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肌肉形症和类固醇相关精神病理的认知行为疗法:随机对照试验
Metin Çınaroğlu1, Eda Yılmazer2, Selami Varol Ülker3
1Psychology Department, Faculty of Administrative and Social Sciences, İstanbul Nişantaşı University, 34398 İstanbul, Türkiye.
Pharmaceuticals (Basel, Switzerland)
|August 28, 2025
概括
认知行为疗法 (CBT) 有效地减少了男性滥用类固醇类固醇 (AAS) 和增强性药物 (PED) 的肌肉失调症状和心理困扰. 这种治疗显示情绪,身体形象和强迫性炼行为持续改善.
科学领域:
- 精神病学和行为科学
- 临床心理学
- 运动医学
背景情况:
- 肌肉形 (MD) 是一种身体形障碍的亚型,常见于使用合成安卓类固醇 (AAS) 和增强性药物 (PED) 的男性.
- 这种群体往往表现出严重的精神病态, 包括情绪不稳定, 强迫性和扭曲的身体形象.
- 此前没有随机对照试验 (RCT) 对这一特定子组进行过结构化心理治疗.
研究的目的:
- 评估手动认知行为治疗 (CBT) 方案的有效性.
- 为了减少男性AAS/PED使用者的肌肉形症状和相关的心理困扰.
- 为此临床群体提供心理干预的第一个RCT证据.
主要方法:
- 一个并行组,开放的随机对照试验 (RCT) 涉及59名男性健身者,他们被诊断患有MD,并且有AAS/PED使用史.
- 参与者被随机分配到12周的在线CBT干预 (n=30) 或等候名单对照组 (n=29).
- 评估包括基线,治疗后和3个月后的肌肉形障碍清单 (MDDI),PHQ- 9,K10,EDE- Q和EAI.
主要成果:
- 在CBT组中,MD症状显著降低 (MDDI: p < 0. 001,d = 1. 12),在随访期间持续.
- 对于次要结果,观察到很大的效果大小:抑郁症状 (PHQ- 9: d = 0. 98),心理困扰 (K10: d = 0. 93),饮食失调 (EDE- Q: d = 0. 74) 和运动成 (EAI: d = 1.07).
- 显著的组 × 时间相互作用证实了CBT在所有测量结果中的特定疗效 (所有p < 0. 01).
结论:
- 认知行为疗法 (CBT) 是一种有效且可扩展的干预措施,用于治疗因使用类固醇而复杂的肌肉形症.
- 认知心理治疗显著减少了MD的核心症状和与类固醇相关的精神病理,包括情绪,身体形象感知和强迫性炼.
- 这种跨诊断方法支持CBT作为高风险男性健康群体的潜在一线治疗.
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