Evaluation of an intervention targeting both depressive and bulimic pathology: A randomized prevention trial
Evaluation of an intervention targeting both depressive and bulimic pathology: A randomized prevention trial
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DOI：
10.1016/s0005-7894(03)80001-1
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发表时间：
2003-06-01
期刊：
影响因子：
3.7
通讯作者：
Chase, A
中科院分区：
文献类型：
--
作者：
Bearman, SK;Stice, E;Chase, A
由于抑郁症和暴食症的病理往往共同发生在青春期女孩，预防计划，重点放在这两个干扰将具有临床效用。因此，我们开发了一种针对身体不满的认知行为干预，这是两种情况的既定风险因素。一项针对青春期后期女孩的随机预防试验表明，干预措施减少了对身体的不满，负面影响，抑郁症状和暴食症状，但不能节食。效果持续到3个月随访，但大多数在6个月随访时消失。干预效果的负面影响，抑郁症状，暴食症状似乎是介导的身体不满的变化。参与者的年龄、种族和体重并不影响干预效果。结果表明，提高身体满意度的干预措施可能会减少抑郁和暴食症状，但这意味着更重视预防未来的症状可能是必要的持久影响。
Because depressive and bulimic pathologies often co-occur among adolescent girls, a preventive program focusing on both disturbances would have clinical utility. Thus, we developed a cognitive-behavioral intervention targeting body dissatisfaction, an established risk factor for both conditions. A randomized prevention trial with late adolescent girls suggested that the intervention reduced body dissatisfaction, negative affect, depressive symptoms, and bulimic symptoms, but not dieting. Effects persisted through 3-month follow-up, but most faded by 6-month follow-up. Intervention effects on negative affect, depressive symptoms, and bulimic symptoms appeared to be mediated by change in body dissatisfaction. Participant age, ethnicity, and body mass did not moderate intervention effects. Results suggest that an intervention that improves body satisfaction might reduce depressive and bulimic symptoms but imply that greater emphasis on preventing future symptoms might be necessary for persistent effects.