Calvert Fiona, Smith Evelyn, Brockman Rob, Simpson Susan
1School of Psychology, University of Wollongong, Wollongong, NSW Australia.
2School of Social Sciences and Psychology, Western Sydney University, 1795 Locked bag, Penrith, NSW Australia.
J Eat Disord. 2018 Jan 9;6:1. doi: 10.1186/s40337-017-0185-8. eCollection 2018.
The treatment of eating disorders is a difficult endeavor, with only a relatively small proportion of clients responding to and completing standard cognitive behavioural therapy (CBT). Given the prevalence of co-morbidity and complex personality traits in this population, Schema Therapy has been identified as a potentially viable treatment option. A case series of Group Schema Therapy for Eating Disorders (ST-E-g) yielded positive findings and the study protocol outlined in this article aims to extend upon these preliminary findings to evaluate group Schema Therapy for eating disorders in a larger sample ( = 40).
METHODS/DESIGN: Participants undergo a two-hour assessment where they complete a number of standard questionnaires and their diagnostic status is ascertained using the Eating Disorder Examination. Participants then commence treatment, which consists of 25 weekly group sessions lasting for 1.5 h and four individual sessions. Each group consists of five to eight participants and is facilitated by two therapists, at least one of who is a registered psychologist trained on schema therapy. The primary outcome in this study is eating disorder symptom severity. Secondary outcomes include: cognitive schemas, self-objectification, general quality of life, self-compassion, schema mode presentations, and Personality Disorder features. Participants complete psychological measures and questionnaires at pre, post, six-month and 1-year follow-up.
This study will expand upon preliminary research into the efficacy of group Schema Therapy for individuals with eating disorders. If group Schema Therapy is shown to reduce eating disorder symptoms, it will hold considerable promise as an intervention option for a group of disorders that is typically difficult to treat.
ACTRN12615001323516. Registered: 2/12/2015 (retrospectively registered, still recruiting).
饮食失调的治疗是一项艰巨的任务，只有相对较小比例的患者对标准认知行为疗法（CBT）有反应并完成治疗。鉴于该人群中共病和复杂人格特质的普遍性，图式疗法已被确定为一种潜在可行的治疗选择。一项针对饮食失调的团体图式疗法（ST-E-g）的病例系列研究取得了积极成果，本文概述的研究方案旨在扩展这些初步发现，以在更大样本（n = 40）中评估团体图式疗法对饮食失调的疗效。
方法/设计：参与者接受为期两小时的评估，在此期间他们要完成一些标准问卷，并使用饮食失调检查确定其诊断状况。然后参与者开始治疗，治疗包括25次每周一次、每次持续1.5小时的团体治疗 session 和4次个体治疗 session。每个团体由五至八名参与者组成，由两名治疗师主持，其中至少有一名是接受过图式疗法培训的注册心理学家。本研究的主要结局是饮食失调症状的严重程度。次要结局包括：认知图式、自我物化、总体生活质量、自我同情、图式模式表现和人格障碍特征。参与者在治疗前、治疗后、六个月和一年随访时完成心理测量和问卷。
本研究将扩展对团体图式疗法治疗饮食失调个体疗效的初步研究。如果团体图式疗法被证明能减轻饮食失调症状，那么作为一种治疗通常难以治疗的一组疾病的干预选择，它将具有很大的前景。
ACTRN12615001323516。注册时间：2015年12月2日（追溯注册，仍在招募）。
