Department of Eating and Weight Disorders, Villa Garda Hospital, Via Montebaldo, 89, 37016 Garda (VR), Italy.
Int J Eat Disord. 2017 Apr;50(4):437-441. doi: 10.1002/eat.22677. Epub 2017 Jan 24.
The study aimed to assess the trajectories of change in body checking over time and the change in eating disorder and general psychopathology in patients with anorexia nervosa treated with inpatient enhanced cognitive behavioral therapy (CBT-E). Sixty-six adult patients with anorexia nervosa were recruited from consecutive referrals to a community-based eating disorder clinic. Body mass index, Eating Disorder Examination, Brief Symptom Inventory, and Body Checking Questionnaire (BCQ) scores were recorded at admission (T0), end of treatment (T1), and 6- and 12-month follow-ups (T2 and T3, respectively). The BCQ was also administered at a single time point to an age-matched healthy female comparison participants group (N = 182). In comparison with comparison participants, patients had higher global BCQ scores at T0. However, mean patient scores for global BCQ administered at T1, T2, and T3 were significantly lower than that measured at baseline in the comparison participants group. The change in BCQ was significantly associated to short- and long-term improvements in eating disorder and general psychopathology. The association between change in body checking and the trajectories of change of eating disorder psychopathology supports the potential usefulness of the CBT-E strategy for reducing shape and weight concerns by addressing body checking.
这项研究旨在评估随时间推移身体检查的变化轨迹，以及接受住院强化认知行为治疗（CBT-E）治疗的神经性厌食症患者的饮食障碍和一般精神病理学的变化。从一个基于社区的饮食障碍诊所连续转介的 66 名成年神经性厌食症患者被招募。在入院时（T0）、治疗结束时（T1）以及 6 个月和 12 个月随访时（T2 和 T3）分别记录体重指数、饮食障碍检查、Brief Symptom Inventory 和身体检查问卷（BCQ）的分数。BCQ 也在单个时间点上在年龄匹配的健康女性对照组参与者（N=182）中进行了评估。与对照组参与者相比，患者在 T0 时的全球 BCQ 得分更高。然而，与对照组参与者相比，患者在 T1、T2 和 T3 时的全球 BCQ 平均得分明显低于对照组参与者的基线测量值。BCQ 的变化与饮食障碍和一般精神病理学的短期和长期改善显著相关。身体检查变化与饮食障碍精神病理学变化轨迹之间的关联支持 CBT-E 策略通过解决身体检查来减少体型和体重担忧的潜在有用性。
