Biney Hannah, Giles Emma, Hutt Matt, Matthews Rachel, Lacey J Hubert
Schoen Clinic Newbridge, Birmingham, UK.
St George's, University of London, London, UK.
Eat Weight Disord. 2022 Feb;27(1):189-198. doi: 10.1007/s40519-021-01161-0. Epub 2021 Mar 13.
To determine the potential effectiveness of a six-session manualised self-esteem group using CBT approaches when given as an adjuvant to adolescent inpatients with Anorexia Nervosa (AN).
Using a randomised controlled design, 50 girls aged 12-17 years with AN were assigned to either self-esteem group with treatment as usual (TAU) (n = 25) or TAU alone (n = 25). 50/78 (64%) consented to be randomised. Both groups completed self-report measures of self-esteem and eating disorder psychopathology at three time points to measure the potential effectiveness of the treatment. Qualitative feedback was collected to assess acceptability.
29 participants completed the study: 15 self-esteem group with TAU, 14 TAU alone. Self-esteem group participants had greater improvement in all outcomes than TAU participants at all time points, the difference in self-report self-esteem at T2 is 1.12 (95% CI - 1.44-3.69; effect size = 0.21). Similar small effect sizes were found for the eating disorder psychopathology measure following completion of the intervention but not at four-week follow-up. Favourable qualitative feedback was gained.
These findings demonstrate that the self-esteem group supplements an intensive treatment package which also addresses elements of low self-esteem. The self-esteem group was beneficial for addressing self-esteem and acted as a catalyst for change in eating disorder psychopathology. Positive qualitative feedback indicated the intervention was acceptable to users. Self-esteem group is a potential new adjuvant treatment for AN.
Level 1.
确定一种采用认知行为疗法（CBT）方法的六节手动自尊小组治疗作为神经性厌食症（AN）青少年住院患者辅助治疗时的潜在效果。
采用随机对照设计，将50名年龄在12 - 17岁的AN女孩分为接受常规治疗（TAU）的自尊小组（n = 25）或仅接受TAU治疗的小组（n = 25）。78名中有50名（64%）同意被随机分组。两组在三个时间点完成自尊和饮食失调心理病理学的自我报告测量，以评估治疗的潜在效果。收集定性反馈以评估可接受性。
29名参与者完成了研究：15名在自尊小组接受TAU治疗，14名仅接受TAU治疗。在所有时间点，自尊小组参与者在所有结果方面的改善都比TAU参与者更大，T2时自我报告自尊的差异为1.12（95%置信区间 - 1.44 - 3.69；效应大小 = 0.21）。干预完成后，饮食失调心理病理学测量也发现了类似的小效应大小，但在四周随访时未发现。获得了积极的定性反馈。
这些发现表明，自尊小组补充了一个强化治疗方案，该方案也解决了低自尊问题。自尊小组有助于解决自尊问题，并成为饮食失调心理病理学改变的催化剂。积极的定性反馈表明该干预对使用者是可接受的。自尊小组是AN一种潜在的新辅助治疗方法。
1级。
