Group dialectical behavior therapy adapted for obese emotional eaters: a pilot study
Group dialectical behavior therapy adapted for obese emotional eaters: a pilot study
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DOI：
10.3305/nh.2012.27.4.5843
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发表时间：
2012-08-01
期刊：
影响因子：
--
通讯作者：
van Strien, T.
中科院分区：
文献类型：
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作者：
Roosen, M. A.;Safer, D.;van Strien, T.
辩证行为疗法（DBT）已被证明能有效治疗暴食症（BED）。本研究试点小组DIVE对肥胖“情绪化进食者”的有效性，以减少饮食精神病理和实现体重维持。在治疗结束和6个月的随访中，对35名肥胖的男性和女性情绪化进食者进行了20次针对情绪化进食的DBT小组心理治疗，以评估进食精神病理和体重维持的减少情况。在治疗结束时，DBT导致情绪性饮食和其他饮食精神病理指标显著减少，并在随访中保持不变。退出率非常低，只有1名参与者退出治疗。33个（94%）的样本在每个评估点提供了数据。其中，80%的人在治疗后和整个随访期间体重减轻或维持。体重减轻的效应量很小。这项初步研究表明，针对肥胖者情绪化进食的群体DBT是一种高度可接受和有效的干预措施，可以在治疗结束和随访期间减少与饮食相关的精神病理。DBT能够限制高度情绪化进食的肥胖患者体重增加的上升轨迹，这表明DBT也可能有助于限制这些患者肥胖相关发病率的增加，甚至预防肥胖相关发病率的发生。（神经科医院。2012;27:1141-1147）DOI:10.3305/nh.2012.27.4.5843
Dialectical Behavior Therapy (DBT) has been shown to effectively target binge eating disorder (BED). This study pilots the effectiveness of group DIVE for obese "emotional eaters" to reduce eating psychopathology and achieve weight maintenance. Thirty-five obese male and female emotional eaters receiving 20 group psychotherapy sessions of DBT adapted for emotional eating were assessed at end-of-treatment and 6 month follow-up for reductions in eating psychopathology and weight maintenance. DBT resulted in significant reductions in emotional eating and other markers of eating psychopathology at the end-of-treatment that were maintained at follow-up. The drop-out rate was very low, with only 1 participant dropping from treatment. Thirty-three (94%) of the sample provided data at every assessment point. Of these, 80% achieved either weight reduction or weight maintenance after treatment and throughout the follow-up period. The effect size for weight reduction was small. This pilot study demonstrates group DBT targeting emotional eating in the obese to be a highly acceptable and effective intervention for reducing eating related psychopathology at both at end-of-treatment and during follow-up. The ability of DBT to limit the upward trajectory of weight gain in obese patients with high degrees of emotional eating suggests that DBT may also help limit the increase or even prevent onset of obesity related morbidity in these patients. (Nutr Hosp. 2012;27:1141-1147) DOI:10.3305/nh.2012.27.4.5843