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首页> 美国卫生研究院文献>Clinical Practice and Epidemiology in Mental Health : CP EMH >Brief Strategic Therapy vs Cognitive Behavioral Therapy for the Inpatient and Telephone-Based Outpatient Treatment of Binge Eating Disorder: The STRATOB Randomized Controlled Clinical Trial
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Brief Strategic Therapy vs Cognitive Behavioral Therapy for the Inpatient and Telephone-Based Outpatient Treatment of Binge Eating Disorder: The STRATOB Randomized Controlled Clinical Trial

机译：暴食症住院和电话门诊的简要策略治疗与认知行为治疗：STRATOB随机对照临床试验

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This paper describes the results of the STRATOB (Systemic and STRATegic psychotherapy for OBesity) study, a two-arm randomized controlled clinical trial (RCT) comparing Brief Strategic Therapy (BST, Nardone or Arezzo model) with the gold standard CBT (Cognitive Behavioral Therapy) for the inpatient and telephone-based outpatient treatment of obese people with Binge Eating Disorder (BED) seeking treatment for weight reduction. Primary outcome measure of the randomized trial was change in the Global Index of the Outcome Questionnaire (OQ 45.2). Secondary outcome measures were BED remission (weekly binge episodes < 2) and weight loss. Data were collected at baseline, at discharge from the hospital (c.a. 1 month after) and after 6 months from discharge.. No significant difference between groups (BST vs CBT) was found in the primary outcome at discharge. However, a greater improvement was seen in the BST vs the CBT group (P<.01) in the primary outcome at 6 months. About secondary outcomes, no significant difference between groups were found in weight change both at discharge and at 6 months. Notably, a significant association emerged between treatment groups and BED remission at 6 months in favor of BST (only 20% of patients in BST group reported a number of weekly binge episodes > 2 vs 63.3% in CBT group).
机译：本文介绍了STRATOB（针对肥胖症的全身性和STRATegic心理治疗）研究的结果，这是一项将简短战略疗法（BST，Nardone或Arezzo模型）与金标准CBT（认知行为疗法）进行比较的两臂随机对照临床试验（RCT）。 ），以寻求减肥的肥胖饮食暴食症（BED）的肥胖者为住院和电话门诊治疗。随机试验的主要结局指标是结果问卷全球指数（OQ 45.2）的变化。次要结果指标是BED缓解（每周暴饮暴食<2）和体重减轻。数据是在基线时，出院时（约1个月后）和出院后6个月后收集的。各组之间的主要结局（BST与CBT）之间没有显着差异。然而，在6个月时，BST组与CBT组相比，主要结局改善了（P <.01）。关于次要结局，出院时和6个月时体重变化无明显差异。值得注意的是，治疗组和BED缓解6个月后BED的缓解之间存在显着相关性（BST组中只有20％的患者报告每周暴饮暴食的次数> 2，而CBT组为63.3％）。

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