Does rapid response to two group psychotherapies for binge eating disorder predict abstinence?
Does rapid response to two group psychotherapies for binge eating disorder predict abstinence?
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DOI：
10.1016/j.brat.2011.03.001
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发表时间：
2011-05
影响因子：
4.1
通讯作者：
Joyce EE
中科院分区：
文献类型：
--
作者：
Safer DL;Joyce EE
通过在治疗结束（EOT）和1年随访中检查暴食症（BED）两组治疗中的快速反应（RR）的预后意义，扩展对治疗的理解：BED的辩证行为治疗（DBT-BED）和积极对照组治疗（ACGT）。101名成人BED患者随机分为20周DBT-BED和ACGT。RR定义为到第4周时暴食天数减少≥65%。在EOT和1年随访中，用于预测暴饮暴食禁欲和次要结局（如暴饮暴食病理，治疗消耗）的治疗条件下和治疗条件内的RR(1)快速反应者（RR; n = 41）比非快速反应者(非RR；n = 60)，分别为EOT（70.7%对33.3%）和1年随访（70.7%对40.0%），以及大多数次要测量的改善(2)rr组与非rr组之间的消耗显著减少(3)dbt - rr组与dbt -非rr组在两个时间点的暴食戒断率均显著提高，但ACGT rr组与ACGT-非rr组没有。目前的研究将RR的预后意义扩展到1年随访。随机分配到DBT-BED组的RR比ACGT组更明显。的影响进行了讨论。
Extend understanding of a rapid response (RR) to treatment by examining its prognostic significance at end-of-treatment (EOT) and 1 year follow-up within two group treatments for binge eating disorder (BED): Dialectical Behavior Therapy for BED (DBT-BED) and an active comparison group therapy (ACGT). 101 adults with BED randomized to 20-weeks DBT-BED versus ACGT. RR defined as ≥ 65% reduction in the frequency of days of binge eating by week 4. RR across and within treatment conditions used to predict binge eating abstinence and secondary outcomes (e.g., binge eating pathology, treatment attrition) at EOT and 1 year follow-up (1) Significantly higher binge eating abstinence for rapid responders (RR; n = 41) vs. non-rapid responders (non-RRs; n = 60) at EOT (70.7% vs. 33.3%) and 1 year follow-up (70.7% vs. 40.0%), respectively, as well as improvement on most secondary measures (2) Significantly less attrition among RRs vs. non-RRs (3) Significantly higher binge eating abstinence rates at both time points for DBT-RRs vs. DBT-non-RRs, but not for ACGT RRs vs. ACGT-non-RRs,. Current study extends prognostic significance of RR to 1 year follow-up. RR more prominent for those randomly assigned to DBT-BED than ACGT. Implications discussed.
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影响因子：
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