The Cleveland Center for Eating Disorders, Beachwood, Ohio 44224, USA.
J Clin Psychol. 2013 Jan;69(1):1-13. doi: 10.1002/jclp.21909. Epub 2012 Aug 17.
The present study investigated the effectiveness and feasibility of a cognitive-behavioral group intervention for the treatment of body image disturbance in women with eating disorders.
The study used a multiple-baseline design and enrolled 38 participants with a range of eating disorders. The intervention targeted attitudinal and behavioral components of body image disturbance using psychoeducation, self-monitoring, systematic desensitization, and cognitive restructuring. Primary outcomes included multidimensional body image assessment (effectiveness) and treatment adherence and satisfaction (feasibility).
Participants undergoing manualized group treatment reported significantly less body image disturbance than participants randomized to a waitlist control condition. However, differences disappeared after both groups had been through intervention. Participants also reported less depression and eating disorder pathology from baseline to posttreatment, however this difference was not considered statistically significant. Feasibility outcomes suggest the intervention was well received and highly acceptable to participants.
Findings emphasize the importance of adding an evidence-based body image component to standard eating disorder treatment.
本研究旨在探讨认知行为团体干预对治疗饮食失调女性体像障碍的有效性和可行性。
该研究采用多基线设计，纳入了 38 名患有不同饮食失调症的参与者。干预措施针对体像障碍的态度和行为成分，采用心理教育、自我监测、系统脱敏和认知重构。主要结果包括多维体像评估（有效性）和治疗依从性和满意度（可行性）。
接受标准化团体治疗的参与者报告的体像障碍明显少于随机分配到等待名单对照组的参与者。然而，在两组都接受了干预之后，差异消失了。参与者还报告说，从基线到治疗后，抑郁和饮食障碍病理情况有所减轻，但这一差异没有统计学意义。可行性结果表明，该干预措施受到参与者的欢迎和高度认可。
研究结果强调了在标准饮食失调治疗中增加基于证据的体像干预的重要性。
