Debar Lynn L, Wilson G Terence, Yarborough Bobbi Jo, Burns Beryl, Oyler Barbara, Hildebrandt Tom, Clarke Gregory N, Dickerson John, Striegel Ruth H
Kaiser Permanente Center for Health Research, Portland.
Cogn Behav Pract. 2013 May 1;20(2):147-161. doi: 10.1016/j.cbpra.2012.04.001.
There is a need for treatment interventions to address the high prevalence of disordered eating throughout adolescence and early adulthood. We developed an adolescent-specific manualized CBT protocol to treat female adolescents with recurrent binge eating and tested its efficacy in a small, pilot randomized controlled trial. We present lessons learned in recruiting adolescents, a description of our treatment approach, acceptability of the treatment for teens and parents, as well as results from the pilot trial. Participants in the CBT group had significantly fewer posttreatment eating binges than those in a treatment as usual/delayed treatment (TAU-DT) control group; 100% of CBT participants were abstinent at follow-up. Our results provide preliminary support for the efficacy of this adolescent adaptation of evidence-based CBT for recurrent binge eating. The large, robust effect size estimate observed for the main outcome (NNT=2) places this among the larger effects observed for any mental health intervention.
需要采取治疗干预措施来解决青少年期和成年早期普遍存在的饮食失调问题。我们制定了一项针对青少年的手册化认知行为疗法（CBT）方案，用于治疗反复出现暴饮暴食的女性青少年，并在一项小型试点随机对照试验中测试了其疗效。我们介绍了在招募青少年过程中吸取的经验教训、我们的治疗方法描述、该治疗方法对青少年及其父母的可接受性，以及试点试验的结果。认知行为疗法组的参与者在治疗后的暴饮暴食次数明显少于常规治疗/延迟治疗（TAU-DT）对照组；100%的认知行为疗法参与者在随访时不再暴饮暴食。我们的结果为这种针对反复出现暴饮暴食的循证认知行为疗法的青少年适应性疗法的疗效提供了初步支持。在主要结果方面观察到的较大且稳健的效应量估计值（NNT=2）使其成为在任何心理健康干预中观察到的较大效应之一。
