一项为期12个月的饮食失调患者辩证行为治疗研究。

Efi Liakopoulou, Georgia Vassalou, Chara Tzavara, Fragiskos Gonidakis
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引用次数: 0

摘要

目的:饮食障碍(ED)和共病边缘型人格障碍(BPD)患者可能受益于专注于情绪调节的疗法,如辩证行为疗法(DBT)。本研究的目的是评估认知行为疗法(CBT)策略增强一年标准D¦Α对ED和BPD患者的有效性。所有参与者都完成了一年的标准DBT。根据DBT靶向层次结构,将ED相关行为添加到治疗计划中。对个体治疗和技能培训小组课程进行了调整,以纳入营养和体重恢复的CBT策略。在一年治疗开始和结束时测量BPD和ED症状。结果:该研究的主要发现是,患者在治疗一年后的所有结果测量中都有显著改善。该研究的第二个发现是,BPD症状的严重程度与ED症状的严重性显著相关。研究还表明,患者应对能力的提高和ED和BPD症状的减轻有关。结论:这些结果支持了先前关于DBT治疗共病BPD和ED有效性的研究。尽管结果很有希望,但还需要随机对照试验来确定DBT对BPD和EDs患者的疗效。证据级别:第四级:从有或没有干预的多个时间序列中获得的证据,如案例研究。不受控制的审判中的戏剧性结果也可能被视为这类证据。
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A 12-month study of dialectical behavioral therapy for bοrderline patients suffering from eating disorders.

Purpose: Individuals with eating disorders (ED) and comorbid borderline personality disorder (BPD) may benefit from therapies focusing on emotion regulation, such as dialectical behavioral therapy (DBT). The aim of the study was to evaluate the effectiveness of one-year standard DΒΤ enhanced with cognitive-behavioral therapy (CBT) strategies for patients suffering from ED and BPD.

Methods: Seventy-two BPD and ED (anorexia and bulimia nervosa) participants were recruited from the eating disorders unit of the 1st Psychiatric Department of National and Kapodistrian University of Athens. All participants completed one year of standard DBT. ED-related behaviors were added to the treatment plan according to the DBT targeting hierarchy. Individual therapy and skills training group sessions were adapted to incorporate CBT strategies for nutritional and weight restoration. BPD and ED symptomatology were measured at the beginning and at the end of one year of treatment.

Results: The major finding of the study was the significant improvement of patients in all the outcome measurements after one year of treatment. The study's second finding was that the severity of BPD symptomatology was significantly related to the severity of ED symptomatology. It was also shown that improvement of the patients coping skills was correlated with the reduction of ED and BPD symptomatology.

Conclusions: These results support previous studies on the effectiveness of DBT for comorbid BPD and EDs. Despite the promising results, randomized controlled trials are needed to establish the efficacy of DBT for BPD and ED patients.

Level of evidence: Level IV: Evidence obtained from multiple time series with or without the intervention, such as case studies. Dramatic results in uncontrolled trials might also be regarded as this type of evidence.

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来源期刊
CiteScore
6.50
自引率
10.30%
发文量
170
审稿时长
>12 weeks
期刊介绍: Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity is a scientific journal whose main purpose is to create an international forum devoted to the several sectors of eating disorders and obesity and the significant relations between them. The journal publishes basic research, clinical and theoretical articles on eating disorders and weight-related problems: anorexia nervosa, bulimia nervosa, subthreshold eating disorders, obesity, atypical patterns of eating behaviour and body weight regulation in clinical and non-clinical populations.
期刊最新文献
Transcultural adaptation and validation of the Eating Self-Efficacy Brief Scale (ESEBS): the Brazilian version. The risk of kidney dysfunction in metabolically healthy/unhealthy population with normal weight or overweight/obesity: a systematic review and meta-analysis. Correction: Optimising healthcare transition of adolescents and young adults to adult care: a perspective statement of the Italian Society of Obesity. Multidimensional perfectionism and orthorexia: a systematic review and meta-analysis. Adverse childhood experiences and profiles of healthy orthorexia versus orthorexia nervosa: towards an explanatory model of orthorexia as a multidimensional eating style.
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