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Cognitive-behavioral therapy for bulimia nervosa and atypical bulimic nervosa: Effectiveness in clinical settings

机译:神经性贪食症和非典型贪食性神经病的认知行为疗法:临床环境的有效性

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摘要

ObjectiveudThe efficacy of cognitive-behavioral therapy (CBT) for bulimic disorders has been established in research trials. This study examined whether that efficacy can be translated into effectiveness in routine clinical practice.ududMethodudSeventy-eight adult women with bulimic disorders (bulimia nervosa and atypical bulimia nervosa) undertook individual CBT, with few exclusion criteria and a treatment protocol based on evidence-based approaches, utilizing individualized formulations. Patients completed measures of eating behaviors, eating attitudes, and depression pre- and post-treatment. Eight patients dropped out. The mean number of sessions attended was 19.2.ududResultsudNo pretreatment features predicted drop-out. Treatment outcome was similar whether using treatment completer or intent to treat analyses. Approximately 50% of patients were in remission by the end of treatment. There were significant improvements in mood, eating attitudes, and eating behaviors. Reductions in bingeing and vomiting were comparable to efficacy trials.ududDiscussionudThe improvements in this “real-world” trial of CBT for adults with bulimic disorders mirrored those from large, funded research trials, though the conclusions that can be reached are inevitably limited by the nature of the trial (e.g., lack of control group and therapy validation).
机译:目的 ud认知行为疗法(CBT)对暴食症的疗效已在研究试验中确立。这项研究检查了该功效是否可以在常规临床实践中转化为功效。 ud udMethod ud七十八名患有暴食症(神经性贪食症和非典型性神经性贪食症)的成年女性进行了单独的CBT,排除标准很少,且治疗方案基于基于证据的方法,利用个性化的表述。患者完成了饮食行为,饮食态度和治疗前后抑郁的测量。八名患者退学。参加会议的平均次数为19.2。 ud udResults ud没有预测到退出的预处理功能。无论使用治疗完成剂还是意图进行分析,治疗结果均相似。到治疗结束时约有50%的患者缓解。情绪,进食态度和进食行为都有明显改善。暴饮暴食和呕吐的减少与功效试验相当。 ud ud讨论 ud这项针对肥胖症成年人的CBT“真实”试验的改进反映了来自大型,有资金支持的研究试验的结果,尽管可以得出的结论是不可避免地受到试验性质的限制(例如,缺乏对照组和治疗验证)。

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