一个随机试验的两个团队交付的跨诊断性饮食障碍治疗:基于异调的治疗与人际心理治疗
Eric Stice1, Paul Rohde2, Sonja Yokum2
1Department of Psychiatry and Behavioral Sciences, Stanford University.
Journal of consulting and clinical psychology
|November 30, 2023
概括
与女性的人际心理治疗 (IPT) 相比,身体项目治疗 (BPT) 显著减少了饮食障碍症状,薄弱的理想追求,焦虑和社会障碍. 戒断和汇款率在治疗之间没有显著差异.
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
- 饮食障碍治疗方法 饮食障碍治疗方法
背景情况:
- 饮食障碍是严重的心理健康状况,需要有效的治疗.
- 跨诊断方法为治疗一系列饮食障碍提供了希望.
- 对比不同的治疗方式对于优化患者的治疗结果至关重要.
研究的目的:
- 为了比较身体项目治疗 (BPT) 的疗效,一种基于异调的干预,与饮食障碍的跨诊断性人际心理治疗 (IPT) 的疗效.
- 评估饮食障碍症状的减少,追求薄弱的理想,焦虑和社会障碍.
- 为了评估从失调的饮食行为中戒断和诊断中的汇款.
主要方法:
- 一项随机对照试验涉及73名患有饮食障碍的女性.
- 参与者被分配到一个为期8周的团体交付的BPT或IPT计划.
- 数据是通过调查和诊断面试在预测试,测试后和6个月后续收集的.
主要成果:
- 与人际心理治疗 (IPT) 相比,身体项目治疗 (BPT) 在6个月的随访期间显著减少了饮食障碍症状 (d = -.75),薄理想内化 (d = -.87),焦虑 (d = -.76) 和社会障碍 (d = -.59).
- 在BPT和IPT之间没有发现明显的差异,在治疗结束时从暴饮暴食/清洗中戒断 (49%vs. 40%) 或诊断性转移 (54%vs. 40%).
- 在两个治疗组之间,会议出席率和家庭作业完成率没有显著差异.
结论:
- 与人际心理治疗 (IPT) 相比,身体项目治疗 (BPT) 在减少核心饮食障碍心理病理和相关症状方面表现出更高的有效性.
- 这些发现表明,BPT是一种有价值的干预措施,用于解决饮食障碍症状,焦虑和社会困难.
- 这项研究提供了BPT疗效的证据,控制了非特异性治疗因素.
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