A randomized controlled study of cognitive behavior therapy and behavioral family therapy for anorexia nervosa patients.
A randomized controlled study of cognitive behavior therapy and behavioral family therapy for anorexia nervosa patients.
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DOI：
10.1080/10640260490521389
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发表时间：
2004-01-01
期刊：
影响因子：
3.3
通讯作者：
Mitchell, Philip
中科院分区：
文献类型：
--
作者：
Ball, Jillian;Mitchell, Philip
很少有研究考察认知行为疗法(CBT)在神经性厌食症门诊治疗中的作用。本研究采用随机对照设计，以行为家庭治疗为对照组，对为期12个月的CBT手动治疗方案进行评估。目前与家人一起生活的25名患有神经性厌食症的青少年和年轻人被招募到这项研究中，两个治疗组都接受了21-25个疗程的治疗。结果测量包括营养状况、饮食行为、情绪、自尊和家庭沟通。在治疗后和6个月的随访中，60%的总样本和72%的治疗完成者的结果“好”(定义为将体重维持在平均体重的10%以内，并有规律的月经周期)。治疗组之间没有发现显著差异，大多数患者没有达到症状恢复。虽然受到样本量较小的限制，但这一发现补充并扩展了之前的研究。
Very few studies have examined the role of cognitive behavior therapy (CBT) in the outpatient treatment of anorexia nervosa. This study used a randomized, controlled design to evaluate a 12-month, manual based program of CBT, with behavioral family therapy as the comparison group. Twenty-five adolescents and young adults with anorexia nervosa, currently living with their families, were recruited into the study with both treatment groups receiving 21-25 sessions of therapy. Outcome measures included nutritional status, eating behaviors, mood, self-esteem, and family communication. Sixty percent of the total sample and 72% of treatment completers had "good" outcome (defined as maintaining weight within 10% of average body weight and regular menstrual cycles) at post-treatment and at six months follow-up. No significant differences between treatment groups were found and the majority of patients did not reach symptomatic recovery. While limited by the small sample size, the findings compliment and extend previous research.