GGNet, Network for Mental Health Care in the Region Oost Gelderland and Zutphen, Amarum, Zutphen, The Netherlands.
Eat Disord. 2012;20(4):276-87. doi: 10.1080/10640266.2012.689207.
This study examines predictors of short-term treatment outcome for obese individuals with binge eating disorder (BED). A battery of assessment questionnaires was given to 212 patients on admission of a CBT day-treatment program for BED. Treatment outcome assessed by changes in eating disorder symptomatology was measured in 182 completers. Linear regression analyses indicated that a combination of variables at baseline predicted 26% of the variance in treatment outcome. High social embedding and higher scores on openness (NEO-PI-R) were significantly related to more improvement after treatment. Higher scores on depressive symptoms (BDI), agoraphobia (SCL-90) and extraversion (NEO-PI-R) were significantly related to less improvement. The analyses show that the level of social embedding and psychopathological comorbidity (state and trait) are predictors for treatment outcome. This study confirms the notion that social context and comorbidity need to be taken into account as described in treatment guidelines of NICE and APA for BED.
本研究考察了暴食障碍（BED）肥胖个体短期治疗结果的预测因素。对参加 BED 的认知行为治疗日间治疗计划的 212 名患者进行了一系列评估问卷。通过饮食障碍症状的变化评估治疗结果，182 名完成者可进行测量。线性回归分析表明，基线时的变量组合可预测治疗结果的 26%。较高的社会融合度和开放性（NEO-PI-R）评分与治疗后更多的改善显著相关。抑郁症状（BDI）、广场恐怖症（SCL-90）和外向性（NEO-PI-R）评分较高与改善较少显著相关。分析表明，社会融合度和精神病理学共病（状态和特质）的水平是治疗结果的预测因素。这项研究证实了社会环境和共病作为 NICE 和 APA 治疗 BED 指南中所述的治疗结果预测因素的概念。
