Department of Psychological Science.
University of North Carolina-Charlotte.
Psychol Serv. 2019 Aug;16(3):504-512. doi: 10.1037/ser0000182. Epub 2018 Apr 5.
Binge eating disorder (BED) is the most prevalent eating disorder among Latinas. Furthermore, Latinas report more frequent binge eating and higher levels of associated mental health symptoms as compared with non-Latino White women. Research demonstrates that Latinas' eating problems largely go undetected and untreated and that they face numerous barriers to seeking professional help. Cognitive-behavioral therapy (CBT)-based guided self-help (CBTgsh) for binge eating is a more affordable and disseminable intervention than traditional CBT treatment. In this paper, we present the findings from a randomized controlled trial (RCT) of a culturally adapted CBTgsh program in a sample of overweight and obese Latinas with BED, the first RCT of this type with an ethnic minority population. Study participants (N = 40) diagnosed with BED were randomly assigned to the CBTgsh (n = 21) or waitlist (n = 19) condition. Treatment with the CBTgsh program resulted in significant reductions in frequency of binge eating, depression, and psychological distress and 47.6% of the intention-to-treat CBTgsh group were abstinent from binge eating at follow-up. In contrast, no significant changes were found from pre- to 12-week follow-up assessments for the waitlisted group. Results indicate that CBTgsh can be effective in addressing the needs of Latinas who binge eat and can lead to improvements in symptoms. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
暴食障碍（BED）是拉丁裔人群中最常见的饮食障碍。此外，与非拉丁裔白人女性相比，拉丁裔女性报告更频繁地出现暴食行为，且相关心理健康症状更为严重。研究表明，拉丁裔女性的饮食问题在很大程度上未被发现和治疗，而且她们在寻求专业帮助时面临着许多障碍。基于认知行为疗法（CBT）的自助指导（CBTgsh）治疗暴食是一种比传统 CBT 治疗更实惠且更易推广的干预方法。在本文中，我们报告了一项针对超重和肥胖的患有暴食障碍的拉丁裔女性进行的文化适应性 CBTgsh 项目的随机对照试验（RCT）的结果，这是针对少数族裔人群的此类首个 RCT。研究参与者（N=40）被诊断为暴食障碍，随机分配到 CBTgsh 组（n=21）或候补组（n=19）。接受 CBTgsh 治疗方案后，暴食的频率、抑郁和心理困扰显著减少，意向性治疗 CBTgsh 组中有 47.6%的人在随访时不再暴食。相比之下，候补组从治疗前到 12 周随访评估没有发现显著变化。结果表明，CBTgsh 可以有效满足暴食的拉丁裔女性的需求，并改善症状。（PsycINFO 数据库记录（c）2019 APA，保留所有权利）。
