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将执行功能训练添加到过度饮食障碍的认知行为治疗中:试点随机对照试验.
Dawn M Eichen1, David R Strong2, Elizabeth W Twamley3
1University of California San Diego, Department of Pediatrics, 9500 Gilman Drive, La Jolla, CA 92093, USA.
Eating behaviors
|September 3, 2023
概括
将执行功能 (EF) 训练添加到过度饮食障碍 (BED) 的认知行为疗法 (CBT) 中显示出有希望. EF-CBT是可行的和可接受的,特别是对于EF较低的个体,可能改善治疗结果.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 神经科学是一个神经科学.
背景情况:
- 像认知行为疗法 (CBT) 这样的过度饮食障碍 (BED) 治疗成功率有限.
- 执行功能 (EF) 缺陷在BED中很常见,可能会阻碍治疗.
- 将EF培训与CBT相结合,可以提高治疗效率.
研究的目的:
- 评估结合EF培训与CBT (EF-CBT) 的可行性,可接受性和有效性,用于患有BED的成年人.
- 在一个随机对照试验中,将EF-CBT与标准CBT进行比较.
- 探索EF对治疗结果的影响.
主要方法:
- 32名患有BED,超重/肥胖和并发性焦虑/抑郁症的成年人被随机分配到4个月的组CBT或EF-CBT.
- 包括失控 (LOC) 日,临床损伤,抑郁,焦虑和体重在内的结果在基线,治疗后和随访时被评估.
- 评估了可行性和可接受性,并对EF的作用进行了探索性分析.
主要成果:
- EF-CBT是可行的和可以接受的,与CBT相比.
- 两组人都显著减少了LOC天数,临床障碍和抑郁症.
- 对于大多数结局,两组之间没有发现显著差异;焦虑和体重并没有显著减少.
- 探索性发现表明,EF-CBT可能有利于具有较低EF的个体,改善LOC和自我监测.
结论:
- EF-CBT是一种可行,可接受和潜在的有效治疗BED,特别是在执行功能较低的人群中.
- 需要进一步的大规模研究来证实这些发现.
- EF-CBT可能为一小部分BED患者提供了有针对性的方法.
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