Eating disorder subtypes differ in their rates of psychosocial improvement over treatment
Eating disorder subtypes differ in their rates of psychosocial improvement over treatment
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DOI：
10.1186/2050-2974-2-2
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发表时间：
2014-01-01
影响因子：
4.1
通讯作者：
Carter, Jacqueline C.
中科院分区：
文献类型：
--
作者：
Kelly, Allison C.;Carter, Jacqueline C.
背景：患有神经性厌食症（AN）的个体以其不良的短期和长期治疗结果而闻名。为了更深入地了解这些不良结局的原因，本研究比较了AN-R患者（限制性亚型），AN-BP 89名患者完成了进食障碍检查问卷（EDE-Q）和基线时的各种心理社会功能测量，结果：多水平模型显示，在12周内，AN-BP和AN-R患者在整体进食障碍病理学、形状关注和自我同情方面的改善慢于EDNOS和BN患者。AN-BP患者在羞耻感、社会安全感（即，温暖的感觉在一个人的关系），并获得社会支持相比，与AN-R，BN，EDNOS.Conclusions：这些研究结果支持需要更有效和全面的临床干预与AN患者，尤其是AN-BP。结果还强调了尚未研究的过程，可能导致AN患者在治疗期间和治疗后经常面临的不良结果。
Background: Individuals with Anorexia Nervosa (AN) are renowned for their poor short- and long-term treatment outcomes. To gain more insight into the reasons for these poor outcomes, the present study compared patients with AN-R (restrictive subtype), AN-BP (binge-purge subtype), bulimia nervosa (BN), and eating disorder not otherwise specified (EDNOS) over 12 weeks of specialized eating disorders treatment.Eighty-nine patients completed the Eating Disorder Examination-Questionnaire (EDE-Q) and various measures of psychosocial functioning at baseline, and again after weeks 3, 6, 9, and 12 of treatment.Results: Multilevel modeling revealed that, over the 12 weeks, patients with AN-BP and AN-R had slower improvements in global eating disorder pathology, shape concerns, and self-compassion than those with EDNOS and BN. Patients with AN-BP had slower improvements in shame, social safeness (i.e., feelings of warmth in one's relationships), and received social support compared to those with AN-R, BN, and EDNOS.Conclusions: These findings support the need for more effective and comprehensive clinical interventions for patients with AN and especially AN-BP. Results also highlight not-yet studied processes that might contribute to the poor outcomes AN patients often face during and after treatment.