探索精神性厌食症青少年和年轻成年人的神经认知特征:来自纵向研究的证据
Tanja Wittek1, Michael Zeiler1, Stefanie Truttmann1
1Eating Disorder Unit, Department of Child and Adolescent Psychiatry, Medical University of Vienna, Vienna, Austria.
概括
在心理治疗后,神经性厌食症 (AN) 的青少年的认知灵活性和中心连贯性得到改善. 这些认知改善可能预测更好的长期饮食障碍结果.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
背景情况:
- 神经性厌食症 (AN) 与神经认知缺陷有关,包括设置转移和中心连贯性困难.
- 了解这些认知功能的纵向变化及其对治疗结果的预测价值对于改善患有AN的青少年的护理至关重要.
研究的目的:
- 评估以青少年为主,患有AN的队列中设置转移和中心连贯性的纵向变化.
- 探索基线设置转移和中央连贯性是否预测长期饮食障碍的结果.
主要方法:
- 92名患有AN的女性患者 (平均年龄为16.2岁) 在接受心理治疗12个月之前和之后接受了神经认知测试.
- 两个治疗组进行了比较:莫兹利AN治疗 (MANTRa) 和标准心理治疗.
- 饮食障碍的严重程度在18个月的时间内进行了纵向评估.
主要成果:
- 在12个月的治疗期间,中央连贯性和设置转移都显著改善,治疗组之间没有显著差异.
- 较低的基线中央连贯性与更高的饮食障碍严重程度有关.
- 一个趋势表明,较低的基线设置转移能力可能预测更糟糕的长期饮食障碍结果,尽管这没有达到统计学意义.
结论:
- 患有AN的青少年和年轻人的神经认知缺陷可以在心理治疗干预后得到改善.
- 针对认知灵活性和行为适应能力的干预措施可能会提高AN的治疗成功率.
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