Group Behavioral Activation for Patients With Severe Obesity and Binge Eating Disorder: A Randomized Controlled Trial
Group Behavioral Activation for Patients With Severe Obesity and Binge Eating Disorder: A Randomized Controlled Trial
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DOI：
10.1177/0145445514553093
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发表时间：
2015-03-01
影响因子：
2.3
通讯作者：
Ghaderi, Ata
中科院分区：
文献类型：
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作者：
Alfonsson, Sven;Parling, Thomas;Ghaderi, Ata
本研究的目的是评估行为激活(BA)是否是减轻肥胖和暴食障碍(BED)患者进食障碍症状的有效治疗方法。96名有严重肥胖和卧床的患者被随机分为BA组和等待名单对照组，每组10次。这项研究是在一家普通医院的肥胖诊所进行的。治疗改善了饮食紊乱的某些方面，并对抑郁症状有积极效果，但在暴饮暴食和大多数其他症状方面，两组之间没有显着差异。情绪得到改善，但对暴饮暴食缺乏影响，这表明功能失调的进食(包括床上)是由其他机制维持的，而不是低活跃度和负面情绪。然而，未来的研究需要调查BA对暴饮暴食的影响是否可能比评估后出现得更晚，就像对神经性暴食症的人际心理治疗一样。
The aim of the present study was to assess whether behavioral activation (BA) is an efficacious treatment for decreasing eating disorder symptoms in patients with obesity and binge eating disorder (BED). Ninety-six patients with severe obesity and BED were randomized to either 10 sessions of group BA or wait-list control. The study was conducted at an obesity clinic in a regular hospital setting. The treatment improved some aspects of disordered eating and had a positive effect on depressive symptoms but there was no significant difference between the groups regarding binge eating and most other symptoms. Improved mood but lack of effect on binge eating suggests that dysfunctional eating (including BED) is maintained by other mechanisms than low activation and negative mood. However, future studies need to investigate whether effects of BA on binge eating might emerge later than at post-assessment, as in interpersonal psychotherapy for bulimia nervosa.