Train-the-trainer: implementation of cognitive behavioural guided self-help for recurrent binge eating in a naturalistic setting.

Train-the-trainer: implementation of cognitive behavioural guided self-help for recurrent binge eating in a naturalistic setting.
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培训培训师:在自然环境中针对反复暴食实施认知行为引导自助。

DOI:
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发表时间:
2013
影响因子:
5.3
通讯作者:
G. Wilson
G. Wilson
中科院分区:
心理学2区
文献类型:
--
作者:
Laurie J. Zandberg;G. Wilson

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目的 本研究评估的可行性和可接受性的认知行为指导的自助(CBTgsh)的反复暴饮暴食使用培训的教练实施策略。 方法 在接受专家领导的CBTgsh培训后,一名临床心理学硕士研究生随后培训并监督经验较少的研究生在开放式临床试验中实施治疗。参与者是38名在大学咨询中心寻求治疗的学生,他们经常暴饮暴食,患有神经性贪食症,暴饮暴食症或饮食失调症。 结果 意向性治疗(ITT)分析显示,治疗后42.1%的患者戒除暴饮暴食,一个月随访时47.4%。参与者报告了治疗前到治疗后的显著减少,具体的进食障碍精神病理学,一般精神病理学,功能障碍和高水平的治疗可接受性的措施。 结论 这些结果为培训师实施策略提供了“概念验证”,并增加了支持CBTgsh在常规临床护理中的可行性和有效性的证据。
OBJECTIVE The present study evaluated the feasibility and acceptability of cognitive behavioural guided self-help (CBTgsh) for recurrent binge eating using the train-the-trainer implementation strategy. METHOD After receiving expert-led training in CBTgsh, a master's-level graduate student in clinical psychology subsequently trained and supervised less experienced graduate students to implement the treatment in an open clinical trial. Participants were 38 treatment-seeking students at a university counselling centre with recurrent binge eating, featuring cases of bulimia nervosa, binge eating disorder, or eating disorder not otherwise specified. RESULTS Intent-to-treat (ITT) analyses revealed 42.1% abstinence from binge eating at post-treatment and 47.4% at one-month follow-up. Participants reported significant pretreatment to post-treatment reductions on measures of specific eating disorder psychopathology, general psychopathology, and functional impairment and high levels of treatment acceptability. CONCLUSIONS These results provide 'proof-of-concept' for the train-the-trainer implementation strategy and add to the evidence supporting the feasibility and effectiveness of CBTgsh in routine clinical care.
在初级保健机构中治疗神经性贪食症。
DOI: 10.1176/appi.ajp.161.3.556
发表时间: 2004
期刊: The American journal of psychiatry.
影响因子: --
作者:
Walsh,BTimothy;Fairburn,ChristopherG;Mickley,Diane;Sysko,Robyn;Parides,MichaelK
通讯作者: Parides,MichaelK
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DOI: 10.1016/j.brat.2009.02.007
发表时间: 2009-04
影响因子: 4.1
作者:
Becker CB;Stice E;Shaw H;Woda S
通讯作者: Woda S