探索PTSD治疗对同时出现PTSD的人的饮食障碍结果的附加益处
Christina R Felonis1, Alexandra D Convertino2, Erin E Reilly3
1Eating Disorders Center for Treatment and Research, Department of Psychiatry, University of California, San Diego, CA 92121, USA.
Behavioral sciences (Basel, Switzerland)
|September 27, 2025
概括
将基于证据的创伤后应激障碍 (PTSD) 治疗方法纳入饮食障碍 (ED) 计划并没有改善整体症状. 然而,接受PTSD治疗的患者表现出身体不满的显著减少.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 行为科学 行为科学
背景情况:
- 同时发生的创伤后应激障碍 (PTSD) 和饮食障碍 (EDs) 提出了复杂的治疗挑战.
- 将基于证据的PTSD干预措施整合到ED治疗中可能会提供一种更全面的方法.
研究的目的:
- 调查是否结合基于证据的PTSD治疗影响了成年人同时出现ED和PTSD诊断的结果.
- 为了比较同时接受PTSD和ED治疗的个人与接受ED治疗通常 (TAU) 的人的结果.
主要方法:
- 分析了部分医院ED计划中的104名DSM-5ED和PTSD成年人的队列.
- 参与者要么同时接受基于证据的PTSD治疗,同时接受密集的ED治疗 (n=58) 或ED TAU (n=46).
- 多级建模检查了焦虑,抑郁,临床障碍和ED症状的变化,这些变化由PTSD治疗接收调节.
主要成果:
- 在焦虑,抑郁,临床损伤或整体ED症状方面,没有发现群体之间的显著差异.
- 与TAU组相比,接受PTSD治疗的个人报告了较高的基线身体不满.
- 经过PTSD治疗的组在治疗过程中表现出身体不满的显著减少.
结论:
- 将以证据为基础的PTSD治疗纳入密集的ED计划显示了改善身体不满的初步承诺.
- 在这项初步研究中,同时治疗PTSD并没有显著改善其他测量的精神病或ED症状.
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