Wilfley D E, Agras W S, Telch C F, Rossiter E M, Schneider J A, Cole A G, Sifford L A, Raeburn S D
Laboratory for the Study of Behavioral Medicine, Stanford University School of Medicine.
J Consult Clin Psychol. 1993 Apr;61(2):296-305. doi: 10.1037//0022-006x.61.2.296.
This study evaluated the effectiveness of group cognitive-behavioral treatment (CBT) and group interpersonal psychotherapy (IPT) for binge eating. Fifty-six women with nonpurging bulimia were randomly assigned to 1 of 3 groups: CBT, IPT, or a wait-list control (WL). Treatment was administered in small groups that met for 16 weekly sessions. At posttreatment, both group CBT and group IPT treatment conditions showed significant improvement in reducing binge eating, whereas the WL condition did not. Binge eating remained significantly below baseline levels for both treatment conditions at 6-month and 1-year follow-ups. These data support the central role of both eating behavior and interpersonal factors in the understanding and treatment of bulimia.
本研究评估了团体认知行为疗法（CBT）和团体人际心理治疗（IPT）对暴饮暴食的疗效。56名非清除型贪食症女性被随机分配到3组中的1组：CBT组、IPT组或等待名单对照组（WL）。治疗以小组形式进行，每周进行16次会面。治疗后，CBT组和IPT组在减少暴饮暴食方面均有显著改善，而WL组则没有。在6个月和1年的随访中，两种治疗组的暴饮暴食水平仍显著低于基线水平。这些数据支持了饮食行为和人际因素在贪食症理解和治疗中的核心作用。
