Agras W S, Telch C F, Arnow B, Eldredge K, Marnell M
Department of Psychiatry, School of Medicine, Stanford University, Palo Alto, California 94305-5542, USA.
J Consult Clin Psychol. 1997 Apr;65(2):343-7. doi: 10.1037//0022-006x.65.2.343.
The results of a 1-year posttreatment follow-up of 93 obese women diagnosed as having binge eating disorder (BED) and treated with group cognitive-behavioral therapy (CBT) followed by weight loss treatment are described. The group as a whole maintained both reductions in binge eating and abstinence rates fairly well. However, they regained the weight lost during treatment. Those who stopped binge eating during CBT maintained a weight loss of 4.0 kg over the follow-up period. In contrast, those who continued to binge gained 3.6 kg. Twenty-six percent of those abstinent after CBT met criteria for BED at follow-up and had gained weight, whereas the remaining 74% had lost weight. Stopping binge eating appears critical to sustained weight loss in BED.
本文描述了93名被诊断为暴饮暴食症（BED）的肥胖女性，接受团体认知行为疗法（CBT）并随后进行减肥治疗后1年的治疗后随访结果。总体而言，该组在暴饮暴食减少率和节制率方面都保持得相当不错。然而，她们又重新找回了治疗期间减掉的体重。在CBT治疗期间停止暴饮暴食的人在随访期内体重减轻了4.0千克。相比之下，那些继续暴饮暴食的人体重增加了3.6千克。CBT治疗后节制饮食的人中有26%在随访时符合BED的标准且体重增加，而其余74%的人体重减轻。停止暴饮暴食似乎是BED患者持续减肥的关键。
