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Control of Eating Behavior Using a Novel Feedback System
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在接受过过度饮食障碍认知行为治疗的青少年中,执行功能和治疗结果
Andrea B Goldschmidt1, Kwonho Jeong2, Lan Yu2
1Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
概括
执行功能影响过度饮食障碍 (BED) 的青少年的认知行为疗法 (CBT). 较低的认知灵活性和更冲动的决策与BED治疗的较差结果有关.
科学领域:
- 心理学 心理学 心理学
- 神经科学是一个神经科学.
- 临床精神病学 临床精神病学
背景情况:
- 认知行为疗法 (CBT) 是患有过度饮食障碍 (BED) 的青少年的主要治疗方法.
- 在患有BED的年轻人中,执行功能障碍 (EF) 可能会阻碍治疗的坚持和有效性.
- 了解EF的作用对于优化青少年BED的CBT结果至关重要.
研究的目的:
- 调查基线执行功能 (EF) 与患有BED的青少年治疗结果之间的关联.
- 为了检查EF如何影响失去控制 (LOC) 的饮食和体重变化后CBT.
- 探索EF,治疗出席率和这一群体的消耗之间的关系.
主要方法:
- 73名患有BED的青少年在基线,治疗后和24个月的随访时间被评估.
- 线性混合模型分析了基线EF对LOC饮食和zBMI的影响.
- 线性回归和后勤回归检查了EF,出席率和消耗率之间的关联.
主要成果:
- 较高的基线冲动性预测了治疗后更好的出席率和更频繁的LOC饮食.
- 较低的基线认知灵活性预测了治疗后更高的zBMI.
- 其他EF测量 (抑制,集中,注意) 和家长报告的症状与结果没有显著关联.
结论:
- 冲动性决策和认知灵活性下降与BED青少年的不最佳CBT反应有关.
- 研究结果表明,针对EF的干预措施可能会改善BED青少年的饮食和体重结果.
- 未来的研究应该探索针对BED和先前存在的EF缺陷的青少年的EF集中干预措施.
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