基于依恋的家庭治疗,以改善青少年暴饮暴食障碍的家庭功能:通过案例系列设计的初步评估
Stephanie M Manasse1, Jody Russon2, Elizabeth W Lampe1,3
1Center for Weight, Eating, and Lifestyle Science, Drexel University, Philadelphia, PA, USA.
Clinical child psychology and psychiatry
|June 29, 2023
概括
基于依恋的家庭治疗 (ABFT) 与行为治疗相结合,对患有暴饮暴食 eating disorders (EDs) 的青少年来说是有前途的. 这项试点研究发现,综合方法是可行的,可以接受的,并且在改善家庭功能和减少ED行为方面有效.
科学领域:
- 青少年精神病学 青少年精神病学
- 临床心理学 临床心理学
- 家庭治疗 家庭治疗
背景情况:
- 青少年的过度饮食障碍 (ED) 有严重的后果,目前的行为治疗有有限的缓解率.
- 家庭功能不佳 (FF),特点是高冲突和低凝聚力,是维持青少年ED的关键因素.
- 基于依恋的家庭治疗 (ABFT) 针对FF,但尚未在患有ED的青少年中进行研究.
研究的目的:
- 评估适应ABFT治疗的可行性,可接受性和初步疗效,与青少年的行为性ED干预相结合.
- 在试点试验中检查这种联合治疗对家庭功能和饮食病理学的影响.
主要方法:
- 进行了一项开放的试点试验,涉及8个患有ED的青少年家庭.
- 这项干预涉及16周适应的ABFT与ED的行为治疗相结合.
- 评估了FF和饮食病理学的可行性,可接受性和初步变化.
主要成果:
- 综合ABFT+行为治疗 (ABFT+B) 发现对于患有ED的青少年及其家人来说是可行的和可接受的.
- 初步证据表明,ABFT+B治疗可以改善家庭功能.
- 该疗法还在减少饮食障碍行为方面初步表现出有效性.
结论:
- 调整后的ABFT+B疗法对患有过度饮食频谱ED的青少年来说是一个有前途的补充.
- 需要对更大样本进行进一步的研究来证实这些发现,并探索FF在ED维护中的作用.
- 这种综合方法可以通过解决ED行为和潜在的家庭动态来提供更全面的治疗策略.
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