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首页> 外文期刊>The British journal of psychiatry : >Randomised controlled trial of CD–ROM-based cognitive–behavioural self-care for bulimia nervosa
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Randomised controlled trial of CD–ROM-based cognitive–behavioural self-care for bulimia nervosa

机译：基于CD-ROM的神经性贪食症的认知行为自我护理的随机对照试验

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Background Cognitivea€“behavioural self-care is advocated as a first step in the treatment of bulimia nervosa. Aims To examine the effectiveness of a CDa€“ROM-based cognitivea€“behavioural intervention in bulimia nervosa and eating disorder not otherwise specified (NOS) (bulimic type) in a routine setting. Method Ninety-seven people with bulimia nervosa or eating disorder NOS were randomised to either CDa€“ROM without support for 3 months followed by a flexible number of therapist sessions or to a 3-month waiting list followed by 15 sessions of therapist cognitivea€“behavioural therapy (CBT) ([ISRCTN51564819][1]). Clinical symptoms were assessed at pre-treatment, 3 months and 7 months. Results Only two-thirds of participants started treatment. Although there were significant group ?— time interactions for bingeing and vomiting, favouring the CDa€“ROM group at 3 months and the waiting-list group at 7 months, post hoc group comparisons at 3 and 7 months found no significant differences for bingeing or vomiting. CDa€“ROM-based delivery of this intervention, without support from a clinician, may not be the best way of exploiting its benefits. [1]: /external-ref?link_type=ISRCTN&access_num=ISRCTN51564819
机译：背景技术提倡认知行为自我护理是治疗神经性贪食症的第一步。目的在常规情况下研究基于CDa的基于ROM的认知行为干预对神经性贪食症和未另作规定的进食障碍（NOS）（暴食症类型）的有效性。方法将九十七名神经性贪食症或进食障碍患者随机分配至CDa，“无支持的ROM，持续3个月，然后进行灵活的治疗师疗程，或等待3个月，然后进行15疗程的认知治疗师”。行为疗法（CBT）（[ISRCTN51564819] [1]）。在治疗前，3个月和7个月时评估临床症状。结果只有三分之二的参与者开始治疗。尽管暴饮暴食和呕吐之间存在显着的时间交互作用，但在3个月时倾向于CDaROM小组，在7个月时倾向于等待名单小组，但在3个月和7个月的事后组比较发现，暴饮暴食或呕吐没有显着差异。呕吐在没有临床医生支持的情况下，基于CDaROM的这种干预措施可能不是利用其益处的最佳方法。 [1]：/ external-ref？link_type = ISRCTN＆access_num = ISRCTN51564819

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