Outcomes of brief and enhanced cognitive-behavioural therapy for adults with non-underweight eating disorders: A non-randomized comparison.
Outcomes of brief and enhanced cognitive-behavioural therapy for adults with non-underweight eating disorders: A non-randomized comparison.
复制标题
对患有非体重不足饮食失调症的成年人进行简短和强化认知行为治疗的结果：非随机比较。
DOI：
10.1002/erv.2765
复制
发表时间：
2020
期刊：
影响因子：
--
通讯作者：
G. Waller
中科院分区：
文献类型：
--
作者：
Madeleine Tatham;Chloe Hewitt;G. Waller
客观化
认知行为疗法(CBT)是一种治疗进食障碍的有效方法，尤其适用于治疗非体重不足的病例(如神经性暴食症；暴饮暴食障碍)。然而，对于这种情况，它的推荐长度(最多20个疗程)使其成为一种相对昂贵的疗法。有人建议，10堂课的版本(CBT-T)也可以有效，但这两种形式之间没有直接的比较(10堂课与20堂课)。
方法
这项研究报告了短期和标准长度CBT治疗非低体重饮食障碍的结果，比较了来自同一诊所的两组患者(N分别为 55和138)。
结果
这两种疗法在饮食病理、缓解率和改善生活质量方面的结果非常相似。在治疗的中点和长达6个月的随访中，每个患者都显示出显著的变化。
结论
看来，简明CBT(CBT-T)与现有的20节CBT一样有效，而且对时间和资源的要求更低。这些发现需要在随机对照试验中重复，然后才能得出明确的结论。
OBJECTIVE
Cognitive-behavioural therapy (CBT) is an efficacious and effective treatment for eating disorders, and is particularly valuable in the treatment of non-underweight cases (e.g., bulimia nervosa; binge eating-disorders). However, its recommended length for such cases (up to 20 sessions) makes it a relatively costly therapy. It has been suggested that a 10-session version (CBT-T) can also be effective, but there has been no direct comparison between the two forms (10 vs. 20 sessions).
METHOD
This study reports the outcomes of brief and standard-length CBT for non-underweight eating disorders, comparing two cohorts of patients from the same clinic (N = 55 and 138, respectively).
RESULTS
The two therapies had very similar results in terms of eating pathology, remission rate, and improved quality of life. Each showed substantial change by the mid-point of therapy and up to 6-month follow-up.
CONCLUSION
It appears that brief CBT (CBT-T) is as effective as existing 20-session CBT, and is less demanding of time and resource. The findings need to be replicated in a randomized control trial before this conclusion can be made definitive.
影响因子：
4.1
作者：
Craske, Michelle G.;Treanor, Michael;Conway, Christopher C.;Zbozinek, Tomislav;Vervliet, Bram
通讯作者：
Vervliet, Bram