Department of Psychology, University of North Dakota, Grand Forks, North Dakota, USA.
Int J Eat Disord. 2011 Dec;44(8):687-91. doi: 10.1002/eat.20874. Epub 2010 Nov 15.
Recently, Mitchell et al. (Behav Res Ther, 46, 581-592, 2008) conducted a randomized controlled trial of an empirically supported treatment for bulimia nervosa (BN) delivered face-to-face (FTF-CBT) or via telemedicine (TV-CBT). Results suggested that the TV-CBT and FTF-CBT were generally equivalent in effectiveness. The objective of the current study was to examine ratings of therapeutic alliance factors in TV-CBT and FTF-CBT.
Data obtained from 116 adults who met criteria for BN or eating disorder-not otherwise specified with binge eating or purging weekly and six doctoral-level psychologists who delivered the therapy were used in the analyses.
Therapists generally endorsed greater differences between the treatment delivery methods than patients. Patients tended to make significantly higher ratings of therapeutic factors than therapists.
TV-CBT is an acceptable method for the delivery of BN treatment compared to FTF-CBT, and TV-CBT is more easily accepted as a treatment delivery method by patients than therapists.
最近,Mitchell 等人(Behav Res Ther,46,581-592,2008)进行了一项针对神经性贪食症(BN)的循证治疗的随机对照试验,该治疗通过面对面(FTF-CBT)或远程医疗(TV-CBT)进行。结果表明,TV-CBT 和 FTF-CBT 在疗效上大致相当。本研究的目的是检查 TV-CBT 和 FTF-CBT 中治疗联盟因素的评定。
本研究分析了 116 名符合 BN 或每周暴食或呕吐的饮食障碍未特定标准且有暴食行为的成年人以及 6 名提供治疗的博士级心理学家的数据。
治疗师通常比患者更认可治疗方法之间的差异。患者往往对治疗因素的评分明显高于治疗师。
与 FTF-CBT 相比,TV-CBT 是 BN 治疗的一种可接受的方法,而且患者比治疗师更容易接受 TV-CBT 作为治疗方法。