eda de Pr\u00e1ctica Cl\u00ednica sobre Trastornos de la Conducta Alimentaria","year":"2009"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.157.8.1302"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890423363"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.1056"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-4679(199906)55:6<769::AID-JCLP9>3.0.CO;2-H"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.64.5.927"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22660"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjc.12031"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1098-108X(199811)24:3<227::AID-EAT1>3.0.CO;2-O"},{"key":"e_1_2_6_11_1","unstructured":"Gemeinsamer Bundesausschuss.(2017). Richtlinie des Gemeinsamen Bundesauschusses \u00fcber die Durchf\u00fchrung der PsychotherapieBundesanzeiger (BAnz AT 15.02.2017 B2)."},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1021751307358"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/13284207.2010.500309"},{"issue":"40","key":"e_1_2_6_14_1","first-page":"678","article-title":"The diagnosis and treatment of eating disorders","volume":"108","author":"Herpertz S.","year":"2011","journal-title":"Deutsches \u00c4rzteblatt"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1037\/0003-066X.41.2.159"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.7668"},{"key":"e_1_2_6_17_1","volume-title":"Mental health policy and practice across Europe. The future direction of mental health care","author":"Knapp M.","year":"2006"},{"issue":"11","key":"e_1_2_6_18_1","first-page":"858","article-title":"The treatment gap in mental health care","volume":"82","author":"Kohn R.","year":"2004","journal-title":"Bulletin of the World Health Organization"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.62.5.1009"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20566"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2492"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.1057"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2015.03.007"},{"key":"e_1_2_6_24_1","unstructured":"Mangiapane S. &von Stillfried D.(2012).Vertrags\u00e4rzte und \u2010psychotherapeuten je 100.000 Einwohner (nach Arztgruppen) \u2013 Basisbericht 2010. Retrieved fromhttps:\/\/www.versorgungsatlas.de\/themen\/versorgungsstrukturen\/?tab=2&uid=20"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20603"},{"issue":"11","key":"e_1_2_6_26_1","first-page":"A438","article-title":"Psychotherapeutische versorgung: Autonomere therapieplanung kann wartezeiten abbauen","volume":"111","author":"Multmeier J.","year":"2014","journal-title":"Deutsches \u00c4rzteblatt"},{"key":"e_1_2_6_27_1","unstructured":"National Institute for Health and Care Excellence. (2017). Eating disorders: Recognition and treatmentNICE guideline [NG69]."},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20144"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22169"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22778"},{"key":"e_1_2_6_31_1","volume-title":"How to practice evidence based psychiatry. Basic principles and case studies","author":"Taylor C. B.","year":"2010"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2014.11.004"},{"key":"e_1_2_6_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2015.08.006"},{"key":"e_1_2_6_34_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22411"},{"key":"e_1_2_6_35_1","volume-title":"SKID. Strukturiertes klinisches interview f\u00fcr DSM\u2010IV. Achse I und II. Handanweisung","author":"Wittchen H. U.","year":"1997"}],"container-title":["International Journal of Eating Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Feat.22894","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/eat.22894","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,16]],"date-time":"2023-09-16T11:13:09Z","timestamp":1694862789000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/eat.22894"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,8]]},"references-count":34,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2018,8]]}},"alternative-id":["10.1002\/eat.22894"],"URL":"https:\/\/doi.org\/10.1002\/eat.22894","archive":["Portico"],"relation":{},"ISSN":["0276-3478","1098-108X"],"issn-type":[{"value":"0276-3478","type":"print"},{"value":"1098-108X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,8]]},"assertion":[{"value":"2018-01-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-05-15","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-08-02","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}