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神经性厌食症和非典型的神经性厌食症之间对治疗的反应是否不同? 来自两项开放系列试验的研究结果
Emma Crumby1, Taylor E Penwell1, Rachel M Butler1
1Department of Psychological Sciences, University of Louisville, Louisville, KY, United States of America.
Journal of affective disorders
|August 25, 2024
概括
患有非典型的精神性厌食症 (AAN) 和精神性厌食症 (AN) 的人通常对治疗有类似的反应,尽管个性化治疗可能会使AAN受益更多. 数字曝光疗法对这两种情况都很有前途,特别是对饮食障碍的恐惧.
科学领域:
- 精神病学和临床心理学
- 饮食障碍 研究 研究 研究
背景情况:
- 有限的基于证据的治疗方法存在于非典型的神经性厌食症 (AAN).
- 了解神经性厌食症 (AN) 和AAN之间的治疗反应差异至关重要.
研究的目的:
- 探索和比较AN和AAN患者的治疗结果.
- 调查数字图像曝光和个性化治疗试验的有效性.
主要方法:
- 进行了两项试点试验:第1项研究 (N=127) 采用数字图像曝光和第2项研究 (N=34) 采用个性化治疗.
- 参与者有活跃的饮食障碍,包括AN和AAN,被评估饮食障碍症状和恐惧.
- 评估发生在治疗前,治疗后以及1个月和6个月的随访期间,使用线性混合效应模型进行分析.
主要成果:
- 对于大多数结局措施来说,在AN和AAN之间没有观察到治疗反应的显著差异.
- 在研究2中,患有AAN的参与者显示,随着时间的推移,全球饮食障碍症状显著下降,与患有AN的参与者不同.
结论:
- 患有AN和AAN的个体可能表现出类似的治疗反应,个性化治疗有效性的潜在变化.
- 数字暴露疗法似乎对AN和AAN都有效,特别是在解决与饮食障碍相关的恐惧方面.
- 研究的局限性包括以白人为主,女性样本和对AAN诊断的不那么保守的定义.
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