Cassin Stephanie E, von Ranson Kristin M, Heng Kenneth, Brar Joti, Wojtowicz Amy E
Department of Psychology, University of Calgary, Calgary, Alberta, Canada.
Psychol Addict Behav. 2008 Sep;22(3):417-25. doi: 10.1037/0893-164X.22.3.417.
In this randomized controlled trial, 108 women with binge-eating disorder (BED) recruited from the community were assigned to either an adapted motivational interviewing (AMI) group (1 individual AMI session + self-help handbook) or control group (handbook only). They were phoned 4, 8, and 16 weeks following the initial session to assess binge eating and associated symptoms (depression, self-esteem, quality of life). Postintervention, the AMI group participants were more confident than those in the control group in their ability to change binge eating. Although both groups reported improved binge eating, mood, self-esteem, and general quality of life 16 weeks following the intervention, the AMI group improved to a greater extent. A greater proportion of women in the AMI group abstained from binge eating (27.8% vs. 11.1%) and no longer met the binge frequency criterion of the Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev.; American Psychiatric Association, 2000) for BED (87.0% vs. 57.4%). AMI may constitute a brief, effective intervention for BED and associated symptoms.
在这项随机对照试验中，从社区招募的108名患有暴饮暴食症（BED）的女性被分配到适应性动机访谈（AMI）组（1次个体AMI疗程+自助手册）或对照组（仅手册）。在初次疗程后的第4、8和16周给她们打电话，以评估暴饮暴食及相关症状（抑郁、自尊、生活质量）。干预后，AMI组参与者在改变暴饮暴食的能力方面比对照组更有信心。尽管两组在干预后16周均报告暴饮暴食、情绪、自尊和总体生活质量有所改善，但AMI组改善程度更大。AMI组中有更大比例的女性戒除了暴饮暴食（27.8%对11.1%），并且不再符合《精神障碍诊断与统计手册》（第4版，修订版；美国精神病学协会，2000年）中BED的暴饮暴食频率标准（87.0%对57.4%）。AMI可能是针对BED及相关症状的一种简短、有效的干预措施。
