A controlled comparison of family versus individual therapy for adolescents with anorexia nervosa.
A controlled comparison of family versus individual therapy for adolescents with anorexia nervosa.
复制标题
对患有神经性厌食症的青少年进行家庭治疗与个体治疗的对照比较。
DOI：
10.1097/00004583-199912000-00008
复制
发表时间：
1999
期刊：
影响因子：
--
通讯作者：
Sikand,A
中科院分区：
文献类型：
--
作者：
Robin,AL;Siegel,PT;Moye,AW;Gilroy,M;Dennis,AB;Sikand,A
目的比较行为家庭系统疗法（BFST）和自我导向个体疗法（EOIT）治疗青少年神经性厌食症的疗效。方法37例符合DSM-III-R诊断标准的青少年神经性厌食症患者随机分为两组，分别接受BFST和EOIT治疗。在BFST中，家庭被视为结合，父母被放置在控制青少年的饮食，扭曲的信念是有针对性的，通过认知重建，和战略/行为干预措施被用来改变家庭的互动。在EOIT中，青少年被单独观察，重点是建立自我力量和揭示阻碍进食的动力;父母被间接观察。测量前，后，并在1年的后续挖掘身体质量指数，月经，饮食态度，自我功能，抑郁症，和家庭interactions. ESTTSBFST产生更大的体重增加和月经恢复率高于EOIT。这两种治疗产生了巨大的改善饮食态度，抑郁症，和饮食相关的家庭冲突，但很少发生的变化对自我functioning.CONCLUSIONSBFST和EOIT证明是有效的治疗青少年神经性厌食症，但BFST产生了更快的恢复健康。
OBJECTIVETo compare the effectiveness of behavioral family systems therapy (BFST) with that of ego-oriented individual therapy (EOIT) as treatments for adolescents with anorexia nervosa.METHODThirty-seven adolescents meeting DSM-III-R criteria for anorexia nervosa were randomly assigned to receive BFST or EOIT, in addition to a common medical and dietary regimen. In BFST, the family was seen conjointly, the parents were placed in control of the adolescent's eating, distorted beliefs were targeted through cognitive restructuring, and strategic/behavioral interventions were used to change family interactions. In EOIT, the adolescent was seen individually, with an emphasis on building ego strength and uncovering the dynamics blocking eating; parents were seen collaterally. Measures administered before, after, and at 1-year follow-up tapped body mass index, menstruation, eating attitudes, ego functioning, depression, and family interactions.RESULTSBFST produced greater weight gain and higher rates of resumption of menstruation than EOIT. Both treatments produced comparably large improvements in eating attitudes, depression, and eating-related family conflict, but very few changes occurred on ego functioning.CONCLUSIONSBFST and EOIT proved to be effective treatments for adolescents with anorexia nervosa, but BFST produced a faster return to health.