Department of Eating and Weight Disorders, Villa Garda Hospital, Garda (VR), Italy.
Int J Eat Disord. 2019 May;52(5):582-585. doi: 10.1002/eat.23031. Epub 2019 Jan 31.
To ascertain the role of baseline measures of body-image concern (BIC) in changes in body mass index (BMI) centile and psychopathological outcomes associated with intensive enhanced cognitive behavioral therapy (CBT-E) in adolescents with anorexia nervosa (AN).
The BMI centile of 62 adolescent patients with AN was recorded at four time-points over 12 months, and Eating Disorder Examination interview (EDE) and Brief Symptom Inventory (BSI) scores, were recorded at admission and discharge from CBT-E. Changes in three BIC components, namely "Preoccupation with shape/weight", "Fear of weight gain" and "Feeling fat", were assessed at admission and discharge.
CBT-E was associated with a significant improvement in outcome variables and BIC components. Among completers, 96.4% reached an end-of treatment BMI centile corresponding to a BMI ≥ 18.5 at 18 years, which fell slightly to 78.7% and 80.4% at 6- and 12-month follow-ups, respectively. Baseline "Preoccupation with shape/weight" and "Feeling fat" predicted improvement in BMI centile over time, and all three baseline BIC components independently predicted end-of-treatment EDE Eating Concern subscale score. Baseline "Feeling fat" also predicted end-of-treatment EDE Dietary Restraint subscale and BSI scores.
These findings highlight the importance of assessing and addressing body image when managing adolescent patients with AN.
确定身体意象关注点（BIC）基线测量在与强化认知行为疗法（CBT-E）相关的体重指数（BMI）百分位变化和心理病理结果中的作用，该疗法用于治疗青少年神经性厌食症（AN）。
在 12 个月的 4 个时间点记录了 62 名患有 AN 的青少年患者的 BMI 百分位数，在接受 CBT-E 治疗前后记录了饮食失调检查访谈（EDE）和简明症状量表（BSI）的分数。在接受治疗前后评估了三个 BIC 成分的变化，即“对形状/体重的关注”、“害怕体重增加”和“感觉肥胖”。
CBT-E 与结果变量和 BIC 成分的显著改善相关。在完成治疗的患者中，96.4%的患者达到了治疗结束时的 BMI 百分位数，对应于 18 岁时 BMI≥18.5，在 6 个月和 12 个月的随访中，这一比例分别略有下降至 78.7%和 80.4%。基线“对形状/体重的关注”和“感觉肥胖”预测 BMI 百分位随时间的改善，所有三个基线 BIC 成分独立预测治疗结束时 EDE 饮食关注分量表的评分。基线“感觉肥胖”也预测了治疗结束时 EDE 饮食节制分量表和 BSI 评分。
这些发现强调了在治疗青少年 AN 患者时评估和处理身体意象的重要性。
