权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

Development of a Self-Help Program to Treat Binge Eating in Mexican Americans

制定治疗墨西哥裔美国人暴饮暴食的自助计划

基本信息

批准号：
7912900
负责人：
FARY Mahamedi CACHELIN
金额：
$ 31.86万
依托单位：
CALIFORNIA STATE UNIVERSITY LOS ANGELES
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-08-13 至 2011-09-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7912900
关键词：
Accounting Acculturation American Anxiety Area Behavioral Model Belief Binge Eating Binge eating disorder Body Image Bulimia Chronic Clinic Clinical Cognitive Therapy Collaborations Communities Comorbidity Consult Control Groups Data Development Diabetes Mellitus Disease Disease remission Eating Eating Disorders Educational workshop Effectiveness European Face Family Focus Groups Food Funding Funding Agency Goals Grant Healthcare Individual Infertility Instruction International Intervention Manuals Mental Depression Mental Health Mexican Mexican Americans Minority Groups Obesity Outcome Patients Pattern Population Population Heterogeneity Primary Health Care Procedures Psyche structure Publications Randomized Controlled Trials Recording of previous events Research Resources Risk Role Sampling Severities Site Social support Societies Specialist Staging Sum Syndrome System Testing Therapeutic Studies Training Travel Treatment Cost Treatment Effectiveness United States Universities Woman attenuation base bone mass compliance behavior cost cost effectiveness design eating pathology efficacy testing ethnic minority population falls follow-up innovation intervention program meetings neglect physical conditioning primary outcome programs psychologic psychosocial public health relevance restraint secondary outcome self esteem self help success symposium treatment program treatment trial

项目摘要

DESCRIPTION (provided by applicant): Women of ethnic minority groups are the most likely to suffer from unmet mental health needs including eating disorders such as binge eating and associated obesity. The long- term goal is to advance the treatment of binge eating and related problems for ethnic minority individuals by developing effective and accessible intervention programs. Despite their chronicity and severity, eating disorders largely go undetected and untreated, and women of ethnic minority groups face numerous barriers to seeking and receiving treatment. Yet no studies to date have examined the use of self-help programs to treat eating problems with ethnic minority populations, who are the groups most in need of accessible and low-cost treatment. The specific aims of the proposed project are to adapt a self-help program for Mexican American women with eating disorders and to test the effectiveness of this treatment on a community sample. Mexican Americans are one of the fastest growing populations in the United States and are at risk for binge eating and associated obesity. The first aim is to develop a Cognitive Behavior Therapy- based guided self-help program (CBT-GSH) for treatment of bulimia nervosa (BN) and binge eating disorder (BED) in Mexican American women. In the first stage of the project, focus groups and a pilot feasibility trial will be used to develop a CBT-GSH program that is culturally appropriate for Mexican values and beliefs. The second aim is to test the effectiveness of the modified CBT- GSH with a large community sample of Mexican American women with BN, BED and related binge eating problems. The study will use a between-groups (control vs. treatment) pretest-posttest design. Hypothesis #1 is that treatment with GSH (compared with no GSH) will result in a greater reduction of binge eating (primary outcome), and greater reduction in the secondary outcomes of associated eating pathology (dietary restraint, body image disturbance), attenuation of obesity, and improvement in psychological functioning. Hypothesis #2 is that treatment with GSH (compared with no GSH) will result in greater improvement or remission at 6 months follow-up. Findings from this study will contribute to advances in the treatment of BN, BED, and related binge eating problems including obesity for Mexican American women. The proposed project will provide an important step in developing effective and accessible treatment for ethnic minority individuals with eating disorders, who are groups largely, neglected in treatment trials and research and are currently underrepresented in clinic populations. Public Health Relevance: This study will be the first to develop and test an accessible, low-cost self-help treatment program for eating disorders with an ethnic minority population. This is a crucial step before dissemination on a wide scale can be implemented.

描述(由申请人提供)：少数民族妇女最有可能患有未得到满足的精神健康需求，包括暴饮暴食和相关肥胖等饮食失调。长期目标是通过制定有效和可获得的干预计划，促进少数民族暴饮暴食和相关问题的治疗。尽管饮食障碍具有长期性和严重性，但在很大程度上没有被发现和治疗，少数族裔群体的妇女在寻求和接受治疗方面面临许多障碍。然而，到目前为止，还没有研究研究使用自助计划来治疗少数民族人群的饮食问题，他们是最需要获得低成本治疗的群体。拟议项目的具体目标是为患有饮食障碍的墨西哥裔美国妇女调整一个自助计划，并在社区样本上测试这种治疗的有效性。墨西哥裔美国人是美国增长最快的人口之一，他们面临着暴饮暴食和相关肥胖的风险。第一个目标是开发一种基于认知行为疗法的引导自助计划(CBT-GSH)，用于治疗墨西哥裔美国妇女的神经性贪食症(BN)和暴饮暴食障碍(BED)。在该项目的第一阶段，将利用焦点小组和试点可行性试验来开发符合墨西哥价值观和信仰的CBT-GSH计划。第二个目的是用大量的社区样本来测试改良的CBT-GSH的有效性，这些样本是患有BN、床和相关暴食问题的墨西哥裔美国妇女。这项研究将采用组间(对照和处理)前测-后测设计。假设1是GSH治疗(与不GSH治疗相比)将导致暴饮暴食(主要结果)的更大程度的减少，以及相关饮食病理(饮食限制、身体形象障碍)的次要结果更大地减少，肥胖的减轻，以及心理功能的改善。假设2：在6个月的随访中，使用GSH的治疗(与不使用GSH相比)将导致更大的改善或缓解。这项研究的发现将有助于墨西哥裔美国妇女在治疗BN、BED和包括肥胖在内的相关暴食问题方面的进步。拟议的项目将在为患有饮食障碍的少数民族个人开发有效和可获得的治疗方面迈出重要的一步，这些人是在治疗试验和研究中被忽视的群体，目前在临床人群中的代表性不足。公共卫生相关性：这项研究将首次开发和测试一种可获得的、低成本的自助治疗计划，用于治疗少数民族人群的饮食障碍。在大规模传播之前，这是至关重要的一步。

项目成果

期刊论文数量（7）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Personality Disorders and Psychological Functioning Among Latina Women with Eating Disorders.

DOI：
10.1080/08964289.2016.1276429
发表时间：
2017-07
期刊：
Behavioral medicine (Washington, D.C.)
影响因子：
0
作者：
Minnick AM;Cachelin FM;Durvasula RS
通讯作者：
Durvasula RS

Mexican American women's perspectives on a culturally adapted cognitive-behavioral therapy guided self-help program for binge eating.

墨西哥裔美国妇女对适应文化的认知行为疗法指导暴食自助计划的看法。

DOI：
10.1037/ser0000055
发表时间：
2016
期刊：
Psychological services
影响因子：
2.3
作者：
Shea,Munyi;Cachelin,FaryM;Gutierrez,Guadalupe;Wang,Sherry;Phimphasone,Phoutdavone
通讯作者：
Phimphasone,Phoutdavone

How many therapists? Practical guidance on investigating therapist effects in randomized controlled trials for eating disorders.

DOI：
10.1002/eat.22009
发表时间：
2012-07
期刊：
INTERNATIONAL JOURNAL OF EATING DISORDERS
影响因子：
5.5
作者：
Thompson, Doug;Cachelin, Fary;Striegel-Moore, Ruth H.;Barton, Bruce;Shea, Munyi;Wilson, G. Terence
通讯作者：
Wilson, G. Terence

Understanding Eating Disorders among Latinas.