Outcome from a randomized controlled trial of group therapy for binge eating disorder: comparing dialectical behavior therapy adapted for binge eating to an active comparison group therapy.
Outcome from a randomized controlled trial of group therapy for binge eating disorder: comparing dialectical behavior therapy adapted for binge eating to an active comparison group therapy.
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DOI：
10.1016/j.beth.2009.01.006
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发表时间：
2010-03
期刊：
影响因子：
3.7
通讯作者：
Jo, Booil
中科院分区：
文献类型：
--
作者：
Safer, Debra L.;Robinson, Athena Hagler;Jo, Booil
暴食障碍的辩证行为疗法(DBT-BED)旨在通过提高适应情绪调节的技能来减少暴饮暴食。初步发现是有希望的，但只是将DBT床与等待名单进行了比较。为了控制DBT-Bed的假想特异性效应，本研究比较了DBT-Bed和主动对照小组疗法(ACGT)。符合DSM-IV床研究标准的男性和女性(n=101)被随机分配到20组DBT-Bed(n=50)或ACGT(n=51)。DBT-Bed的脱落率(4%)明显低于ACGT(33.3%)。线性混合模型显示，与ACGT相比，DBT床在治疗后更快地实现了暴饮暴食和暴饮暴食频率的减少(治疗后禁酒率=%，ACGT为36%)，但在3、6和12个月的随访评估中差异并不持续(例如，DBT床12个月随访率=%，ACGT为56%)。次要结果测量显示，情绪调节没有持续的影响。虽然DBT-Bed和ACGT都减少了暴饮暴食，但DBT-Bed的辍学率和初始疗效(例如，在治疗后)明显低于ACGT。在随访中缺乏不同的发现表明，DBT-Bed的假想的特定效果不会显示出除了那些可归因于非特异性共同治疗因素的长期影响。
Dialectical Behavior Therapy for Binge Eating Disorder (DBT-BED) aims to reduce binge eating by improving adaptive emotion-regulation skills. Preliminary findings have been promising but have only compared DBT-BED to a wait-list. To control for the hypothesized specific effects of DBT-BED, the present study compared DBT-BED to an active comparison group therapy (ACGT). Men and women (n = 101) meeting DSM-IV BED research criteria were randomly assigned to 20 group sessions of DBT-BED (n = 50) or ACGT (n = 51). DBT-BED had a significantly lower dropout rate (4%) than ACGT (33.3%). Linear Mixed Models revealed that posttreatment binge abstinence and reductions in binge frequency were achieved more quickly for DBT-BED than for ACGT (posttreatment abstinence rate = 64% for DBT-BED vs. 36% for ACGT) though differences did not persist over the 3-, 6-, and 12-month follow-up assessments (e.g., 12-month follow-up abstinence rate = 64% for DBT-BED vs. 56% for ACGT). Secondary outcome measures revealed no sustained impact on emotion regulation. Although both DBT-BED and ACGT reduced binge eating, DBT-BED showed significantly fewer dropouts and greater initial efficacy (e.g., at posttreatment) than ACGT. The lack of differential findings over follow-up suggests that the hypothesized specific effects of DBT-BED do not show long-term impact beyond those attributable to nonspecific common therapeutic factors.
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影响因子：
5.9
作者：
Chambless, DL;Hollon, SD
通讯作者：
Hollon, SD
影响因子：
7.6
作者：
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DEMO, DH
DOI：
10.1037//0022-006x.69.6.1066
发表时间：
2001-12-01
影响因子：
5.9
作者：
Grilo, CM;Masheb, RM;Wilson, GT
通讯作者：
Wilson, GT
影响因子：
--
作者：
BECK, AT;ERBAUGH, J;MENDELSOHN, M
通讯作者：
MENDELSOHN, M
影响因子：
3.1
作者：
ARNOW, B;KENARDY, J;AGRAS, WS
通讯作者：
AGRAS, WS