青少年饮食失调：自然研究中的治疗和反应。
Adolescent eating disorders: treatment and response in a naturalistic study.
机构信息
Center for Anxiety and Related Disorders, Department of Psychology, Boston University, Boston, MA 02215, USA.
出版信息
J Clin Psychol. 2010 Mar;66(3):277-301. doi: 10.1002/jclp.20646.
Abstract
This naturalistic study investigated the treatment and outcome of adolescents with eating disorders (EDs) in the community. Clinicians from a practice-research network provided data on ED symptoms, global functioning, comorbidity, treatment, and outcome for 120 adolescents with EDs. ED "not otherwise specified" was the most common ED diagnosed. After an average of 8 months of treatment, about one third of patients had recovered, with patients with anorexia nervosa showing the most improvement. Clinicians utilized a range of psychotherapy interventions and two thirds of the patients had received adjunct psychoactive medication. Although CBT showed the strongest association with outcome in a subsample characterized by poor relational/personality functioning, dynamic therapy was associated with better global outcome in the overall sample.
摘要
本自然主义研究调查了社区中青少年饮食障碍 (ED) 的治疗和结果。来自实践研究网络的临床医生提供了 120 名 ED 青少年的 ED 症状、整体功能、共病、治疗和结果数据。“未特指的 ED”是最常见的 ED 诊断。经过平均 8 个月的治疗，大约三分之一的患者康复，神经性厌食症患者的改善最为明显。临床医生使用了一系列心理治疗干预措施，三分之二的患者接受了辅助精神药物治疗。虽然在人际关系/人格功能不良的亚组中，CBT 与结果的关联最强，但在总体样本中，动力治疗与更好的整体结果相关。
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