A randomized controlled comparison of guided self-help cognitive behavioral therapy and behavioral weight loss for binge eating disorder
A randomized controlled comparison of guided self-help cognitive behavioral therapy and behavioral weight loss for binge eating disorder
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DOI：
10.1016/j.brat.2004.11.010
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发表时间：
2005-11-01
影响因子：
4.1
通讯作者：
Masheb, RM
中科院分区：
文献类型：
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作者：
Grilo, CM;Masheb, RM
我们进行了一项随机对照研究，以测试引导自助(GSH)、认知行为疗法(CBTgsh)和行为减肥疗法(BWLgsh)治疗暴饮暴食障碍(Bed)的相对疗效。为了对注意力的非特异性影响提供额外的部分控制，纳入了第三控制(CON)治疗条件。我们使用一种有指导的自助方法测试了这些治疗方法，给出了使用最少治疗师指导的初步研究的有希望的结果。90例连续卧床的超重患者(男19例，女71例)按5：5：2的比例随机分为CBTgsh(N=37)、BWLgsh(N=38)和CON(N=15)三组。这三个为期12周的治疗条件是按照指导的自助方案单独进行的。总体而言，70人(78%)完成了治疗；CBTgsh(87%)和CON(87%)的完成率显著高于BWLgsh(67%)。意向治疗分析显示，CBTgsh的缓解率(46%)明显高于BWLgsh(18%)或CON(13%)。体重减轻幅度很小，在不同的治疗方法之间几乎没有区别。研究结果表明，通过指导自助实施的CBT对卧床有效，但对肥胖症无效。这些发现支持通过有指导的自助实施CBT作为BED治疗的第一步，并为其具体效果提供证据。(C)2005爱思唯尔有限公司。保留所有权利。
We performed a randomized controlled study to test the relative efficacy of guided self-help (gsh) cognitive-behavioral therapy (CBTgsh) and behavioral weight loss treatment (BWLgsh) treatments for binge eating disorder (BED). To provide an additional partial control for non-specific influences of attention, a third control (CON) treatment condition was included. We tested the treatments using a guided self-help approach given the promising results from initial studies using minimal therapist guidance. Ninety consecutive overweight patients (19 males, 71 females) with BED were randomly assigned (5:5:2 ratio) to one of three treatments: CBTgsh (N = 37), BWLgsh (N = 38), or CON (N = 15). The three 12-week treatment conditions were administered individually following guided self-help protocols. Overall, 70 (78%) completed treatments; CBTgsh (87%) and CON (87%) had significantly higher completion rates than BWLgsh (67%). Intent-to-treat analyses revealed that CBTgsh had significantly higher remission rates (46%) than either BWLgsh (18%) or CON (13%). Weight loss was minimal and differed little across treatments. The findings suggest that CBT, administered via guided self-help, demonstrates efficacy for BED, but not for obesity. The findings support CBT administered via guided self-help as a first step in the treatment of BED and provide evidence for its specific effects. (c) 2005 Elsevier Ltd. All rights reserved.