The project COMPASS protocol: Optimizing mindfulness and acceptance-based behavioral treatment for binge-eating spectrum disorders.
The project COMPASS protocol: Optimizing mindfulness and acceptance-based behavioral treatment for binge-eating spectrum disorders.
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该项目的指南针协议：优化正念和接受为基础的行为治疗暴饮暴食谱系障碍。
DOI：
10.1002/eat.23426
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发表时间：
2021-03
期刊：
影响因子：
--
通讯作者：
Zhang F
中科院分区：
文献类型：
--
作者：
Juarascio AS;Felonis CR;Manasse SM;Srivastava P;Boyajian L;Forman EM;Zhang F
认知行为疗法对暴食症谱系障碍的治疗效果并不理想，可能部分原因是自我调节的缺陷（即，尽管面临内部挑战，但仍有能力控制行为，追求长期目标）。基于正念和接受的治疗（MABT）将行为治疗与旨在增强自我调节的心理策略相结合，但人们对它们如何有效以及对谁有效知之甚少。本研究将利用多阶段优化策略来确定MABT的四个组成部分（正念意识，痛苦耐受，情绪调节，基于价值观的决策）中的哪一个将纳入完全有效的临床试验。参与者（n = 256）将被随机分配到16个条件之一的16个阶段，每个阶段包括或排除基础行为治疗的MABT成分的不同组合。我们的主要目的是评估每种成分对饮食失调症状的独立疗效。我们的次要目标是确认每个组件的目标接合（即，每个成分是否改善了目标变量和结果），并测试每个成分的功效是否受到相同成分中基线弱点的调节（例如，在基线处具有差的痛苦耐受性的参与者从痛苦耐受性组件中受益最多）。我们的探索性目标是量化组件的相互作用的影响。
Outcomes from cognitive behavioral therapy for binge-eating spectrum disorders are suboptimal, possibly due in part to deficits in self-regulation (i.e., the ability to control behavior in pursuit of long-term goals despite internal challenges). Mindfulness and acceptance-based treatments (MABTs) integrate behavioral treatment with psychological strategies designed to enhance self-regulation, yet little is known about how and for whom they are effective. The present study will utilize the multiphase optimization strategy to identify which of four MABT components (mindful awareness, distress tolerance, emotion modulation, values-based decision making) to include in a fully powered clinical trial. Participants (n = 256) will be randomized to 16 sessions in one of 16 conditions, each a different combination of MABT components being included or excluded from a base behavioral treatment. Our primary aim is to evaluate each component’s independent efficacy on disordered eating symptoms. Our secondary aims are to confirm each component’s target engagement (i.e., whether each component improves the targeted variable and outcomes), and test that each component’s efficacy is moderated by baseline weaknesses in the same component (e.g., that participants with poor distress tolerance at baseline benefit most from the distress tolerance component). Our exploratory aim is to quantify the component interaction effects.
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影响因子：
3.7
作者：
Gifford, Elizabeth V.;Kohlenberg, Barbara S.;Palm, Kathleen M.
通讯作者：
Palm, Kathleen M.
影响因子：
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作者：
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作者：
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通讯作者：
TAYLOR, GJ
影响因子：
10.3
作者：
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通讯作者：
Haglin, Dean
影响因子：
2.7
作者：
Cederberg JT;Cernvall M;Dahl J;von Essen L;Ljungman G
通讯作者：
Ljungman G