Psychological therapies for adults with anorexia nervosa - Randomised controlled trial of out-patient treatments
Psychological therapies for adults with anorexia nervosa - Randomised controlled trial of out-patient treatments
复制标题
DOI：
10.1192/bjp.178.3.216
复制
发表时间：
2001-03-01
影响因子：
10.5
通讯作者：
Dodge, L
中科院分区：
文献类型：
--
作者：
Dare, C;Eisler, I;Dodge, L
背景目前，没有系统的证据，心理治疗的神经性厌食症在成人提请心理动力学，认知和systemic theories.Aims评估的有效性，具体的心理治疗在门诊管理的成人患者nervosa.Method 84例患者随机分为四个治疗：三个具体的心理治疗-（a）一年的焦点精神分析心理治疗;（B）认知分析疗法（CAT）7个月;（c）家庭疗法1年;（d）低接触、“常规”治疗1年（对照组）。这种改善是适度的，几名患者在随访时明显营养不良。精神分析心理治疗和家庭治疗显着上级的控制治疗; CAT往往表现出benefits.Conclusions精神分析和家庭治疗是具体的价值在门诊治疗的成人患者anorexia.Declaration感兴趣的研究支持来自Leverhulme基金会和心理健康研究基金。
Background Currently,without systematic evidence, psychotherapy for anorexia nervosa in adults draws on psychodynamic, cognitive and systemic theories.Aims To assess effectiveness of specific psychotherapies in out-patient management of adult patients with anorexia nervosa.Method Eighty-four patients were randomised to four treatments: three specific psychotherapies - (a) a year of focal psychoanalytic psychotherapy; (b)7 months of cognitive -analytic therapy (CAT); (c) family therapy for 1 year - and (d) low contact, 'routine' treatment for 1 year (control).Results At 1 year,there was symptomatic improvement in the whole group of patients. this improvement was modest, several patients being significantly undernourished at follow-up. Psychoanalytic psychotherapy and family therapy were significantly superior to the control treatment; CAT tended to show benefits.Conclusions Psychoanalytic and family therapy are of specific value in the out-patient treatment of adult patients with anorexia.Declaration of interest Research support comes from the Leverhulme Foundation and the Menial Health Research Fund.