Couple-based interventions in the treatment of adult anorexia nervosa: A brief case example of UCAN.
Couple-based interventions in the treatment of adult anorexia nervosa: A brief case example of UCAN.
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以夫妇为基础的成人神经性厌食症治疗干预措施：UCAN 的一个简短案例。
DOI：
10.1037/pst0000053
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发表时间：
2016
期刊：
影响因子：
--
通讯作者：
Bulik,CynthiaM
中科院分区：
文献类型：
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作者：
Kirby,JenniferS;Fischer,MelanieS;Raney,ThomasJ;Baucom,DonaldH;Bulik,CynthiaM
成人神经性厌食症（AN）是一种严重的，往往是致命的疾病，显着侵蚀患者和亲人的生活质量。成人AN的治疗主要集中在个体化治疗，最近的研究结果表明，改善是有限的，辍学率很高。为了改善治疗反应，我们开发了一种以夫妇为基础的干预措施，联合夫妇治疗神经性厌食症（UCAN）作为标准多学科护理的辅助治疗。UCAN通过减少对AN的回避来利用伴侣的支持和治疗中的关系，教导夫妇如何有效地解决饮食失调，并帮助培养更满意的关系。本文介绍了一个案例研究的夫妇谁完成了UCAN，“劳拉和史蒂夫，”包括他们的经验，在治疗和结果的措施，在前测，后测，和3个月的后续行动。在随访时，劳拉在进食障碍检查的约束子量表上显示出临床显著的变化，双方在关系满意度以及自我报告和观察到的沟通方面都显示出临床显著的改善。双方都对治疗表示非常满意。提供了治疗师在提供UCAN方面的经验的讨论，包括治疗师主要采用夫妇治疗或个体CBT治疗进食障碍背景的共同挑战，以及治疗师要考虑的重要因素，以便最佳地利用包括AN治疗伙伴的好处。（PsycInfo数据库记录（c）2016阿帕，保留所有权利）
Adult anorexia nervosa (AN) is a serious and often fatal illness that significantly erodes quality of life for both the patient and loved ones. Treatment of adults with AN has focused largely on individual therapy, with recent findings suggesting that improvement is limited and dropout rates are high. In an effort to improve treatment response, we developed a couple-based intervention, Uniting Couples in the treatment of Anorexia Nervosa (UCAN) as an adjunct treatment to standard multidisciplinary care. UCAN leverages the support of a partner and the relationship in treatment by decreasing avoidance around AN, teaching the couple how to effectively address the eating disorder, and helping to foster a more satisfying relationship. This paper presents a case study of a couple who completed UCAN,“Laura and Steve,” including their experiences in treatment and outcome measures at pretest, posttest, and 3-month follow-up. Laura showed clinically significant change on the Restraint subscale of the Eating Disorders Examination at follow-up, and both partners showed clinically significant improvements in relationship satisfaction, as well as on self-reported and observed communication. Both partners reported very high satisfaction with the treatment. A discussion of therapists’ experiences in delivering UCAN is provided, including common challenges for therapists with primarily a couple therapy or an individual CBT for eating disorders background, as well as important factors for therapists to consider in order to optimally leverage the benefits of including partners in treatment for AN.(PsycINFO Database Record (c) 2016 APA, all rights reserved)