Department of Eating and Weight Disorders, Villa Garda Hospital, 37016 Verona, Italy.
Nutrients. 2024 May 8;16(10):1411. doi: 10.3390/nu16101411.
Studies comparing treatment outcomes in patients with eating disorders before and during the coronavirus (COVID-19) pandemic have yielded conflicting results. Furthermore, no study has yet evaluated treatment outcomes in adolescent patients with anorexia nervosa before, during and after the crisis. Hence, this study investigated the outcomes of an intensive Cognitive Behavioral Therapy-Enhanced (CBT-E) program on adolescents with anorexia nervosa consecutively treated before (n = 64), during (n = 37) and after (n = 31) the period of emergency spanning 8 March 2020 to 31 March 2022. Results show consistent and similar improvements in eating disorder psychopathology, general psychopathology and body mass index-for-age percentiles across all three periods, with approximately 60% of patients maintaining a full response at the 20-week follow-up, suggesting that treatment efficacy remained robust. Overall, the study underscores the effectiveness of intensive CBT-E as a viable treatment option for adolescents with anorexia nervosa, even during and after unprecedented challenges such as those posed by the COVID-19 pandemic.
研究比较了在冠状病毒（COVID-19）大流行前后患有饮食失调症的患者的治疗结果，结果喜忧参半。此外，尚无研究评估过在危机前后，青少年神经性厌食症患者的治疗结果。因此，本研究调查了在 2020 年 3 月 8 日至 2022 年 3 月 31 日的紧急时期内，连续治疗的神经性厌食症青少年接受强化认知行为治疗（CBT-E）的治疗结果，该研究包括紧急时期前（n=64）、期间（n=37）和之后（n=31）。结果表明，在所有三个时期，饮食失调症病理学、一般病理学和体重指数年龄百分位数都有持续且相似的改善，约有 60%的患者在 20 周的随访中保持完全缓解，表明治疗效果仍然很强大。总的来说，该研究强调了强化 CBT-E 作为一种可行的治疗选择，对患有神经性厌食症的青少年有效，即使是在前所未有的挑战期间，如 COVID-19 大流行期间也是如此。
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