Targeting Relationship Domains in Community- Based Treatment of Binge-Eating Disorder and Bulimia Nervosa
Targeting Relationship Domains in Community- Based Treatment of Binge-Eating Disorder and Bulimia Nervosa
批准号:
9768562
负责人:
DONALD H BAUCOM
金额:
$34.89万
依托单位国家:
美国
项目类别:
财政年份:
2018
资助国家:
美国
项目状态:
已结题
起止时间:
2018-08-23 至 2022-06-30
关键词:
AbstinenceAddressAdultAnorexia NervosaAnxietyAwarenessBehavioralBinge EatingBinge eating disorderBulimiaClinicCognitiveCognitive TherapyCommunicationCommunitiesCommunity PsychologyCouplesCouples TherapyDSM-VDataDiseaseDistressDropsEating DisordersEffectivenessEnvironmentEvidence based treatmentExhibitsFamilyFoundationsFundingGoalsHabitsIndividualInterpersonal RelationsInterventionLeadLearningMaintenanceMeasurableMeasuresMental DepressionMental disordersMonitorOutcomeOutpatientsParticipantPatient Self-ReportPatientsProblem SolvingPsychopathologyQuality of lifeRandomizedRandomized Controlled TrialsRecoveryRelapseReportingResourcesSamplingSocial EnvironmentSourceSpecialistSpeechStressSupervisionTestingTherapeutic InterventionUniversity HospitalsWeight GainWorkbasebehavior changecaregiver straincommunity based treatmentcommunity cliniccommunity settingcomparative effectivenesscompare effectivenessemotion regulationevidence baseexperiencefollow-uphuman subject protectionimplementation scienceimprovedimproved outcomeindexingmedical specialtiesnegative affectnovelprimary outcomepsychosocialpublic health relevancepurgerecruitresponsesatisfactionsecondary outcomeskillsstressortheoriestherapy developmenttooltrend
中文摘要
项目总结/文摘
英文摘要
Project Summary/Abstract
Psychosocial treatments for binge-eating disorder (BED) and bulimia nervosa (BN) have
demonstrated efficacy in specialty settings, yet, most treatment for BED/BN occurs in outpatient
settings with more limited resources. In response to RFA-MH-16-410, we propose to test the
preliminary effectiveness of a couple-based intervention for BED/BN (UNiting couples In the
Treatment of Eating disorders [UNITE]) relative to an established evidence-based individual
treatment (cognitive-behavioral therapy-enhanced; CBT-E) in a community clinic setting. One
strategy to bolster effectiveness is to activate resources in the patient’s environment (e.g.,
include partners in treatment). Unless partners understand BED/BN and how to be of
assistance, relationships can be a stressor. Indeed, relationship stressors are common
binge/purge triggers and adverse interpersonal environments contribute to illness maintenance.
Individuals with BED/BN report high levels of relationship distress, negative interactions, and
poor communication skills. Including a partner in treatment can transform the relationship from a
stressor into an agent of positive change. We propose to augment effectiveness of BED/BN
treatment by addressing interpersonal factors directly by including partners in treatment.
We will test the preliminary effectiveness of UNITE in a small randomized controlled trial (RCT)
of 28 adult patients and their partners (24 completing couples) in a community clinic. We
hypothesize that results will yield evidence supporting enhanced outcomes in UNITE compared
with CBT-E on the primary outcome of binge abstinence (and purge abstinence in BN) and
other measures of psychopathology and general functioning, and significantly greater treatment
satisfaction. Moreover, we propose that treatment gains will be achieved and maintained by
engaging eating disorder-related relationship targets, including improved (T1)
communication around BED/BN, (T2) problem-solving/behavioral change skills specific to
BED/BN, and (T3) partner-assisted emotion regulation. Assessment will include observational
and speech prosody measures during couples’ clinic interactions and self-reports reflecting
functioning outside of the clinic. The Data Monitoring Group will oversee recruitment,
assessments, and human subject protections. If we demonstrate preliminary effectiveness and
target engagement in a community clinic setting, we will plan a larger RCT isolating our
relationship targets and, if effective, progress towards implementation science. Our ultimate is to
expand the community clinician’s armamentarium for treating BED and BN and increase the
available treatment options for individuals with these illnesses.
期刊论文(0)
专著(0)
科研奖励(0)
会议论文
Enhancing Treatment for Adult Anorexia Nervosa with a Couple-Based Approach
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批准号:9087336
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项目类别:
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资助金额:$59.12万
-
财政年份:2012
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负责人:DONALD H BAUCOM
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依托单位:
Enhancing Treatment for Adult Anorexia Nervosa with a Couple-Based Approach
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批准号:8293793
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项目类别:
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资助金额:$71.13万
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财政年份:2012
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负责人:DONALD H BAUCOM
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依托单位:
Enhancing Treatment for Adult Anorexia Nervosa with a Couple-Based Approach
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批准号:8486495
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项目类别:
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资助金额:$60.42万
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财政年份:2012
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负责人:DONALD H BAUCOM
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依托单位:
UCAN: Uniting Couples (in the treatment of) Anorexia Nervosa
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批准号:7666092
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项目类别:
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资助金额:$42.36万
-
财政年份:2007
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负责人:DONALD H BAUCOM
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依托单位:
UCAN: Uniting Couples (in the treatment of) Anorexia Nervosa
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批准号:7431325
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项目类别:
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资助金额:$18.25万
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财政年份:2007
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负责人:DONALD H BAUCOM
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依托单位:
A Couples Approach to Enhance Breast Cancer Survirorship
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批准号:7229452
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项目类别:
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资助金额:$49.99万
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财政年份:2004
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负责人:DONALD H BAUCOM
-
依托单位:
A Couples Approach to Enhance Breast Cancer Survirorship
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批准号:6761995
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项目类别:
-
资助金额:$53.58万
-
财政年份:2004
-
负责人:DONALD H BAUCOM
-
依托单位:
A Couples Approach to Enhance Breast Cancer Survirorship
-
批准号:7394438
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项目类别:
-
资助金额:$44.13万
-
财政年份:2004
-
负责人:DONALD H BAUCOM
-
依托单位:
A Couples Approach to Enhance Breast Cancer Survirorship
-
批准号:6916487
-
项目类别:
-
资助金额:$51.45万
-
财政年份:2004
-
负责人:DONALD H BAUCOM
-
依托单位:
A Couples Approach to Enhance Breast Cancer Survirorship
-
批准号:7084498
-
项目类别:
-
资助金额:$51.65万
-
财政年份:2004
-
负责人:DONALD H BAUCOM
-
依托单位:
COMPUTERIZED TREATMENT OUTCOME/PATIENT RECORD FOR MH
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批准号:2421980
-
项目类别:
-
资助金额:$9.78万
-
财政年份:1997
-
负责人:DONALD H BAUCOM
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依托单位:
EXTENDING BEHAVIORAL MARITAL THERAPY
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批准号:3376052
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项目类别:
-
资助金额:$2.44万
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财政年份:1982
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负责人:DONALD H BAUCOM
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依托单位:
EXTENDING BEHAVIORAL MARITAL THERAPY
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批准号:3376051
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项目类别:
-
资助金额:$2.59万
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财政年份:1982
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负责人:DONALD H BAUCOM
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依托单位:
海外基金