The Long-Term Efficacy of Three Psychotherapies for Anorexia Nervosa: A Randomized, Controlled Trial
The Long-Term Efficacy of Three Psychotherapies for Anorexia Nervosa: A Randomized, Controlled Trial
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DOI：
10.1002/eat.20879
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发表时间：
2011-11-01
影响因子：
5.5
通讯作者：
Joyce, Peter R.
中科院分区：
文献类型：
--
作者：
Carter, Frances A.;Jordan, Jennifer;Joyce, Peter R.
目的：评价三种心理疗法治疗神经性厌食症的远期疗效。参与者是患有广泛定义的神经性厌食症的女性，她们参加了一项RCT，（认知行为疗法，CBT和人际心理疗法，IPT）与对照条件（专家支持性临床管理，SSCM），并参加长期随访评估结果：56名妇女中有43名参加了长期随访评估（77%）。在长期随访评估中，三种心理疗法之间的任何预先选择的主要、次要或第三结局指标均无显著差异。在主要总体结局指标上，不同时间的心理治疗的恢复模式显著不同。虽然SSCM与一个更快速的反应比IPT，后续所有三种治疗是indistinguished.Discussion：干预措施，以提高治疗反应的神经性厌食症的时间的潜在影响进行了严格检查。(C)2010年Wiley Periodicals，Inc.
Objective: To evaluate the long-term efficacy of three psychotherapies for anorexia nervosa.Method: Participants were women with broadly defined anorexia nervosa who had participated in a RCT comparing specialized psychotherapies (cognitive behavior therapy, CBT, and interpersonal psychotherapy, IPT) with a control condition (specialist supportive clinical management, SSCM), and attended long-term follow-up assessment (mean 6.7 years +/- 1.2).Results: Forty three of the original sample of 56 women participated in long-term follow-up assessment (77%). No significant differences were found on any pre-selected primary, secondary or tertiary outcome measures among the three psychotherapies at long-term follow-up assessment. Significantly different patterns of recovery were identified for the psychotherapies across time on the primary global outcome measure. Although SSCM was associated with a more rapid response than IPT, by follow-up all three treatments were indistinguishable.Discussion: Potential implications for the timing of interventions to improve treatment response in anorexia nervosa are critically examined. (C) 2010 by Wiley Periodicals, Inc.