Guided self-help treatment for recurrent binge eating: replication and extension.
Guided self-help treatment for recurrent binge eating: replication and extension.
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DOI：
10.1176/ps.62.4.pss6204_0367
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发表时间：
2011-04
期刊：
影响因子：
--
通讯作者：
Kraemer HC
中科院分区：
文献类型：
--
作者：
DeBar LL;Striegel-Moore RH;Wilson GT;Perrin N;Yarborough BJ;Dickerson J;Lynch F;Rosselli F;Kraemer HC
本研究的目的是复制和扩展以前的混合疗效和有效性试验的结果，低强度，手动为基础的指导自助形式的认知行为疗法（CBT-GSH）治疗暴食症的大型健康维护组织（HMO），并将其与常规护理进行比较。为了扩展早期的研究结果，研究人员修改了早期的招募和评估方法，并进行了一项随机临床试验，以更好地反映在现实世界中可能合理进行的程序。干预是由硕士级的干预人员提供给160名健康维护组织的女性成员，她们符合反复暴饮暴食的诊断标准。在基线、治疗后即刻以及6个月和12个月随访时收集的数据用于意向治疗分析。在12个月的随访中，CBT-GSH导致暴饮暴食的缓解率（35%，N=26）高于常规治疗（14%，N=10）（需要治疗的人数=5）。CBT-GSH组在饮食限制（d= 0.71）和饮食，形状和体重问题（d=1.10，1.24和0.98）方面也表现出更大的改善，但体重变化不明显。先前研究结果的模式的复制表明，CBT-GSH是一个强大的治疗反复暴饮暴食的患者。然而，变化的幅度明显小于原始研究，这表明接受较低强度程序招募和评估的患者可能与接受需要更全面程序的试验的患者反应不同。
The aim of this study was to replicate and extend results of a previous blended efficacy and effectiveness trial of a low-intensity, manual-based guided self-help form of cognitive-behavioral therapy (CBT-GSH) for the treatment of binge eating disorders in a large health maintenance organization (HMO) and to compare them with usual care. To extend earlier findings, the investigators modified earlier recruitment and assessment approaches and conducted a randomized clinical trial to better reflect procedures that may be reasonably carried out in real-world practices. The intervention was delivered by master’s-level interventionists to 160 female members of a health maintenance organization who met diagnostic criteria for recurrent binge eating. Data collected at baseline, immediately posttreatment, and at six- and 12-month follow-ups were used in intent-to-treat analyses. At the 12-month follow-up, CBT-GSH resulted in greater remission from binge eating (35%, N=26) than usual care (14%, N=10) (number needed to treat=5). The CBT-GSH group also demonstrated greater improvements in dietary restraint (d=.71) and eating, shape, and weight concerns (d=1.10, 1.24, and .98, respectively) but not weight change. Replication of the pattern of previous findings suggests that CBT-GSH is a robust treatment for patients with recurrent binge eating. The magnitude of changes was significantly smaller than in the original study, however, suggesting that patients recruited and assessed with less intensive procedures may respond differently from their counterparts enrolled in trials requiring more comprehensive procedures.
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DOI：
10.1097/00004583-200010000-00016
发表时间：
2000-10-01
影响因子：
13.3
作者：
Lewinsohn, PM;Striegel-Moore, RH;Seeley, JR
通讯作者：
Seeley, JR
影响因子：
5.5
作者：
Cachelin, FM;Rebeck, R;Striegel-Moore, RH
通讯作者：
Striegel-Moore, RH
影响因子：
2.7
作者：
EFRON, B
通讯作者：
EFRON, B
影响因子：
2.2
作者：
DeBar LL;Yarborough BJ;Striegel-Moore RH;Rosselli F;Perrin N;Wilson GT;Kraemer HC;Green R;Lynch F
通讯作者：
Lynch F
影响因子：
5.5
作者：
Haedt, Alissa A.;Keel, Pamela K.
通讯作者：
Keel, Pamela K.