首页> 美国卫生研究院文献>Current Controlled Trials in Cardiovascular Medicine >The STRATOB study: design of a randomized controlled clinical trial of Cognitive Behavioral Therapy and Brief Strategic Therapy with telecare in patients with obesity and binge-eating disorder referred to residential nutritional rehabilitation
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The STRATOB study: design of a randomized controlled clinical trial of Cognitive Behavioral Therapy and Brief Strategic Therapy with telecare in patients with obesity and binge-eating disorder referred to residential nutritional rehabilitation

机译:STRATOB研究:肥胖和暴饮暴食患者的认知行为疗法和简短策略疗法与远程护理的随机对照临床试验设计该研究被称为住院营养康复

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摘要

BackgroundOverweight and obesity are linked with Binge Eating Disorder (BED). Effective interventions to significantly reduce weight, maintain weight loss and manage associated pathologies like BED are tipically combined treatment options (dietetic, nutritional, physical, behavioral, cognitive-behavioral, pharmacological, surgical). Significant difficulties with regard to availability, costs, treatment adherence and long-term efficacy are present. Particularly Cognitive Behavioral Therapy (CBT) is the therapeutic approach indicated both in in-patient and in out-patient settings for BED. In recent years systemic and systemic-strategic psychotherapies have been implemented to treat patients with obesity and BED involved in familiar problems. Particularly a brief protocol for the systemic-strategic treatment of BED, using overall the strategic dialogue, has been recently developed. Moreover telemedicine, a new promising low cost method, has been used for obesity with BED in out-patient settings in order to avoid relapse after the in-patient step of treatment and to keep on a continuity of care with the involvement of the same clinical in-patient team.
机译:背景超重和肥胖与暴食症(BED)有关。有效的干预措施可以显着减轻体重,维持体重减轻并管理相关的疾病(如BED),是最终的综合治疗选择(饮食,营养,身体,行为,认知行为,药理,外科)。存在关于可用性,成本,治疗依从性和长期效力方面的重大困难。尤其是认知行为疗法(CBT)是在BED的住院和门诊环境中均指明的治疗方法。近年来,已经实施了全身性和系统性策略性心理治疗,以治疗肥胖和患有常见问题的BED患者。特别是,最近已开发出使用整体战略对话进行BED系统策略治疗的简短协议。此外,远程医疗是一种新的有前途的低成本方法,已被用于门诊患者的BED肥胖症,以避免在住院治疗后复发,并在同一临床试验的参与下保持护理的连续性住院团队。

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