Family therapy for adolescent anorexia nervosa: The results of a controlled comparison of two family interventions
Family therapy for adolescent anorexia nervosa: The results of a controlled comparison of two family interventions
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DOI：
10.1017/s0021963099005922
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发表时间：
2000-09-01
期刊：
影响因子：
--
通讯作者：
Le Grange, D
中科院分区：
文献类型：
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作者：
Eisler, I;Dare, C;Le Grange, D
本文报告了两种形式的门诊家庭干预神经性厌食症的随机治疗试验的结果。40例青少年神经性厌食症患者被随机分配到“联合家庭治疗”（CFT）或“分离家庭治疗”（SFT）使用分层设计控制水平的批评意见，使用表达的情绪指数。该设计要求治疗师进行两种形式的治疗，并通过单独的监督者对治疗进行现场监督来确保两种治疗的独特性。在进入研究时、3个月时、6个月时和治疗结束时进行测量。两个治疗组的营养和心理状态均显著改善。在结局的总体测量方面，两种治疗形式与治疗结束结果相当相关。然而，对于那些母亲对患者批评程度较高的患者，SFT显示出上级优于CFT。当探索个体状态测量时，治疗之间存在进一步的差异。症状变化在SFT中更显著，而在CFT组中有更多的心理变化。有显着的变化，家庭措施的表达情绪。父母与患者之间的批评意见显着减少，父母之间的批评意见也减少了。父母之间的感情越来越浓。
This paper reports the results of a randomised treatment trial of two forms of outpatient family intervention for anorexia nervosa. Forty adolescent patients with anorexia nervosa were randomly assigned to "conjoint family therapy" (CFT) or to "separated family therapy" (SFT) using a stratified design controlling for levels of critical comments using the Expressed Emotion index. The design required therapists to undertake both forms of treatment and the distinctiveness of the two therapies was ensured by separate supervisors conducting live supervision of the treatments. Measures were undertaken on admission to the study, at 3 months, at 6 months and at the end of treatment. Considerable improvement in nutritional and psychological state occurred across both treatment groups. On global measure of outcome, the two forms of therapy were associated with equivalent end of treatment results. However, for those patients with high levels of maternal criticism towards the patient, the SFT was shown to be superior to the CFT. When individual status measures were explored, there were further differences between the treatments. Symptomatic change was more marked in the SFT whereas there was considerably more psychological change in the CFT group. There were significant changes in family measures of Expressed Emotion. Critical comments between parents and patient were significantly reduced and that between parents was also diminished. Warmth between parents increased.