Crosby R D, Mitchell J E, Raymond N, Specker S, Nugent S M, Pyle R L
Department of Psychiatry, University of Minnesota Medical School, Minneapolis 55455.
Int J Eat Disord. 1993 May;13(4):359-68. doi: 10.1002/1098-108x(199305)13:4<359::aid-eat2260130404>3.0.co;2-6.
A reanalysis of treatment response and relapse was performed using survival analysis in a 12-week clinical trial of cognitive behavioral group psychotherapy for the treatment of bulimia nervosa. One hundred forty-three (143) bulimic women with high incidence of binge eating, self-induced vomiting, and/or laxative abuse were randomly assigned to one of four possible treatment conditions that consisted of a combination of two factors: (1) emphasis on abstinence (high and low), and (2) treatment intensity (high and low). "Initial" and "maintained" response to treatment based on "total" and "near" abstinence criteria were determined using self-reported binge eating, vomiting, and laxative use data. Results suggest that an emphasis on abstinence appears important in achieving initial abstinence, whereas intensity of treatment may be important in maintaining abstinence.
在一项为期12周的认知行为团体心理治疗神经性贪食症的临床试验中，运用生存分析对治疗反应和复发情况进行了重新分析。143名有频繁暴饮暴食、自我催吐和/或滥用泻药行为的贪食症女性被随机分配到四种可能的治疗方案之一，这四种方案由两个因素组合而成：（1）对节制的强调程度（高和低），以及（2）治疗强度（高和低）。根据自我报告的暴饮暴食、呕吐和泻药使用数据，按照“完全”和“接近”节制标准确定对治疗的“初始”和“维持”反应。结果表明，强调节制对于实现初始节制似乎很重要，而治疗强度对于维持节制可能很重要。
