Mitchell J E, Pyle R L, Pomeroy C, Zollman M, Crosby R, Seim H, Eckert E D, Zimmerman R
Department of Psychiatry, University of Minnesota Medical School, Minneapolis 55455.
Int J Eat Disord. 1993 Nov;14(3):277-87. doi: 10.1002/1098-108x(199311)14:3<277::aid-eat2260140306>3.0.co;2-8.
Although much of the psychotherapy for psychiatric disorders is conducted on a weekly basis, several researchers in the field of bulimia nervosa have utilized a more intensive approach as a means to strengthen treatment effects. A second issue concerns the amount of emphasis that should be placed on encouraging the interruption of bulimic symptoms early in treatment. In the current study we systematically studied these two issues. Subjects were randomly assigned to one of four forms of cognitive-behavioral group psychotherapy, the four cells differing on the variables of intensity and emphasis on abstinence. The results indicate that a high intensity approach, an early abstinence approach, or a combination of these two approaches are all significantly more effective in inducing remission in patients with bulimia nervosa compared with a weekly psychotherapy that uses the same manual-based cognitive-behavioral therapy approach.
尽管针对精神疾病的心理治疗大多是每周进行一次，但神经性贪食症领域的几位研究人员采用了更密集的方法来增强治疗效果。第二个问题是，在治疗早期应在多大程度上强调鼓励中断贪食症状。在本研究中，我们系统地研究了这两个问题。受试者被随机分配到四种认知行为团体心理治疗形式之一，这四个组在强度和对节制的强调变量上有所不同。结果表明，与使用相同基于手册的认知行为治疗方法的每周心理治疗相比，高强度方法、早期节制方法或这两种方法的组合在诱导神经性贪食症患者缓解方面都显著更有效。
