神经性贪食症健康体重治疗方案的评估：一项初步随机试验。
Evaluation of a healthy-weight treatment program for bulimia nervosa: a preliminary randomized trial.
作者信息
Burton Emily, Stice Eric
机构信息
Department of Psychology, University of Texas at Austin, 1 University Station, A8000 Austin, TX 78712, USA.
出版信息
Behav Res Ther. 2006 Dec;44(12):1727-38. doi: 10.1016/j.brat.2005.12.008. Epub 2006 Feb 3.
Abstract
OBJECTIVE
Conduct a randomized treatment trial to test whether healthy dieting maintains bulimic symptoms or effectively reduces this eating disturbance.
METHODS
Female participants (n=85) with full- and sub-threshold bulimia nervosa were randomly assigned to a 6-session healthy dieting intervention or waitlist condition and assessed through 3-month follow-up.
RESULTS
Relative to control participants, intervention participants showed modest weight loss during treatment and demonstrated significant improvements in bulimic symptoms that persisted through follow-up.
DISCUSSION
These preliminary results suggest that this intervention shows potential for the treatment of bulimia nervosa and may be worthy of future refinement and evaluation. Results also provide experimental evidence that dieting behaviors do not maintain bulimia nervosa, suggesting the need to reconsider maintenance models for this eating disorder.
摘要
目的
开展一项随机治疗试验，以检验健康饮食是会维持暴食症状还是能有效减轻这种饮食紊乱状况。
方法
将患有完全型和亚阈值神经性贪食症的女性参与者（n = 85）随机分配至接受为期6节的健康饮食干预组或等候名单组，并通过3个月的随访进行评估。
结果
与对照组参与者相比，干预组参与者在治疗期间体重有适度减轻，且暴食症状有显著改善，这种改善在随访期间持续存在。
讨论
这些初步结果表明，该干预措施对神经性贪食症的治疗具有潜力，可能值得未来进一步完善和评估。研究结果还提供了实验证据，表明节食行为不会维持神经性贪食症，这表明有必要重新考虑这种饮食失调症的维持模型。
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J Consult Clin Psychol. 2006 Apr;74(2):263-75. doi: 10.1037/0022-006X.74.2.263.
2
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Behav Res Ther. 2007 Jan;45(1):49-62. doi: 10.1016/j.brat.2006.01.010. Epub 2006 Mar 10.
3
Consistency of food intake over four eating sessions in the laboratory.在实验室中四个进餐时段的食物摄入量的一致性。
Eat Behav. 2005 Dec;6(4):365-72. doi: 10.1016/j.eatbeh.2005.03.002. Epub 2005 Apr 26.
4
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Health Psychol. 2005 Jul;24(4):402-12. doi: 10.1037/0278-6133.24.4.402.
5
Eating disorder diagnostic scale: additional evidence of reliability and validity.饮食失调诊断量表：可靠性和有效性的更多证据
Psychol Assess. 2004 Mar;16(1):60-71. doi: 10.1037/1040-3590.16.1.60.
6
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Psychol Assess. 2004 Mar;16(1):51-9. doi: 10.1037/1040-3590.16.1.51.
7
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8
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9
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10
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