Geist R, Heinmaa M, Stephens D, Davis R, Katzman D K
Department of Psychiatry, Hospital for Sick Children, University of Toronto, Ontario.
Can J Psychiatry. 2000 Mar;45(2):173-8. doi: 10.1177/070674370004500208.
To compare the effects of 4 months of 2 family-oriented treatments, family therapy and family psychoeducation, on female adolescents with newly diagnosed restrictive eating disorders.
Twenty-five female adolescents requiring hospitalization were randomized into either family therapy or family group psychoeducation. Outcome measures included medical (body weight) and psychosocial (specific and nonspecific eating disorder psychopathology) variables at baseline and after 4 months of treatments every 2 weeks.
A significant time effect was found in both treatment groups for the restoration of body weight (percentage of ideal body weight, P < 0.00001). The group averages ranged from 75% to 77% ideal body weight before treatment to 91% to 96% after it. A time effect was also seen on the Family Assessment Measure (P < 0.018), in that the patients of both groups acknowledged more family psychopathology at the end of treatment. No significant group differences were found on any of the self-report measures of specific and nonspecific eating disorder pathology.
Weight restoration was achieved following the 4-month period of treatment in both the family therapy and family psychoeducation groups, but no significant change was reported in psychological functioning by either adolescents or parents. Family group psychoeducation, the less expensive form of treatment, is an equally effective method of providing family-oriented treatment to newly diagnosed, medically compromised anorexia nervosa patients and their families.
比较为期4个月的两种家庭导向治疗方法，即家庭治疗和家庭心理教育，对新诊断为限制性饮食失调的女性青少年的影响。
25名需要住院治疗的女性青少年被随机分为家庭治疗组或家庭团体心理教育组。结果测量包括基线时以及治疗4个月期间每2周一次的医疗（体重）和心理社会（特定和非特定饮食失调心理病理学）变量。
在两个治疗组中均发现体重恢复存在显著的时间效应（理想体重百分比，P < 0.00001）。两组的平均值从治疗前理想体重的75%至77%增至治疗后的91%至96%。在家庭评估量表上也观察到时间效应（P < 0.018），即两组患者在治疗结束时都承认存在更多的家庭心理病理学问题。在特定和非特定饮食失调病理学的任何自我报告测量中均未发现显著的组间差异。
家庭治疗组和家庭心理教育组在4个月的治疗期后均实现了体重恢复，但青少年或父母的心理功能均未报告有显著变化。家庭团体心理教育作为成本较低的治疗形式，是为新诊断的、有医学问题的神经性厌食症患者及其家庭提供家庭导向治疗的同样有效的方法。
