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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >A randomized controlled two-stage trial in the treatment of bulimia nervosa, comparing CBT versus motivational enhancement in Phase 1 followed by group versus individual CBT in Phase 2.
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A randomized controlled two-stage trial in the treatment of bulimia nervosa, comparing CBT versus motivational enhancement in Phase 1 followed by group versus individual CBT in Phase 2.

机译：一项随机对照的两阶段试验，用于治疗神经性贪食症，比较第一阶段的CBT与动机增强，然后比较第二阶段的组与个人CBT。

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OBJECTIVE: To conduct a randomized, controlled, two-stage trial in the treatment of bulimia nervosa, comparing cognitive-behavioral therapy (CBT) versus motivational enhancement in Phase 1 followed by group versus individual CBT in Phase 2. METHODS: A total of 225 patients with bulimia nervosa or eating disorder not otherwise specified (EDNOS) were recruited into a randomized controlled trial lasting 12 weeks with follow-ups at 1 year and 2.5 years. RESULTS: Patients improved significantly across all of the interventions with no differences in outcome or treatment adherence. Including motivational enhancement therapy rather than a CBT first phase of treatment did not affect outcome. CONCLUSIONS: Outcome differences between individual and group CBT were minor, suggesting that group treatment prefaced by a short individual intervention may be a cost-effective alternative to purely individual treatment.
机译：目的：进行一项随机，对照，分为两个阶段的神经性贪食症治疗研究，比较第一阶段的认知行为疗法（CBT）与动机增强，然后在第二阶段比较小组与个人CBT。方法：共225种将患有神经性贪食症或其他饮食失调（EDNOS）的患者纳入一项为期12周的随机对照试验，并在1年和2.5年进行随访。结果：在所有干预措施中，患者的病情均得到明显改善，结果或治疗依从性均无差异。包括动机增强治疗而不是CBT的第一阶段治疗均不影响预后。结论：个体和小组CBT的结果差异很小，这表明以短期个体干预为先头的集体治疗可能是纯个体治疗的一种经济有效的选择。

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