Remote treatment of bulimia nervosa and binge eating disorder: A randomized trial of Internet-assisted cognitive behavioural therapy
Remote treatment of bulimia nervosa and binge eating disorder: A randomized trial of Internet-assisted cognitive behavioural therapy
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DOI：
10.1016/j.brat.2006.06.010
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发表时间：
2007-04-01
影响因子：
4.1
通讯作者：
Ghaderi, A.
中科院分区：
文献类型：
--
作者：
Ljotsson, B.;Lundin, C.;Ghaderi, A.
本研究探讨了基于认知行为疗法的自助治疗结合互联网支持治疗神经性贪食症和暴食症的疗效。在通过面对面访谈确认诊断后，73名患者被随机分配到治疗组或等待名单对照组。与对照组相比，经过12周的自助治疗后，治疗组在主要和次要结局指标上均有明显改善。意向治疗分析显示，37%（完成者中为46%）的患者在治疗结束时没有暴饮暴食或腹泻，相当数量的患者在大多数其他指标上也获得了临床显著改善。在6个月的随访中保持了结果，并提供证据支持继续使用和发展自助方案。(c)2006爱思唯尔有限公司版权所有。
The present study investigated the efficacy of self-help based on cognitive behaviour therapy in combination with Internet support in the treatment of bulimia nervosa and binge eating disorder. After confirming the diagnosis with an in-person interview, 73 patients were randomly allocated to treatment or a waiting list control group. Treated individuals showed marked improvement after 12 weeks of self-help compared to the control group on both primary and secondary outcome measures. Intent-to-treat analyses revealed that 37% (46% among completers) had no binge eating or purging at the end of the treatment and a considerable number of patients achieved clinically significant improvement on most of the other measures as well. The results were maintained at the 6-month follow-up, and provide evidence to support the continued use and development of self-help programmes. (c) 2006 Elsevier Ltd. All rights reserved.