针对体重正常的饮食失调青少年的跨诊断认知行为疗法。
Transdiagnostic cognitive behaviour therapy for adolescents with an eating disorder who are not underweight.
作者信息
Dalle Grave Riccardo, Calugi Simona, Sartirana Massimiliano, Fairburn Christopher G
机构信息
Department of Eating and Weight Disorders, Villa Garda Hospital, Via Montebaldo, 89, I-37016 Garda, VR, Italy.
Oxford University, Department of Psychiatry, Warneford Hospital, Oxford OX3 7JX, UK.
出版信息
Behav Res Ther. 2015 Oct;73:79-82. doi: 10.1016/j.brat.2015.07.014. Epub 2015 Aug 4.
Little is known about the treatment of adolescents with an eating disorder who are not underweight. Enhanced cognitive behaviour therapy (CBT-E) is a potential option as it is a treatment for adult patients with eating disorders of this type and it has been shown to be effective with adolescent patients who are underweight. The aim of the present cohort study was to evaluate the effects of CBT-E on non-underweight adolescents with an eating disorder. Sixty-eight adolescent patients with an eating disorder and a body mass index (BMI) centile corresponding to an adult BMI ≥ 18.5 were recruited from consecutive referrals to a community-based eating disorder clinic. Each was offered 20 sessions of CBT-E over 20 weeks. Three-quarters completed the full 20 sessions. There was a marked treatment response with two-thirds (67.6%, intent-to-treat) having minimal residual eating disorder psychopathology by the end of treatment. CBT-E therefore appears to be a promising treatment for those adolescents with an eating disorder who are not underweight.
对于体重正常的青少年饮食失调患者的治疗，我们知之甚少。强化认知行为疗法（CBT-E）是一种可能的选择，因为它是针对此类成年饮食失调患者的一种治疗方法，并且已被证明对体重过轻的青少年患者有效。本队列研究的目的是评估CBT-E对体重正常的青少年饮食失调患者的疗效。从连续转诊至一家社区饮食失调诊所的患者中招募了68名患有饮食失调且体重指数（BMI）百分位数相当于成人BMI≥18.5的青少年患者。每位患者在20周内接受20次CBT-E治疗。四分之三的患者完成了全部20次治疗。治疗反应显著，三分之二（67.6%，意向性分析）的患者在治疗结束时饮食失调心理病理学残留症状极少。因此，CBT-E对于那些体重正常的青少年饮食失调患者似乎是一种有前景的治疗方法。
Zotero 插件