An open trial evaluating an attention bias modification program for overweight adults who binge eat.

An open trial evaluating an attention bias modification program for overweight adults who binge eat.
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DOI:
10.1016/j.jbtep.2016.04.005
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发表时间:
2016-09
影响因子:
1.8
通讯作者:
Amir N
Amir N
中科院分区:
医学3区
文献类型:
--
作者:
Boutelle KN;Monreal T;Strong DR;Amir N

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暴饮暴食是普遍的,并与显著的精神和医学合并症有关。迄今为止,对暴饮暴食者最有效的心理治疗方法并不是对所有患者都有效,也不能显著减轻体重。双过程理论认为,内隐因素,如注意偏差,可能会影响行为,即使这种行为与长期目标相反。注意偏见修正项目已经在精神病理学的其他领域进行了测试,可以用来改善暴饮暴食者的结果。因此,本公开试验的目的是对注意力偏差修正程序(ABM-Food)进行初步评估,该程序旨在训练注意力远离食物线索。暴饮暴食、超重或肥胖的成年人参加了为期8周的ABM-Food计划,该计划包括每周在实验室进行一次训练和在家进行两次训练。9名参与者完成了ABM-Food培训计划和治疗后评估,8名完成了3个月的治疗后评估。结果:结果表明,ABM-Food计划是一种可行和可接受的治疗暴食的成年人。最初的有效性数据显示,体重、饮食失调症状、暴饮暴食、失去控制和对环境中食物的反应,以及注意力偏差的改变都有所减少。这些影响大部分在3个月的随访时间点仍然存在。本研究受到单组开放标签试验和小样本量的限制。这项公开试验为ABM-Food对暴饮暴食和超重或肥胖人群的可行性、可接受性和有效性提供了初步证据。
Binge eating is prevalent and is associated with significant psychiatric and medical comorbidities. To date, the most effective psychological treatments for individuals who binge eat are not effective for all patients and they do not result in significant weight loss. Dual process theories suggest that implicit factors, such as attention bias, may influence behavior, even when the behavior is in opposition to long-term goals. Attention bias modification programs have been tested in other areas of psychopathology, and could be utilized to improve outcomes for people who binge eat. Thus, the aim of this open trial was to conduct a preliminary evaluation of an attention bias modification program (ABM-Food) designed to train attention away from food cues. Adults who binge eat and were overweight or obese enrolled in an 8-week ABM-Food program, which consisted of one session in the lab each week and two training sessions at home. Nine participants completed the ABM-Food training program and the post-treatment assessment, and 8 completed the 3-month post-treatment assessment. Results: Results showed that the ABM-Food program is a feasible and acceptable treatment for adults who binge eat. Initial effectiveness data showed decreases in weight, eating disorder symptoms, binge eating, loss of control and responsivity to food in the environment, as well as changes in attention bias. The majority of these effects remained at the 3-month follow-up time point. This study is limited by the single-group open label trial, and the small sample size. This open trial provides initial evidence for the feasibility, acceptability and effectiveness of ABM-Food for individuals who binge eat and are overweight or obese.
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