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首页> 外文期刊>Journal of the Canadian Academy of Child and Adolescent Psychiatry >Implementation of Dialectical Behavior Therapy in a Day Hospital Setting for Adolescents with Eating Disorders
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Implementation of Dialectical Behavior Therapy in a Day Hospital Setting for Adolescents with Eating Disorders

机译：饮食障碍青少年日间医院环境中辩证行为疗法的实施

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Objective This article discusses the implementation and preliminary outcomes of a Dialectical Behaviour Therapy (DBT) informed program integrated with Family Based Therapy (FBT) for adolescents with eating disorders within a day hospital program (DHP). Method A retrospective analysis of hospital records between 2013–2015 provided descriptive characteristics of patients. Weight and percentage ideal body weight at admission and discharge, frequency of binge and purge episodes at discharge and readmissions were analysed. Results Analysis of patient characteristics indicated a broad range of eating disorder and comorbid psychiatric diagnoses among patients. Preliminary outcomes revealed increased weight and percentage of ideal body weight, decreased binge-purge status and few readmissions to the program over the two-year period studied. Conclusions The implementation of a DBT informed DHP with integration of FBT is associated with improved patient outcomes. Ongoing challenges with respect to the implementation of DBT include modifying DBT to address varying developmental levels, ages and diagnoses and promoting adherence to the program by patients and families. Limitations include small sample size, uncontrolled chart review and the nature of DHP, which include a variety of components that may influence outcomes. This research will help to inform future implementation of treatment programs for adolescents with eating disorders.
机译：目的本文讨论日间医院计划（DHP）中针对饮食失调青少年的“辩证行为疗法（DBT）知情计划与基于家庭治疗（FBT）的计划”的实施和初步结果。方法回顾性分析2013-2015年间的医院记录，以描述患者的特征。分析入院和出院时的体重和理想体重百分比，出院和再入院时的暴饮暴食和清除发作的频率。结果对患者特征的分析表明，患者中存在广泛的饮食失调和合并精神病诊断。初步结果显示，在所研究的两年期间，体重增加和理想体重百分比增加，狂饮清除状态降低且重新入院的人数很少。结论实施DBT通知的DHP与FBT的集成可改善患者的预后。在实施DBT方面面临的挑战包括修改DBT以解决不同的发育水平，年龄和诊断，以及促进患者和家庭对计划的坚持。局限性包括小样本量，不受控制的图表审查以及DHP的性质，其中包括可能影响结果的多种因素。这项研究将有助于为患有饮食失调的青少年提供进一步的治疗方案。

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