Weight suppression is a robust predictor of outcome in the cognitive-behavioral treatment of bulimia nervosa
Weight suppression is a robust predictor of outcome in the cognitive-behavioral treatment of bulimia nervosa
复制标题
DOI：
10.1037/0021-843x.115.1.62
复制
发表时间：
2006-02-01
影响因子：
4.6
通讯作者：
Agras, WS
中科院分区：
文献类型：
--
作者：
Butryn, ML;Lowe, MR;Agras, WS
本研究在188名参加认知行为治疗干预的神经性贪食症门诊患者中，检查了体重抑制（最高病前体重和治疗前体重之间的差异）作为结局的预测因素。退出治疗的参与者的体重抑制水平明显高于治疗完成者。在完成治疗的参与者中，那些继续参与暴饮暴食或净化的人比那些戒除暴饮暴食和净化的人有更高的体重抑制水平。当控制体重指数、饮食限制、体重和体型问题或其他相关变量时，结果没有变化。放弃贪食行为和采取正常的饮食模式可能是最可行的患者谁是最接近他们的最高发病前的体重。
This study examined weight suppression (difference between highest premorbid weight and pretreatment weight) as a predictor of outcome in 188 outpatients with bulimia nervosa enrolled in a cognitive-behavioral therapy intervention. Participants who dropped out of treatment had significantly higher levels of weight suppression than treatment completers. Of participants who completed treatment, those who continued to engage in binge eating or purging had significantly higher levels of weight suppression than those who were abstinent from bingeing and purging. Results did not change when body mass index, dietary restraint, weight and shape concerns, or other relevant variables were controlled. Relinquishing bulimic behaviors and adopting normal eating patterns may be most feasible for patients who are closest to their highest premorbid weights.