Mitchell James E, Agras W Stewart, Wilson G Terence, Halmi Katherine, Kraemer Helena, Crow Scott
Neuropsychiatric Research Institute and the Department of Neurosciences, University of North Dakota School of Medicine and Health Sciences, Fargo, North Dakota 58107-1415, USA.
Int J Eat Disord. 2004 May;35(4):549-55. doi: 10.1002/eat.10265.
This study examines a relapse prevention strategy for bulimia nervosa (BN). Subjects in a multicenter BN treatment trial who initially achieved abstinence after a course of cognitive-behavioral therapy (CBT) were told to recontact the clinic if they had a recurrence of symptoms or feared such a reoccurrence so that they could receive additional therapy visits.
At the end of CBT, subjects whose scores on the Eating Disorders Examination indicated that they were abstinent from binge eating and purging, and therefore considered to be treated successfully, were assigned randomly to follow-up only or to a crisis intervention model. With the crisis intervention model, subjects would receive additional visits if needed.
None of the 30 subjects who relapsed during the follow-up sought additional treatment visits.
Simply telling patients with BN who appear to have been successfully treated to come back if they have additional problems, or fear that they are developing such problems, may be an ineffective relapse prevention technique. Alternative strategies, such as planned return visits or phone calls, should be considered as alternative relapse prevention strategies.
本研究探讨一种针对神经性贪食症（BN）的预防复发策略。在一项多中心BN治疗试验中，那些在接受一个疗程的认知行为疗法（CBT）后最初实现节制的受试者被告知，如果他们出现症状复发或担心复发，要再次联系诊所，以便能接受额外的治疗。
在CBT结束时，那些在饮食失调检查中的得分表明他们已戒除暴饮暴食和催吐行为、因此被认为治疗成功的受试者被随机分配到仅接受随访组或危机干预模式组。采用危机干预模式时，受试者如有需要可接受额外的就诊。
在随访期间复发的30名受试者中，无人寻求额外的治疗就诊。
仅仅告知那些看似已成功治疗的BN患者，如果他们有其他问题或担心出现此类问题就回来，可能是一种无效的预防复发技术。应考虑采用替代策略, 如安排复诊或电话随访，作为预防复发的替代策略。
Zotero 插件