Three psychotherapies for anorexia nervosa: A randomized, controlled trial
Three psychotherapies for anorexia nervosa: A randomized, controlled trial
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DOI：
10.1176/appi.ajp.162.4.741
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发表时间：
2005-04-01
影响因子：
17.7
通讯作者：
Joyce, PR
中科院分区：
文献类型：
--
作者：
McIntosh, VVW;Jordan, J;Joyce, PR
目的：很少有随机对照试验研究神经性厌食症治疗的疗效。认知行为疗法和人际心理疗法对相关的神经性贪食症有效。有理论和治疗适应症，这些疗法在nervosa.Method：五十六妇女神经性厌食症诊断采用严格和宽松的重量标准被随机分配到三个治疗。两种是专门的心理治疗（认知行为治疗和人际心理治疗），一种是结合临床管理和支持性心理治疗（非特异性支持性临床管理）的对照治疗。治疗包括20个会议超过最低的20 weeks.Results：对于总研究组（意向治疗组），有显着差异的主要全球性结果的措施之间的治疗。非特异性支持性临床治疗上级于人际心理治疗，而认知行为治疗居中，既不差于非特异性支持性临床治疗，也不优于人际心理治疗。对于完成治疗的妇女，非特异性支持性临床管理是上级的两个专业therapeutic.Conclusions：发现非特异性支持性临床管理是上级更专业的心理治疗是相反的主要假设和挑战的有效成分成功治疗神经性厌食症的假设。
Objective: Few randomized, controlled trials have examined the efficacy of treatments for anorexia nervosa. Cognitive behavior therapy and interpersonal psychotherapy are effective in a related disorder, bulimia nervosa. There are theoretical and treatment indications for these therapies in anorexia nervosa.Method: Fifty-six women with anorexia nervosa diagnosed by using strict and lenient weight criteria were randomly assigned to three treatments. Two were specialized psychotherapies ( cognitive behavior therapy and interpersonal psychotherapy), and one was a control treatment combining clinical management and supportive psychotherapy ( nonspecific supportive clinical management). Therapy consisted of 20 sessions over a minimum of 20 weeks.Results: For the total study group (intent-to-treat group), there were significant differences among therapies in the primary global outcome measure. Nonspecific supportive clinical management was superior to interpersonal psychotherapy, while cognitive behavior therapy was intermediate, neither worse than nonspecific supportive clinical management nor better than interpersonal psychotherapy. For the women completing therapy, nonspecific supportive clinical management was superior to the two specialized therapies.Conclusions: The finding that nonspecific supportive clinical management was superior to more specialized psychotherapies was opposite to the primary hypothesis and challenges assumptions about the effective ingredients of successful treatments for anorexia nervosa.