Department of Eating and Weight Disorders, Villa Garda Hospital, Via Montebaldo, 89, 37016 Garda, VR, Italy.
Department of Eating and Weight Disorders, Villa Garda Hospital, Via Montebaldo, 89, 37016 Garda, VR, Italy.
Psychiatry Res. 2018 Apr;262:477-481. doi: 10.1016/j.psychres.2017.09.027. Epub 2017 Sep 12.
Sexual abuse has been widely studied as a risk factor in anorexia nervosa, but data on its influence on treatment outcomes are scarce. Hence, we compared short- and long-term outcomes of inpatient enhanced cognitive-behavioural therapy (CBT-E) in patients with anorexia nervosa who had and had not suffered sexual abuse. Eighty-one patients were recruited, and body mass index (BMI), Eating Disorder Examination, Brief Symptom Inventory, and Work and Social Adjustment Scale scores were recorded before and after treatment, and at 6- and 12-month follow-ups. Twenty patients (24.7%) reported experiencing childhood sexual abuse before anorexia nervosa onset, while 61 (75.3%) reported none. Both groups displayed similar characteristics before treatment, and similarly large increases in BMI, eating-disorder, general psychopathology, and work and social functioning from baseline to 12-month follow-up. Based on these findings, childhood sexual abuse does not appear to compromise outcomes in patients with anorexia nervosa treated via intensive CBT-E.
性虐待已被广泛研究为神经性厌食症的一个风险因素，但关于其对治疗结果影响的数据却很少。因此，我们比较了遭受和未遭受性虐待的神经性厌食症患者接受住院强化认知行为疗法（CBT-E）的短期和长期治疗结果。共招募了 81 名患者，在治疗前、治疗后以及 6 个月和 12 个月随访时记录了体重指数（BMI）、饮食障碍检查、Brief Symptom Inventory 和工作和社会适应量表评分。20 名患者（24.7%）报告在神经性厌食症发病前经历过儿童期性虐待，而 61 名患者（75.3%）则没有。两组患者在治疗前均具有相似的特征，并且在 BMI、饮食障碍、一般精神病理学和工作及社会功能方面，从基线到 12 个月随访时都有类似的大幅度改善。基于这些发现，儿童期性虐待似乎不会影响接受强化 CBT-E 治疗的神经性厌食症患者的治疗结果。
