A transdiagnostic comparison of enhanced cognitive behaviour therapy (CBT-E) and interpersonal psychotherapy in the treatment of eating disorders.
A transdiagnostic comparison of enhanced cognitive behaviour therapy (CBT-E) and interpersonal psychotherapy in the treatment of eating disorders.
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DOI：
10.1016/j.brat.2015.04.010
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发表时间：
2015-07
影响因子：
4.1
通讯作者：
Cooper, Zafra
中科院分区：
文献类型：
--
作者：
Fairburn, Christopher G.;Bailey-Straebler, Suzanne;Basden, Shawnee;Doll, Helen A.;Jones, Rebecca;Murphy, Rebecca;O'Connor, Marianne E.;Cooper, Zafra
饮食失调可以从转诊断的角度来看，有证据支持认知行为疗法（CBT-E）的转诊断形式。本研究的目的是比较CBT-E与人际心理治疗（IPT），这是一种治疗成人饮食失调的主要替代疗法。130名患有任何形式进食障碍的患者（体重指数>17.5至<40.0）被随机分配至CBT-E或IPT。两种治疗均涉及20周的20次治疗，随后是60周的封闭随访期。结果由独立的盲法评估者测量。29名参与者（22.3%）未完成治疗或退出。在治疗后，65.5%的CBT-E参与者符合缓解标准，而IPT参与者为33.3%（p < 0.001）。随访期间，符合缓解标准的参与者比例增加，特别是在IPT条件下，但CBT-E缓解率仍然较高（CBT-E 69.4%，IPT 49.0%; p = 0.028）。对CBT-E的反应与早期研究中观察到的非常相似。研究结果表明，CBT-E是大多数饮食失调门诊患者的有效治疗方法。IPT仍然是CBT-E的替代品，但反应不太明显，表达较慢。ISRCTN 15562271。CBT-E具有实质性和持续的效果。在整个跨诊断样本中均观察到该效应。反应几乎完全复制了在最初的CBT-E试验中获得的结果。人际心理治疗（IPT）的反应较慢，不太明显。
Eating disorders may be viewed from a transdiagnostic perspective and there is evidence supporting a transdiagnostic form of cognitive behaviour therapy (CBT-E). The aim of the present study was to compare CBT-E with interpersonal psychotherapy (IPT), a leading alternative treatment for adults with an eating disorder. One hundred and thirty patients with any form of eating disorder (body mass index >17.5 to <40.0) were randomized to either CBT-E or IPT. Both treatments involved 20 sessions over 20 weeks followed by a 60-week closed follow-up period. Outcome was measured by independent blinded assessors. Twenty-nine participants (22.3%) did not complete treatment or were withdrawn. At post-treatment 65.5% of the CBT-E participants met criteria for remission compared with 33.3% of the IPT participants (p < 0.001). Over follow-up the proportion of participants meeting criteria for remission increased, particularly in the IPT condition, but the CBT-E remission rate remained higher (CBT-E 69.4%, IPT 49.0%; p = 0.028). The response to CBT-E was very similar to that observed in an earlier study. The findings indicate that CBT-E is potent treatment for the majority of outpatients with an eating disorder. IPT remains an alternative to CBT-E, but the response is less pronounced and slower to be expressed. ISRCTN 15562271. CBT-E had a substantial and sustained effect. The effect was seen across the entire transdiagnostic sample. The response almost exactly replicated that obtained in the original CBT-E trial. The response to interpersonal psychotherapy (IPT) was slower and less pronounced.
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影响因子：
5.5
作者：
Carter, Frances A.;Jordan, Jennifer;Joyce, Peter R.
通讯作者：
Joyce, Peter R.
影响因子：
17.7
作者：
McIntosh, VVW;Jordan, J;Joyce, PR
通讯作者：
Joyce, PR
影响因子：
2.9
作者：
Cooper, Zafra;Fairburn, Christopher G.
通讯作者：
Fairburn, Christopher G.
影响因子：
4.1
作者：
Fairburn, Christopher G.;Cooper, Zafra;Doll, Helen A.;O'Connor, Marianne E.;Palmer, Robert L.;Dalle Grave, Riccardo
通讯作者：
Dalle Grave, Riccardo
影响因子：
4.1
作者：
Bohn K;Doll HA;Cooper Z;O'Connor M;Palmer RL;Fairburn CG
通讯作者：
Fairburn CG