A naturalistic study of psychotherapy for bulimia nervosa, part 2: therapeutic interventions in the community.
A naturalistic study of psychotherapy for bulimia nervosa, part 2: therapeutic interventions in the community.
复制标题
神经性贪食症心理治疗的自然主义研究，第二部分：社区的治疗干预。
DOI：
10.1097/01.nmd.0000178883.82580.18
复制
发表时间：
2005
期刊：
影响因子：
--
通讯作者：
Westen,Drew
中科院分区：
文献类型：
--
作者：
Thompson-Brenner,Heather;Westen,Drew
来自自然样本的数据为心理治疗随机试验的发现提供了重要的补充。一项由美国临床医生组成的全国随机样本提供了145名暴食症患者完成治疗的数据。我们试图描述社区治疗的性质，并检查治疗变量与结果之间的关系。所有理论方向的临床医生报告使用多症状病例的干预措施，旨在解决临床显著的人格特征和人际模式。认知行为疗法与进食症状的快速缓解有关，而心理动力学干预和延长治疗时间预示着各种治疗方式的更好的整体结果，这表明综合治疗对暴食症患者广泛病理的重要性。
Data from naturalistic samples provide an important complement to findings from randomized trials of psychotherapy. A random national sample of US clinicians provided data on 145 completed treatments of patients with bulimic symptoms. We attempted to characterize the nature of treatments in the community and to examine the relation between treatment variables and outcome. Clinicians of all theoretical orientations report using interventions with polysymptomatic cases designed to address clinically significant personality characteristics and interpersonal patterns. Whereas cognitive-behavioral therapy is associated with more rapid remission of eating symptoms, psychodynamic interventions and increased treatment length predict better global outcome across treatment modalities, suggesting the importance of integrative treatments for the broad range of pathology seen in patients with bulimic symptoms.