Treating bulimia nervosa in the context of gender dysphoria using 10-session cognitive behavior therapy
Treating bulimia nervosa in the context of gender dysphoria using 10-session cognitive behavior therapy
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DOI：
10.1002/eat.23068
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发表时间：
2019-05-01
影响因子：
5.5
通讯作者：
Wade, Tracey D.
中科院分区：
文献类型：
--
作者：
Cibich, Mikaela;Wade, Tracey D.
目的本病例报告描述了一位16岁儿童神经性贪食症合并性别焦虑的心理治疗。他报告在治疗开始前约1年限制进食和排便。方法对10名进食障碍患者进行认知行为治疗（CBT-T），并对性别特异性身体不满进行调整。结果病人从第二次治疗开始就消除了暴食和腹泻，并在3个月的随访中保持了这种状态。他吃的食物的数量和种类都增加了，他不再报告主观的暴食。他的抑郁、焦虑和压力症状也有明显改善。讨论这表明，神经性贪食症可以有效地治疗CBT-T在性别焦虑的背景下。进一步研究这些结果的普遍性将是有益的。
Objective This case report describes the psychological treatment for bulimia nervosa of a 16-year old with co-occurring gender dysphoria. He reported restricting his food intake and purging for approximately 1 year prior to therapy commencing. Method Ten sessions of cognitive behavioral therapy for eating disorders (CBT-T) were conducted with accommodations for gender-specific body dissatisfaction. Results The client eliminated binging and purging from the second treatment session and had maintained this at the 3-month follow-up. The quantity and variety of foods he was eating had increased and he no longer reported subjective binges. Improvements were also evident in his depression, anxiety and stress symptoms. Discussion This suggests that bulimia nervosa may be effectively treated with CBT-T in the context of gender dysphoria. Further research that investigates the generalizability of these outcomes would be beneficial.