Cognitive-behavioral approach to the treatment of night eating syndrome

Aleksey I. Melehin
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Abstract

The article presents an analysis of a widespread disorder in recent years the syndrome of night eating (SLEEP). The trajectory of the behavioral pattern of patients with this disorder is described. The criteria for distinguishing eating disorders in sleep (somnambulistic eating) are shown from the night food syndrome. The biological, psychological and social factors influencing and supporting the night eating syndrome are differentiated. Based on the biobehavioral model of A. Stankards night food syndrome, the psychological model of the relationship between the attachment style and night food syndrome L. Wilkinson and the Cognitive Behavioral Model (CBT) of SLEEP K. Allison substantiates the relevance of the use of psychotherapeutic strategies in the framework of complex treatment with the use of psychopharmacotherapy and light therapy. The structural components, effectiveness, and limitations of the protocol of cognitive behavioral therapy for K. Allisons night eating syndrome are detailed. It is shown that the connection of a psychodynamic or interpersonal psychotherapeutic model to CBT allows us to focus on the role of significant other people for the mental organization of the patient, their lack or loss in the development of psychological inflexibility and linking mental distress with deficiency in the processes of emotional self-regulation.
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认知行为疗法治疗夜食综合征
本文分析了近年来普遍存在的一种疾病——夜间进食综合症(SLEEP)。描述了患有这种疾病的患者行为模式的轨迹。区分睡眠中饮食失调(梦游进食)的标准是从夜间食物综合症中得到的。对影响和支持夜食综合征的生物、心理和社会因素进行了辨析。基于A. Stankards夜食综合征的生物行为模型、L. Wilkinson的依恋类型与夜食综合征关系的心理学模型和K. Allison的SLEEP认知行为模型(CBT),证实了在复杂治疗框架中使用心理治疗策略与使用精神药物疗法和光疗法的相关性。本文详细介绍了认知行为疗法治疗K. allison夜食综合征的结构组成、有效性和局限性。研究表明,心理动力学或人际心理治疗模型与CBT的联系使我们能够关注重要他人对患者精神组织的作用,他们在心理不灵活性发展中的缺乏或丧失,以及将精神痛苦与情绪自我调节过程中的缺陷联系起来。
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