Comparison of group and individual cognitive-behavioral therapy for patients with bulimia nervosa
Comparison of group and individual cognitive-behavioral therapy for patients with bulimia nervosa
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DOI：
10.1002/eat.10137
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发表时间：
2003-04-01
影响因子：
5.5
通讯作者：
Basten, C
中科院分区：
文献类型：
--
作者：
Chen, E;Touyz, SW;Basten, C
目的：比较团体和个体认知行为疗法（CBT）治疗神经性贪食症（BN）的临床效果。方法：来自澳大利亚悉尼医院和全科医生的 60 名 BN 患者被随机分配至团体或个人 CBT。 44 例完成治疗（CBT 组 n = 22，个体 CBT n = 22）。在治疗前、治疗后以及 3 个月和 6 个月随访时，使用饮食失调检查 12 和自我报告问卷对患者进行评估，检查体重和体型态度（饮食失调量表 2）、社会适应（改良社会调整量表）、自尊（罗森伯格自尊量表）和一般精神病理学（症状检查表 90R）。结果：团体和个人 CBT 在大多数指标上的效果是相同的。然而，个体 CBT 患者在治疗后戒除暴食行为的比例明显高于 CBT 组患者，但在随访时却没有。讨论：这对于提供具有成本效益且临床有效的 BN 治疗具有重要意义。 (C) 2003 年，Wiley periodicals, Inc.
Objective: The clinical effectiveness of group and individual cognitive-behavioral therapy (CBT) for bulimia nervosa (BN) was compared. Method: Sixty BN patients from hospitals and general practitioners in Sydney, Australia, were allocated randomly to group or individual CBT. Forty-four completed treatment (n = 22 in group CBT and n = 22 in individual CBT). Patients were assessed at pretreatment, posttreatment, and at 3 and 6 months follow-up with the Eating Disorder Examination-12 and self-report questionnaires examining weight and shape attitudes (Eating Disorder Inventory-2), social adjustment (Socail Adjustment Scale-Modified), self-esteem (Rosenberg Self-Esteem Scale), and general psychopathology (Symptom Checklist 90R). Results: The effects of group and individual CBT were equivalent on most measures. However, a significantly greater proportion of individual CBT patients than group CBT patients were abstinent from bulimic behaviors at posttreatment, but not at follow-up. Discussion: This has implications for the delivery of cost-effective and clinically effective treatment for BN. (C) 2003 by Wiley Periodicals, Inc.