Adapted motivational interviewing for women with binge eating disorder: A randomized controlled trial
Adapted motivational interviewing for women with binge eating disorder: A randomized controlled trial
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DOI：
10.1037/0893-164x.22.3.417
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发表时间：
2008-09-01
影响因子：
3.4
通讯作者：
Wojtowicz, Amy E.
中科院分区：
文献类型：
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作者：
Cassin, Stephanie E.;von Ranson, Kristin M.;Wojtowicz, Amy E.
在这项随机对照试验中，从社区招募的 108 名患有暴食症 (BED) 的女性被分配到改编动机访谈 (AMI) 组（1 次单独的 AMI 课程 + 自助手册）或对照组（仅手册）。他们在初次治疗后 4、8 和 16 周分别接到电话，以评估暴食和相关症状（抑郁、自尊、生活质量）。干预后，AMI 组参与者比对照组参与者对自己改变暴饮暴食的能力更有信心。尽管干预后 16 周，两组患者的暴饮暴食、情绪、自尊和总体生活质量均有所改善，但 AMI 组的改善程度更大。 AMI 组中有较大比例的女性戒除暴饮暴食（27.8% vs. 11.1%），并且不再符合《精神疾病诊断与统计手册》（第四版，文本修订版；美国精神病学协会，2000 年）针对 BED 的暴食频率标准（87.0% vs. 57.4%）。 AMI 可能对暴食症和相关症状构成一种简短、有效的干预措施。
In this randomized controlled trial, 108 women with binge-eating disorder (BED) recruited from the community were assigned to either an adapted motivational interviewing (AMI) group (1 individual AMI session + self-help handbook) or control group (handbook only). They were phoned 4, 8, and 16 weeks following the initial session to assess binge eating and associated symptoms (depression, self-esteem, quality of life). Postintervention, the AMI group participants were more confident than those in the control group in their ability to change binge eating. Although both groups reported improved binge eating, mood, self-esteem, and general quality of life 16 weeks following the intervention, the AMI group improved to a greater extent. A greater proportion of women in the AMI group abstained from binge eating (27.8% vs. 11.1%) and no longer met the binge frequency criterion of the Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev.; American Psychiatric Association, 2000) for BED (87.0% vs. 57.4%). AMI may constitute a brief, effective intervention for BED and associated symptoms.