Green Jessica, Melvin Glenn A, Newman Louise, Jones Meaghan, Taffe John, Gordon Michael
Director of Psychology (Clinical) Candidate, School of Psychological Sciences, Monash University, Clayton, VIC, Australia
Senior Lecturer and Clinical Psychologist, Centre for Developmental Psychiatry & Psychology, School of Clinical Sciences, Monash University, Clayton, VIC, Australia.
Australas Psychiatry. 2015 Jun;23(3):249-53. doi: 10.1177/1039856215584513. Epub 2015 May 5.
This study examined changes in body mass index (BMI), anorectic cognitions, and psychological distress following day program treatment.
Participants were 42 female patients from the Monash Health Butterfly eating disorder day program, with anorexia nervosa (AN) restricting type (n = 35) or AN binge-eating/purging type (n = 7), ranging from 12 to 24 years.
Participants' BMI increased significantly over time. Higher motivation at intake predicted a greater increase in BMI over time, compared to those with lower motivation at intake. There were also significant reductions in drive for thinness, body dissatisfaction, anxiety, and depression scores, and improved motivation following two, four and six months of treatment.
These findings provide further evidence that day programs can assist in weight restoration and improvements in psychological aspects of AN in adolescents and young adults.
本研究考察了日间项目治疗后体重指数（BMI）、厌食认知及心理困扰的变化。
参与者为来自莫纳什健康蝴蝶饮食失调日间项目的42名女性患者，患有神经性厌食症（AN）限制型（n = 35）或AN暴饮暴食/清除型（n = 7），年龄在12至24岁之间。
参与者的BMI随时间显著增加。与入院时动机较低的参与者相比，入院时动机较高的参与者随时间推移BMI增加幅度更大。在治疗2个月、4个月和6个月后，对瘦身的驱动力、身体不满、焦虑和抑郁评分也显著降低，动机得到改善。
这些发现进一步证明日间项目可帮助青少年和青年恢复体重，并改善神经性厌食症的心理状况。
