Promoviendo una Alimentación Saludable (PAS) results: Engaging Latino families in eating disorder treatment.
Promoviendo una Alimentación Saludable (PAS) results: Engaging Latino families in eating disorder treatment.
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DOI：
10.1016/j.eatbeh.2021.101534
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发表时间：
2021-08
期刊：
影响因子：
2.8
通讯作者：
Bulik CM
中科院分区：
文献类型：
--
作者：
Reyes-Rodríguez ML;Watson HJ;Smith TW;Baucom DH;Bulik CM
拉丁美洲/美国人在饮食失调临床试验中的代表性不足。本研究比较了一种文化适应性个体认知行为治疗（CBT）治疗暴食症的结果，包括或排除家庭增强模块（CBT + FE），在一项原理验证的试点研究中，拉丁裔成年人和每位患者的一名家庭成员为样本。25名患者（37岁）和25名家属（40岁）被随机分为CBT组（n = 13）或CBT+ FE组（n = 12）。DSM-IV饮食失调诊断为：48% （n = 12）为神经性贪食症，28% （n = 7）为暴食症，24% （n = 6）为未另行说明的饮食失调。CBT + FE在依从性和保留性上的效应量倾向于CBT + FE，治疗满意度和治疗联盟得分高，表明治疗可接受性。尽管假设CBT + FE的家庭结果（如支持、家庭主义、凝聚力、自豪感、家庭文化冲突、负担和婚姻满意度）会更优，但初步数据不确定，结果也很复杂。饮食失调的结果包括整体饮食精神病理、暴食和排便会在CBT + FE中得到改善，这一假设没有得到支持。有一些证据表明，接受CBT治疗的患者在暴食方面的改善更明显，除此之外，两组之间没有差异。总之，结果表明CBT + FE可以增强治疗依从性和保留性，尽管这并不能自动转化为更好的家庭和症状结果。
Latinos/as are underrepresented in eating disorders clinical trials. This study compared results of a culturally adapted individual cognitive-behavioral treatment (CBT) for binge-spectrum eating disorders that included or excluded a family enhanced module (CBT + FE), in a proof-of-principle pilot study with a sample of Latina adults and one family member per patient. Twenty-five patients (Mage = 37 yrs) and 25 family members (Mage = 40 yrs) were randomized to CBT (n = 13) or CBT+ FE (n = 12). DSM-IV eating disorder diagnoses were: 48% (n = 12) bulimia nervosa, 28% (n = 7) binge-eating disorder, and 24% (n = 6) eating disorder not otherwise specified. Effect sizes favored CBT + FE on adherence and retention, and scores on treatment satisfaction and therapeutic alliance were high, indicating treatment acceptability. In spite of the hypothesis that family outcomes such as support, familism, cohesion, pride, family cultural conflict, burden, and marital satisfaction (in couples) would be superior in CBT + FE, the preliminary data were inconclusive and results were mixed. The hypothesis that eating disorder outcomes including global eating psychopathology, binge eating, and purging would improve in in CBT + FE was not supported. There was some evidence that patients in CBT improved more particularly on binge eating, otherwise the groups had no differences. In conclusion, the results suggest that CBT + FE could enhance treatment adherence and retention, although this did not automatically translate to better family and symptom outcomes.
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影响因子：
5.5
作者：
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