Therapeutic Factors Affecting the Cognitive Behavioral Treatment of Bulimia Nervosa via Telemedicine versus Face-to-Face Delivery

Therapeutic Factors Affecting the Cognitive Behavioral Treatment of Bulimia Nervosa via Telemedicine versus Face-to-Face Delivery
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DOI:
10.1002/eat.20874
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发表时间:
2011-12-01
影响因子:
5.5
通讯作者:
Crow, Scott J.
Crow, Scott J.
中科院分区:
医学2区
文献类型:
--
作者:
Ertelt, Troy W.;Crosby, Ross D.;Crow, Scott J.

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目的:最近,Mitchell等人(Behav Res Ther,46,581-592,2008)进行了一项随机对照试验,对面对面(FTF-CBT)或通过远程医疗(TV-CBT)递送的神经性贪食症(BN)进行了经验支持的治疗。结果表明,TV-CBT和FTF-CBT的有效性大致相当。目前的研究的目的是检查收视率的治疗联盟因素TV-CBT和FTF-CBT.Method:从116名成年人谁符合标准BN或进食障碍,没有另外指定与暴饮暴食或清除每周和6名医生级心理学家谁提供的therapeutic were used in the analysis.Results:治疗师一般赞同更大的差异之间的治疗提供方法比患者。患者倾向于作出显着更高的评级的治疗因素比therapists.Discussion:TV-CBT是一个可以接受的方法,提供BN治疗相比,FTF-CBT,和TV-CBT是更容易接受的治疗交付方法,由患者比治疗师。(C)2010年Wiley Periodicals,Inc.
Objective: Recently, Mitchell et al. (Behav Res Ther, 46, 581-592, 2008) conducted a randomized controlled trial of an empirically supported treatment for bulimia nervosa (BN) delivered face-to-face (FTF-CBT) or via telemedicine (TV-CBT). Results suggested that the TV-CBT and FTF-CBT were generally equivalent in effectiveness. The objective of the current study was to examine ratings of therapeutic alliance factors in TV-CBT and FTF-CBT.Method: Data obtained from 116 adults who met criteria for BN or eating disorder-not otherwise specified with binge eating or purging weekly and six doctoral-level psychologists who delivered the therapy were used in the analyses.Results: Therapists generally endorsed greater differences between the treatment delivery methods than patients. Patients tended to make significantly higher ratings of therapeutic factors than therapists.Discussion: TV-CBT is an acceptable method for the delivery of BN treatment compared to FTF-CBT, and TV-CBT is more easily accepted as a treatment delivery method by patients than therapists. (C) 2010 by Wiley Periodicals, Inc.