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首页> 外文期刊>Comprehensive psychiatry. >Drop-out and treatment outcome of outpatient cognitive-behavioral therapy for anorexia nervosa and bulimia nervosa
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Drop-out and treatment outcome of outpatient cognitive-behavioral therapy for anorexia nervosa and bulimia nervosa

机译：厌食症和贪食症的门诊认知行为治疗的辍学和治疗结果

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摘要

In the present study, drop-out-analyses were carried out for a manual-based cognitive-behavioral therapy for 104 females with anorexia nervosa (AN) and bulimia nervosa (BN), in the service setting of a university outpatient clinic (naturalistic setting). A total of 22.9% of patients with AN terminated therapy prematurely (drop-outs), compared to 40.6% of patients with BN. Group differences between drop-outs and completers show that the group of drop-outs with BN had higher values in the depression score at the start of therapy and was almost two times more likely to have a comorbid disorder (odds ratio 1.69), whereas drop-outs with AN had higher values in the outcome-scale drive for thinness and the odds ratio for being employed or living in a partnership was slightly lower. Completers and drop-outs did not differ significantly within groups in regard to age, body mass index at the start and end of therapy, or the number of comorbid disorders. On the whole, the therapy effect in the group of drop-outs was relatively moderate. For patients with AN, even higher therapy effects were observed among the drop-outs than among the completers. These data suggest that moderate therapy effects and responses can be achieved even among the drop-outs.
机译：在本研究中，在大学门诊诊所的服务环境中，对104名女性的手动的认知行为疗法进行了用于104名女性的手动的认知行为疗法进行脱落分析）。总共22.9％的患者过早（辍学）终止治疗（辍学），而40.6％的BN患者。辍学和完井之间的组差异表明，在治疗开始时，抑郁症分数的辍学组具有更高的价值，并且具有合并障碍（赔率比1.69）的可能性差不多两倍，而下降在薄薄度的结果规模驱动器中具有更高的值，并且在伙伴关系中使用或生活的赔率比略低。在治疗开始和结束的年龄，体重指数方面，总体的完井和辍学并没有显着差异，或治疗的年龄，或合并障碍的数量。总的来说，辍学组中的治疗效果相对中等。对于患者，在辍学者中观察到甚至更高的治疗效果，而不是完整者。这些数据表明，即使在辍学之中也可以实现中度治疗效果和反应。

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  • 来源
    《Comprehensive psychiatry.》 |2013年第7期|共12页
  • 作者

    SchnickerK.; HillerW.; LegenbauerT.;

  • 作者单位

    Department of Psychology Johannes Gutenberg University of Mainz Wallstra?e 3 55122 Mainz Germany;

    Department of Psychology Johannes Gutenberg University of Mainz Wallstra?e 3 55122 Mainz Germany;

    Department of Psychology Johannes Gutenberg University of Mainz Wallstra?e 3 55122 Mainz;

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  • 正文语种 eng
  • 中图分类 神经病学与精神病学;
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