Acceptance and Commitment Therapy for eating disorders: Clinical applications of a group treatment
Acceptance and Commitment Therapy for eating disorders: Clinical applications of a group treatment
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DOI：
10.1016/j.jcbs.2013.08.001
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发表时间：
2013-10-15
影响因子：
5
通讯作者：
Lowe, Michael
中科院分区：
文献类型：
--
作者：
Juarascio, Adrienne;Shaw, Jena;Lowe, Michael
饮食失调，特别是病程较长的成年患者，非常难以治疗。现有的少数针对神经性贪食症成年患者的经经验支持的治疗方法并不能缓解大部分患者的症状。对于患有神经性厌食症的成年人，目前没有经验支持的治疗方法。一小部分但不断增长的研究表明，接受与承诺疗法（ACT）可能是饮食失调患者的有效治疗选择。尽管这种方法很有希望，但目前还没有既定的方案为患有饮食失调的成人提供基于 ACT 的治疗的经验支持。本文的目的是描述针对饮食失调的半结构化团体治疗的发展，讨论手册的结构以及我们如何调整标准 ACT 治疗策略以用于饮食失调人群，并讨论成功实施干预的临床策略。该计划初步结果的简要总结支持了这种新颖治疗方法的可接受性和有效性。 (C) 2013 年情境行为科学协会。由爱思唯尔公司出版版权所有。
Eating disorders, particularly among adult patients with a long course of illness, are exceptionally difficult to treat. The few existing empirically supported treatments for adult patients with bulimia nervosa do not lead to symptom remission for a large portion of patients. For adults with anorexia nervosa there are currently no empirically supported treatments. A small but growing body of research indicates that Acceptance and Commitment Therapy (ACT) may be an effective treatment option for patients with eating disorders. Despite the promise of this approach, there are at present no established protocols with empirical support for an ACT-based treatment for adults with an eating disorder. The goal of the current paper is to describe the development of a semi-structured group-based treatment for eating disorders, discuss the structure of the manual and how we adapted standard ACT treatment strategies for use with an eating disorder population, and to discuss clinical strategies for successfully implementing the intervention. A brief summary of preliminary results of the program support the acceptability and efficacy of this novel treatment approach. (C) 2013 Association for Contextual Behavioral Science. Published by Elsevier inc. All rights reserved.