Cognitive behavioral guided self-help for the treatment of recurrent binge eating.
Cognitive behavioral guided self-help for the treatment of recurrent binge eating.
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DOI：
10.1037/a0018915
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发表时间：
2010-06
影响因子：
5.9
通讯作者：
Kraemer, Helena C.
中科院分区：
文献类型：
--
作者：
Striegel-Moore, Ruth H.;Wilson, G. Terence;DeBar, Lynn;Perrin, Nancy;Lynch, Frances;Rosselli, Francine;Kraemer, Helena C.
尽管认知行为疗法（CBT）已被证明对治疗以暴饮暴食为核心症状的进食障碍有效，但在临床实践中很少有患者接受CBT。我们的混合疗效-有效性研究旨在评估基于手册的指导自助形式的CBT（CBT-GSH），在12周内由大师级干预人员在健康维护组织中进行8次会议，是否比常规治疗（TAU）更有效。共有123名受试者（平均年龄= 37.2岁，91.9%为女性，96.7%为非西班牙裔白色人）被随机分组，其中10.6%患有神经性贪食症（BN），48%患有暴食症（BED），41.4%在没有BN或BED的情况下患有反复暴食症。基线、治疗后以及6个月和12个月随访数据用于意向治疗分析。在12个月的随访中，通过饮食失调检查（EDE）测量，CBT-GSH导致比TAU（44.6%，需要治疗的数量= 5）更大的暴食节制（64.2%）。次要结果反映CBT-GSH组在饮食控制方面有更大的改善（d = .30），饮食，形状和体重问题（d = 0.54，1.01，0.49）（分别通过EDE问卷测量），抑郁症（d = .56）（贝克抑郁量表，），和社会适应（d = .58）（工作和社会适应量表，），但没有体重变化。CBT-GSH是大多数不符合BN或神经性厌食症诊断标准的复发性暴饮暴食患者的可行一线治疗选择。
Despite proven efficacy of cognitive-behavioral therapy (CBT) for treating eating disorders with binge eating as the core symptom, few patients receive CBT in clinical practice. Our blended efficacy-effectiveness study sought to evaluate whether a manual-based guided self-help form of CBT (CBT-GSH), delivered in 8 sessions in a Health Maintenance Organization setting over a 12-week period by masters level interventionists, is more effective than treatment as usual (TAU). In all, 123 individuals (mean age = 37.2, 91.9% female, 96.7% non-Hispanic White) were randomized, including 10.6% with bulimia nervosa (BN), 48% with Binge Eating Disorder (BED), and 41.4% with recurrent binge eating in the absence of BN or BED. Baseline, post-treatment, and 6- and 12 month follow-up data were used in intent-to-treat analyses. At 12-month follow-up, CBT-GSH resulted in greater abstinence from binge eating (64.2%) than TAU (44.6%, Number Needed to Treat = 5), as measured by the Eating Disorder Examination (EDE,). Secondary outcomes reflected greater improvements in the CBT-GSH group in dietary restraint (d = .30), eating-, shape-, and weight concern (d’s = .54, 1.01, .49) (measured by the EDE-Questionnaire, respectively,), depression (d = .56) (Beck Depression Inventory,), and social adjustment (d = .58) (Work and Social Adjustment Scale,), but not weight change. CBT-GSH is a viable first-line treatment option for the majority of patients with recurrent binge eating who do not meet diagnostic criteria for BN or anorexia nervosa.
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DOI：
10.1097/00004583-200010000-00016
发表时间：
2000-10-01
影响因子：
13.3
作者：
Lewinsohn, PM;Striegel-Moore, RH;Seeley, JR
通讯作者：
Seeley, JR
影响因子：
5.5
作者：
Cachelin, FM;Rebeck, R;Striegel-Moore, RH
通讯作者：
Striegel-Moore, RH
影响因子：
2.7
作者：
EFRON, B
通讯作者：
EFRON, B
影响因子：
2.2
作者：
DeBar LL;Yarborough BJ;Striegel-Moore RH;Rosselli F;Perrin N;Wilson GT;Kraemer HC;Green R;Lynch F
通讯作者：
Lynch F
影响因子：
4.6
作者：
Carter, Frances A.;McIntosh, Virginia V. W.;Bulik, Cynthia M.
通讯作者：
Bulik, Cynthia M.