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针对暴饮暴食者的动机增强疗法与自助治疗。

Motivational enhancement therapy and self-help treatment for binge eaters.

作者信息

Dunn Eric C, Neighbors Clayton, Larimer Mary E

机构信息

Department of Psychology, University of Washington, WA, USA.

出版信息

Psychol Addict Behav. 2006 Mar;20(1):44-52. doi: 10.1037/0893-164X.20.1.44.

DOI:10.1037/0893-164X.20.1.44
PMID:16536664
Abstract

OBJECTIVE

The aims of this study were to evaluate whether a single session of motivational enhancement therapy (MET) would increase participant readiness to change, improve the efficacy of self-help treatment for binge eaters, and improve participant compliance with the self-help manual.

METHOD

Participants with bulimia nervosa or binge eating disorder were randomly assigned either to attend a 1-hr MET session prior to receiving the self-help manual (n = 45) or to receive the self-help manual only (n = 45). Participants were followed for 4 months for assessment of self-reported eating disorder outcome and compliance.

RESULTS

The MET intervention resulted in increased readiness to change for binge eating compared with the self-help-only (SH) condition. Few differences were found between the MET condition and the SH condition for changes in eating attitudes and frequency of binge eating and compensatory behaviors. No significant effects were found for compliance.

DISCUSSION

This research adds to the literature regarding the use of brief motivational interventions to enhance readiness for change in populations with eating disorders.

摘要

目的

本研究旨在评估单次动机增强疗法(MET)是否会提高参与者的改变意愿,改善暴饮暴食者自助治疗的效果,并提高参与者对自助手册的依从性。

方法

将神经性贪食症或暴饮暴食症患者随机分为两组,一组在收到自助手册之前参加1小时的MET课程(n = 45),另一组仅接受自助手册(n = 45)。对参与者进行4个月的随访,以评估自我报告的饮食失调结果和依从性。

结果

与仅接受自助(SH)的情况相比,MET干预使暴饮暴食的改变意愿增强。在饮食态度、暴饮暴食频率和代偿行为的变化方面,MET组与SH组之间几乎没有差异。未发现依从性有显著影响。

讨论

本研究为有关使用简短动机干预措施来增强饮食失调人群改变意愿的文献增添了内容。

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