Emotion acceptance behavior therapy for anorexia nervosa: a pilot study.
Emotion acceptance behavior therapy for anorexia nervosa: a pilot study.
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神经性厌食症的情绪接受行为疗法：一项试点研究。
DOI：
10.1002/eat.22241
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发表时间：
2014
期刊：
影响因子：
--
通讯作者：
Gaskill,JillA
中科院分区：
文献类型：
--
作者：
Wildes,JenniferE;Marcus,MarshaD;Cheng,Yu;McCabe,ElizabethB;Gaskill,JillA
本研究旨在评估情绪接受行为疗法（EABT）的初步有效性，EABT是一种基于强调情绪回避的疾病特异性症状维持模型的神经性厌食症（AN）门诊心理治疗干预。EABT结合了标准的行为干预措施，是中央的临床管理AN证据支持的策略，以增加情绪意识，减少情绪回避，并鼓励恢复有价值的活动和关系以外的饮食disorder. MethodTwenty-four个人年龄≥17岁的AN使用EABT手册进行治疗。EABT在38-53周内提供了33-58个单独的会议。评估进行治疗前和治疗后，并在3-和6-month follow‐ups. Results 13例（54. 2%）完成EABT; 11（45. 8%）脱落或退出。EABT与体重、饮食失调症状和情绪回避的显著改善相关，并在6个月的随访中得以维持。大多数EABT完成者达到了体重指数>18.5（n= 9/13）或有一个正常的进食障碍检查全球评分（n= 10/13）在post-treatment.DiscussionPreliminary数据表明，EABT可能有效用的一个子集的成人AN。未来的研究将集中在改善EABT无应答者的结局和确定驱动治疗反应的机制。© 2014 Wiley Periodicals，Inc. (Int J Eat Disord 2014; 47：870-873）
ObjectiveThis study aimed to evaluate the preliminary effectiveness of Emotion Acceptance Behavior Therapy (EABT), an outpatient psychotherapeutic intervention for anorexia nervosa (AN) based on a disorder‐specific model of symptom maintenance that emphasizes emotion avoidance. EABT combines standard behavioral interventions that are central to the clinical management of AN with evidence‐supported strategies to increase emotion awareness, decrease emotion avoidance, and encourage resumption of valued activities and relationships outside the eating disorder.MethodTwenty‐four individuals aged ≥17 years with AN were treated using the EABT manual. EABT was delivered in 33–58 individual sessions provided over 38–53 weeks. Assessments were conducted before and after treatment, and at 3‐ and 6‐month follow‐ups.ResultsThirteen patients (54.2%) completed EABT; 11 (45.8%) dropped out or were withdrawn. EABT was associated with significant improvements in weight, disordered eating symptoms, and emotion avoidance that were maintained over 6‐month follow‐up. The majority of EABT completers achieved a body mass index >18.5 (n= 9/13) or had a normal Eating Disorder Examination Global score (n= 10/13) at post‐treatment.DiscussionPreliminary data suggest that EABT may have utility for a subset of adults with AN. Future research will focus on improving outcomes in EABT nonresponders and identifying of mechanisms that drive treatment response. © 2014 Wiley Periodicals, Inc. (Int J Eat Disord 2014; 47:870–873)
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