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饮食障碍患者的跨诊断性认知补救疗法:一个随机对照试验
Tora Thorsrud1,2, Odin Hjemdal1,3, Linda Thorsen1
1Department of Psychology, The Norwegian University of Science and Technology (NTNU), 7491 Trondheim, Norway.
Nutrients
|May 14, 2025
概括
跨诊断性认知补救疗法 (TCRT) 在饮食障碍患者中改善了自我报告的执行功能. 然而,TCRT并没有直接提高认知表现或减少饮食障碍的精神病理.
科学领域:
- 临床心理学 临床心理学
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
背景情况:
- 饮食障碍 (ED) 与灵活性,中心连贯性和抑制方面的认知缺陷有关.
- 跨诊断性认知补救疗法 (TCRT) 适用于跨ED诊断的认知挑战.
研究的目的:
- 评估TCRT作为ED患者辅助治疗的疗效.
- 评估TCRT对ED患者认知和临床结果的影响.
主要方法:
- 一项随机对照试验比较了TCRT加通常治疗 (TAU) 与单独TAU.
- 在12周内进行了9次单独的TCRT疗程,在基线,治疗后和6个月后期进行了评估.
- 结果包括神经心理测试和认知功能和ED精神病理学的自我报告措施.
主要成果:
- TCRT组在自我报告的执行功能中显示出显著的改善 (执行功能的行为评级清单-成年版本).
- 在基于绩效的设置转移,中心连贯性或抑制的措施中没有发现显著差异.
- 两组之间自我报告的ED精神病理的改善没有显著差异.
结论:
- TCRT可能会加强对认知低效的补偿策略,而不是直接改善认知表现或ED症状.
- 需要进一步的研究来了解TCRT对ED患者日常功能的影响.
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