Agüera Zaida, Sánchez Isabel, Granero Roser, Riesco Nadine, Steward Trevor, Martín-Romera Virginia, Jiménez-Murcia Susana, Romero Xandra, Caroleo Mariarita, Segura-García Cristina, Menchon José Manuel, Fernández-Aranda Fernando
CIBER Fisiología de la Obesidad y Nutrición (CIBERobn), Instituto Salud Carlos III, Madrid, Spain.
Department of Psychiatry, University Hospital of Bellvitge - IDIBELL, Barcelona, Spain.
Eur Eat Disord Rev. 2017 Jul;25(4):293-301. doi: 10.1002/erv.2519. Epub 2017 May 4.
This study compared treatment outcomes between men and women with eating disorders (EDs) and analysed clinical predictors of treatment outcome. Our sample consisted of 131 male and 131 female ED patients who underwent cognitive behavioural therapy treatment. ED severity, personality and psychopathology were assessed using standard instruments. We found that the risk of dropout was higher for men with bulimia nervosa (BN) than for women with BN and that men with BN and other specified feeding and EDs were more likely to obtain full remission in comparison with their female counterparts. Predictive models of treatment outcome indicated that higher scores in novelty seeking were a shared factor associated with higher risk of dropout and not obtaining full remission for both men and women with ED. However, only in men, younger age and lower scores in reward dependence predicted higher dropout. Contrastingly, higher persistence scores were predictors of full remission. This study reinforces the effectiveness of using outpatient cognitive behavioural therapy as treatment as usual for men with ED. Nonetheless, placing greater emphasis on strategies targeting gender-specific issues could enhance outcomes. Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association.
本研究比较了患有饮食失调症（EDs）的男性和女性的治疗结果，并分析了治疗结果的临床预测因素。我们的样本包括131名接受认知行为疗法治疗的男性ED患者和131名女性ED患者。使用标准工具评估ED严重程度、人格和精神病理学。我们发现，神经性贪食症（BN）男性的退出风险高于BN女性，并且患有BN和其他特定进食及EDs的男性比女性更有可能完全缓解。治疗结果的预测模型表明，寻求新奇得分较高是与患有ED的男性和女性退出风险较高以及未完全缓解相关的共同因素。然而，仅在男性中，年龄较小和奖励依赖得分较低预示着退出风险较高。相反，较高的坚持得分是完全缓解的预测因素。本研究强化了将门诊认知行为疗法作为患有ED的男性常规治疗方法的有效性。尽管如此，更加重视针对特定性别的问题的策略可能会改善治疗结果。版权所有© 2017约翰威立父子有限公司和饮食失调协会。
