Torres Sandra, Sales Célia M D, Guerra Marina Prista, Simões Maria P, Pinto Mariana, Vieira Filipa M
Faculty of Psychology and Education Sciences, University of Porto, Porto, Portugal.
Center for Psychology, University of Porto (CPUP), Porto, Portugal.
Front Psychol. 2020 Mar 5;11:343. doi: 10.3389/fpsyg.2020.00343. eCollection 2020.
Obesity coupled with binge eating disorder (BED) is an increasing problem. Incorporation of treatment strategies that address both problems in people with comorbid symptoms is of major interest. This study aimed to investigate the feasibility and preliminary long-term outcomes of a brief emotion-focused cognitive behavioral therapy (EF-CBT) program. Seven out of 10 women with obesity and BED completed the intervention. Standardized outcome measures to assess the intensity of distress caused by complaints, psychological distress, emotional processing, eating behavior, and weight loss were completed at baseline, end-of-treatment, 6- and 18-month follow-ups. Individualized outcome measures were also applied to describe the personal experiences during the intervention. Findings suggest the program's long-term efficacy for improving psychological distress, emotional processing, and alexithymia. Positive reliable changes in emotional processing and alexithymia were observed in almost all participants. The mean intensity of distress caused by complaints also decreased at the end of the intervention, with a large effect size ( = 0.89). Reliable changes in these outcome measures were observed at all time-points, despite the mean scores for the 18-month follow-up suggest a retraction in improvement. Weight loss was below expectations at all time-points, as were changes in emotional and external eating. Restrained eating mean scores remained stable throughout the study. Participants perceived the program to be useful in improving emotional awareness and eating control. Program feasibility was supported by the retention rate (70%) and the average number of attended sessions ( = 9.71; = 2.06). Further studies are needed to examine the effectiveness of EF-CBT interventions.
肥胖与暴饮暴食症（BED）并存是一个日益严重的问题。将针对这两个问题的治疗策略纳入到有共病症状的人群中是备受关注的。本研究旨在调查简短的以情绪为中心的认知行为疗法（EF-CBT）项目的可行性和初步长期效果。10名患有肥胖症和暴饮暴食症的女性中有7人完成了干预。在基线、治疗结束时、6个月和18个月随访时，完成了标准化的结果测量，以评估由抱怨引起的痛苦强度、心理困扰、情绪处理、饮食行为和体重减轻情况。还应用了个性化的结果测量来描述干预期间的个人经历。研究结果表明该项目在改善心理困扰、情绪处理和述情障碍方面具有长期疗效。几乎所有参与者在情绪处理和述情障碍方面都观察到了积极可靠的变化。干预结束时，由抱怨引起的痛苦平均强度也有所降低，效应量较大（=0.89）。尽管18个月随访的平均得分表明改善有所回落，但在所有时间点都观察到了这些结果测量的可靠变化。在所有时间点，体重减轻均低于预期，情绪性和外部性饮食的变化也是如此。在整个研究过程中，克制饮食的平均得分保持稳定。参与者认为该项目有助于提高情绪意识和饮食控制能力。保留率（70%）和平均参加课程次数（=9.71；=2.06）支持了项目的可行性。需要进一步的研究来检验EF-CBT干预的有效性。
