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首页> 外文期刊>The British journal of psychiatry : >Self-help for bulimic disorders: a randomised controlled trial comparing minimal guidance with face-to-face or telephone guidance
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Self-help for bulimic disorders: a randomised controlled trial comparing minimal guidance with face-to-face or telephone guidance

机译：突发性疾病自助服务：一项随机对照试验，比较了最低指导与面对面或电话指导

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Background There is great potential demand for treatment of bulimia nervosa and binge eating disorder. Skilled therapists are in short supply. Self-help and guided self-help based upon books have shown some promise as an economical alternative to full therapy in some cases. Aims To investigate the efficacy and effectiveness of self-help with and without guidance in a specialist secondary service. Method A randomised controlled trial comparing three forms of self-help over 4 months with a waiting-list comparison group and measurement of service consumption over the subsequent 8 months. Results Self-help delivered with four sessions of face-to-face guidance led to improved outcome over 4 months. There is also some evidence to support the use of telephone guidance. A minority of participants achieved lasting remission of their disorder in relation to self-help, but there was no significant difference in final outcome between the groups after they had progressed through the stepped care programme. Patients initially offered guided self-help had a lower long-term drop-out rate. Conclusions Guided self-help is a worthwhile initial response to bulimia nervosa and binge eating disorder. It is a treatment that could be delivered in primary care and in other non-specialist settings.
机译：背景技术对神经性贪食症和暴食症的治疗存在巨大的潜在需求。熟练的治疗师供不应求。在某些情况下，以书本为基础的自助和指导式自助已显示出一定希望，可以作为全面治疗的一种经济替代方案。目的研究在有辅助指导的辅助服务中有无指导的情况下自助的功效和有效性。方法一项随机对照试验，比较了与等待名单比较组在4个月内的三种自助形式以及随后8个月内的服务消耗量。结果通过四次面对面指导提供的自助服务在4个月内改善了结果。也有一些证据支持电话指导的使用。少数参与者实现了与自助有关的永久性疾病缓解，但是在他们逐步实施护理计划后，最终结果在两组之间没有显着差异。最初提供指导自助服务的患者长期辍学率较低。结论指导性自助是对神经性贪食症和暴食症的一种有价值的初步反应。这是一种可以在基层医疗和其他非专家环境中进行的治疗。

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