Vorlesungen zu Essstörungen im Rahmen des Curriculums der Medizinischen Universität Wien finden Sie hier.

 

Es wird auch Lehre im Rahmen postgradueller Kurse (z.B. Wiener Fortbildung Essstörungen; ÖAGG; ARGE Bildungsberatung; Schulärztecurriculum; Pädagogische Hochschule) angeboten. 

 

Es werden laufend neue Diplomarbeitsthemen für Mediziner (N202) und auch andere Berufsgruppen ausgeschrieben. Bei Interesse schicken Sie bitte frühzeitig ein E-mail (wenn möglich samt kurzem Lebenslauf) an essstoerung@meduniwien.ac.at ! Danke

 

 

Diplomarbeiten 1-7 siehe —-LINK

Diploamarbeiten 8-13 siehe— LINK

(14) Diplomarbeit Frau Cand. Med. Bengü Sagol

Der Einfluss der Familie und des sozialen Umfeldes auf den  Behandlungsverlauf bei der stationären Therapie von Anorexia nervosa.

Betreuer: A Karwautz, Wien

Background

The investigation of the role of the family and the social support system in the triggering and maintenance of anorexia nervosa has become an increasing subject of focus over the past years. This study explores the influence of family relationships, social support and impact of the disease on the family in the inpatient therapy of adolescents with anorexia nervosa.
Methods
The sample includes 42 AN-patients of the Department of Child and Adolescent Psychiatry of the AKH Vienna, who were being treated in an inpatient setting between October 2007 and May 2010. There were three questionnaires used to assess the impact on the family by the disease (Impact on Family Scale, IOFS), the perception of the family relationships (Subjektives Familienbild, SFB) and the degree of social support (Fragebogen zur sozialen Unterstützung, F-SozU). Additionally the Eating Disorder Examination Interview (EDE) was used to evaluate the eating pathology.
REsults
The patients improved significantly in regard to the BMI and the eating disorder psychopathology as a result of the inpatient therapy.  A correlation was found between the daily burden on the family and the treatment outcome. The impact on the family by anorexia nervosa can be classified as being mild. There were no significant differences in the perceived  relations among the family members in regard to cohesion and autonomy. Influences of the role of the father and the patient on the outcome of the therapy were discovered. A higher sense of cohesion and individual autonomy of the adolescent leads to a better treatment effect. A high degree of emotional cohesion of the father, combined with a low level of paternal autonomy also has a positive impact on inpatient therapy results.
Conclusion
The family and the social support system show a significant influence on the treatment outcome of the inpatient therapy of anorexia nervosa.

(15) Diplomarbeit Cand. med. Marlene Mengl 4/2011

EMOTIONSREGULATION UND PERSÖNLICHKEIT ALS EINFLUSSFAKTOREN AUF DIE COMPLIANCE JUGENDLICHER DIABETIKER

Betreuer: A Karwautz, Wien

Objective

Objective of this study was to evaluate possible influencing factors on the compliance in the

therapy of diabetes mellitus type I. The aim was the identification of strategies for emotional

regulation and personality profiles, which eventually promote non-compliance in therapy.

Method

322 children and adolescents (176 females, 146 males) aged between 10 to 20 years were

recruited from 21 centres for diabetes all over Austria. The collection of data was based on

questionnaires and interviews. For the assessment of strategies of emotional regulation the

“FEEL-KJ” was used. The operationalization of the personality traits was achieved by using

the “Junior Temperament and Character Inventory JTCI 12-18R”. To assess the compliance

the “DSMP-Interview” has been utilized. For Statistical analysis following methods were

used amongst some others: analysis of variance, analysis of covariance and Bonferroni

correction for multiple testing.

Results

On the basis of the DSMP-Interview the study participants were divided into the compliance-,

the non-compliance-, and the management-group. Among the children and adolescents with

diabetes mellitus type I there was a significant coherence between the expression of the

emotions anger, fear and grief and the compliance in therapy. The non-compliant ones had

significantly higher scores on this strategy and therefore showed their emotions in a more

intense way. There are also some trends indicating further differences in the strategies of

emotional regulation and personality in children and adolescents with type I diabetes.

Conclusion

Based on this study an evidence of differences in the strategies for emotional regulation and

personality between compliant and non-compliant children and adolescents with type I

diabetes can be seen. Especially the very different expression of anger, fear and grief attracts

attention. These results allow the conclusion that the strategies for emotional regulation and

the personality profile of a child or adolescent with diabetes mellitus type I should be of great

interest for paediatricians and could help to identify patients at risk for more complications

due to non-compliance.

 

(16) Diplomarbeit Cand. med. Marie-Louise Trofaier 4/2011

Langzeiteffekte von psychoedukativen Programmen zur Therapie der Bulimia nervosa: Einfluss von psychiatrischen Komorbiditäten

Betreuer: A Karwautz, Wien

Background

Due to the rising prevalence of Bulimia Nervosa the concept of self-help as an alternative to cognitive behavioral therapy has been developed. Aim of this study was to explore the long-term effect of two different kinds of assisted self-help methods by assessing the development of bulimic and psychopathologic symptoms. Furthermore, the influence of co-morbid psychological dysfunction on the course of Bulimia Nervosa was documented.

Methods

126 women with Bulimia Nervosa were randomly assigned to either Internet therapy or Biblio therapy and with a four-step method eating disorder specific and psychopathologic symptoms were assessed. At the time of the long-term follow-up the sample size equalled n=76.

Results

The bulimic pathology showed an equally significant decrease over time for both therapies. The improvements are also substantiated when taking a long-term view. With regard to the psychopathology assessed by means of the SCL-90, this showed significant improvements only for the Internet therapy.  In the relationship of co-morbid psychiatric symptoms with those of the eating disorder, the degree of the correlation is identified as dependant on the type of therapy. An influence of general psychopathology on the course of the disease was found by means of the analysis of variance, as the alteration over time of binge behavior, if considered in conjunction with co-morbidity, is no longer significant.

Conclusio

Assisted self-help proves to be a successful method for the treatment of Bulimia Nervosa, also when taking a long-term view. Concerning the treatment of eating disorder specific symptoms both therapies (Internet and Biblio) are equally effective. In treating the co-morbid psychopathology the Internet method is superior to the Biblio therapy. Interestingly, in fact there is a possible negative influence of those co-morbidities on the long-term course of the illness. 

 

(17) Diplomarbeit Cand. med. Paulina Gwinner 4/2011

Follow-up-Untersuchung des Therapieerfolges von psychoedukativen Behandlungsprogrammen bei Patientinnen mit Bulimia nervosa

Betreuer: A Karwautz, Wien

Abstract

Background: Eating disorders are mental disorders with dangerous health consequences. Many patients with eating disorders do not seek professional help because

of the feeling of shame and the financial burden. If the decision to be treated is made, long waiting times and limited capacities are faced. Therefore it is important

to offer cost efficient and easily accessible treatment modalities in order to reach larger numbers of patients. The self-help-therapy is such an option and has

been playing a huge role in the treatment of bulimia nervosa for a long period of time. Self-directed therapy has been recognized as successful in many international

studies.
Aim: The aim of the study was to test the long term efficacy of self-directed treatments for bulimia nervosa and to examine potential differences between internet

based therapy and self-care manual treatment.
Methods: To assess the long term success of self-directed treatments, a followup-evaluation was done between 6 and 18 months after completion of the therapy.

126 patients who took part in one of the two treatment modalities (self-help internetbased or self-help manual therapy) were evaluated. The results of the follow-up

were compared with data collected prior, during and immediately after self-helptherapy. For evaluation of the data the questionnaires QATA, EDI-2 and the interview

SIAB-EX were used. The success is assessed using bulimic symptomatology as well as general and eating-disorder-specific psychopathology.

Results: Both treatments produced a significant reduction in the frequency of binge eating and self-induced vomiting and an improvement of the psychopathology.

Treatments effects stayed stable in the follow-up time period. In the internet group a 61,5% decrease in the frequency of binge eating and a 75% reduction in

the frequency of vomiting was observed at the time of follow-up. In the self-help manual group, the binge eating frequency was reduced by 60,5%, and the selfinduced

vomiting by 52,5%. At time of follow-up, 58,33% of the internet- and 65,52 % of the manual treatment group did not fulfill the DSM-IV-criteria of bulimia nervosa anymore.

Conclusion: Results indicate that guided self-help shows long-term effectiveness. The long term outcome was similar in both treatment groups.

 

 

 

WEITERE ab Nr. 1– 7 unter  —LINK

 

WEITERE 8-13 unter—LINK

Univ.-Prof. Dr. Andreas Karwautz

Diplomarbeiten zu Essstörungen (MUW)