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首页> 外文期刊>The International journal of eating disorders >Objective and subjective binge eating in underweight eating disorders: Associated features and treatment outcome
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Objective and subjective binge eating in underweight eating disorders: Associated features and treatment outcome

机译：体重过轻症患者的客观和主观狂欢饮食：相关特征和治疗结果

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Objective: To define the utility of the DSM-IV-TR definition of binge eating, as it applies to anorexia nervosa (AN) and underweight eating disorder not otherwise specified (ED-NOS). Method: We investigated the psychopathological features associated with bulimic episodes in 105 underweight individuals with eating disorders who reported regular objective bulimic episodes with or without subjective bulimic episodes (OBE group, n = 33), regular subjective bulimic episodes only (SBE group, n = 36) and neither objective nor subjective bulimic episodes (n = 36, no-RBE group). The Eating Disorder Examination (EDE), anxiety, depression, and personality tests were administered before and upon completion of inpatient cognitive behavior therapy (CBT) treatment 6 months later. Results: Compared with the SBE group, OBE subjects had higher body mass index, and more frequent self-induced vomiting, while both OBE and SBE groups had more severe eating disorder psychopathology and lower self-directness than the no-RBE group. Dropout rates and outcomes in response to inpatient CBT were similar in the three groups. Discussion: Despite a few significant differences at baseline, the similar outcome in response to CBT indicates that categorizing patients with underweight eating disorder on the basis of the type or frequency of bulimic episodes is of limited clinical utility.
机译：目的：定义暴食症的DSM-IV-TR定义的效用，因为它适用于神经性厌食症（AN）和其他未特别说明的体重过轻的饮食失调症（ED-NOS）。方法：我们调查了105例饮食异常的体重过轻个体的暴食发作相关的心理病理特征，这些个体报告了有或没有主观的暴发发作的定期客观性暴发发作（OBE组，n = 33），仅发生了主观的暴发性发作（SBE组，n = 36），既没有客观也没有主观的突发性发作（n = 36，无RBE组）。在6个月后完成住院认知行为疗法（CBT）治疗之前和之后，进行了饮食失调检查（EDE），焦虑，抑郁和性格测试。结果：与SBE组相比，OBE受试者的体重指数更高，自发性呕吐更为频繁，而与没有RBE组相比，OBE和SBE组的进食障碍患者的心理病理学更为严重，自我指向性较低。三组患者对住院CBT的辍学率和结局相似。讨论：尽管基线时存在一些显着差异，但对CBT的相似结果表明，根据暴食发作的类型或频率对体重不足饮食失调的患者进行分类具有有限的临床效用。

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