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Long-term efficacy of psychological treatments for binge eating disorder

机译:心理疗法对暴食症的长期疗效

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Background: The long-term efficacy of psychological treatments for binge eating disorder remains largely unknown. Aims: To examine the long-term efficacy of out-patient group cognitive-behavioural therapy (CBT) and group interpersonal psychotherapy (IPT) for binge eating disorder and to analyse predictors of long-term non-response. Method: Ninety people with binge eating disorder were assessed 4 years after treatment cessation within a randomised trial (trial registration: NCT01208272). Results: Participants showed substantial long-term recovery, partial remission, clinically significant improvement and significant reductions in associated psychopathology, despite relapse tendencies in single secondary outcomes. Body mass index remained stable. While the IPT group demonstrated an improvement in eating disorder symptoms over the follow-up period, the CBT group reported a worsening of symptoms, but treatments did not differ at any time point. Conclusions: The results document the long-term efficacy of out-patient CBT and IPT for binge eating disorder. Further research is warranted to elucidate the time course and mechanisms of change of these treatments for binge eating disorder.
机译:背景:心理疗法对暴饮暴食症的长期疗效仍然未知。目的:研究门诊团体认知行为疗法(CBT)和团体人际心理疗法(IPT)对暴饮暴食症的长期疗效,并分析长期无反应的预测因素。方法:在一项随机试验中,中止治疗后4年对90名暴食症患者进行了评估(试验注册:NCT01208272)。结果:尽管单次结局复发,参与者仍显示出长期的长期康复,部分缓解,临床上的显着改善以及相关精神病理学的显着减少。体重指数保持稳定。虽然IPT组在随访期间显示饮食失调症状有所改善,但CBT组报告症状有所恶化,但治疗在任何时间点都没有差异。结论:结果证明了门诊CBT和IPT对暴饮暴食症的长期疗效。有必要进行进一步的研究来阐明这些暴食症的治疗方法的时程和变化机制。

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