Engaging the adolescent patients in the treatment of eating disorders: strategies and procedures of enhanced cognitive behavior therapy.

IF 4.5 3区 医学 Q2 NUTRITION & DIETETICS
Riccardo Dalle Grave, Simona Calugi
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引用次数: 0

Abstract

Background: Engaging adolescents in treatment for eating disorders presents a significant challenge due to the egosyntonic nature of these conditions and the ambivalence toward change.

Main text: The adolescent version of Enhanced Cognitive Behavior Therapy (CBT-E) prioritizes active patient involvement to foster engagement and long-term commitment to recovery. This treatment employs a structured yet flexible approach to enhance patient engagement. Key strategies include adopting a supportive and collaborative stance, explaining the distinction between the disease model and the psychological CBT-E model, actively involving patients in the decision to change, agreeing on specific homework assignments between sessions, and engaging parents as supportive "helpers." This engagement-focused approach encourages adolescents to take ownership of their recovery. By personalizing interventions and fostering adolescents' active role in understanding the psychological maintaining processes of their eating disorder, deciding to address them, and navigating the process of change, CBT-E empowers them to move toward recovery with increasing independence. Parental involvement is carefully structured to provide support without undermining the adolescent's sense of agency.

Conclusions: Future research should further evaluate engagement-focused adaptations of CBT-E and their impact on long-term treatment outcomes.

Abstract Image

青少年患者参与饮食失调的治疗:强化认知行为疗法的策略和程序。
背景:由于青少年进食障碍的自我同步性和对改变的矛盾心理,使其参与治疗是一项重大挑战。增强认知行为疗法(CBT-E)的青少年版本优先考虑患者的积极参与,以促进参与和长期的康复承诺。这种治疗采用结构化而灵活的方法来提高患者的参与度。关键策略包括采取支持和合作的立场,解释疾病模型和心理CBT-E模型之间的区别,积极让患者参与改变的决定,在会议之间同意具体的家庭作业,并让父母作为支持的“帮手”。这种以参与为重点的方法鼓励青少年自主康复。通过个性化干预和培养青少年在理解他们饮食失调的心理维持过程、决定解决这些问题和引导改变过程中的积极作用,CBT-E使他们能够在越来越独立的情况下走向康复。父母的参与是精心安排的,以提供支持,而不损害青少年的能动性。结论:未来的研究应进一步评估以参与为中心的CBT-E适应性及其对长期治疗结果的影响。
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来源期刊
Journal of Eating Disorders
Journal of Eating Disorders Neuroscience-Behavioral Neuroscience
CiteScore
5.30
自引率
17.10%
发文量
161
审稿时长
16 weeks
期刊介绍: Journal of Eating Disorders is the first open access, peer-reviewed journal publishing leading research in the science and clinical practice of eating disorders. It disseminates research that provides answers to the important issues and key challenges in the field of eating disorders and to facilitate translation of evidence into practice. The journal publishes research on all aspects of eating disorders namely their epidemiology, nature, determinants, neurobiology, prevention, treatment and outcomes. The scope includes, but is not limited to anorexia nervosa, bulimia nervosa, binge eating disorder and other eating disorders. Related areas such as important co-morbidities, obesity, body image, appetite, food and eating are also included. Articles about research methodology and assessment are welcomed where they advance the field of eating disorders.
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