以家庭为基础的青少年厌食症治疗对强迫性运动态度和行为的影响》(The Impact of Family-Based Treatment for Adolescent Anorexia Nervosa on Compulsive Exercise Attitudes and Behaviors.

IF 4.7 2区 医学 Q1 NUTRITION & DIETETICS
Nandini Datta, Brittany Matheson, Franziska Plessow, Kyra Citron, Daniel Le Grange, Sandra Schlegl, James Lock
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引用次数: 0

摘要

目的:以家庭为基础的神经性厌食症治疗(FBT-AN)能有效恢复体重并改善与饮食相关的认知,但对其对运动态度和行为的影响却鲜有研究。强迫性运动在神经性厌食症患者中很常见,而且通常很难改变:这项二次分析利用一项随机临床试验的数据,研究了强迫性运动态度(强迫性运动测试-CET)和行为(进食障碍检查-EDE)的变化,该试验针对的是在疗程4前体重未能增加2.4千克的AN青少年的辅助治疗--这是不良治疗效果的预测因素。主要假设是,强迫性运动的态度和强迫性运动行为的减少将在治疗过程中得到改善:结果:参加者报告说,到第四疗程时,他们的强迫性运动态度有所改善,到治疗结束时,强迫性运动行为有所减少。早期 FBT 反应者(第 4 次治疗时体重增加 2.4 千克)与早期无反应者之间没有差异:这些结果表明,FBT有助于患有自闭症的青少年在治疗早期(疗程4)改变对强迫性运动的态度,并在疗程结束时减少强迫性运动行为。未来的研究应评估治疗早期强迫性运动态度的改变是否是FBT治疗效果的机制之一。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Impact of Family-Based Treatment for Adolescent Anorexia Nervosa on Compulsive Exercise Attitudes and Behaviors.

Objective: While Family-based treatment for anorexia nervosa (FBT-AN) is effective for weight restoration and improvement in eating-related cognitions, its effect on exercise attitudes and behaviors is little studied. Compulsive exercise is common in AN and often challenging to change.

Method: This secondary analysis examined changes in attitudes toward compulsive exercise (Compulsive Exercise Test-CET) and behaviors (Eating Disorder Examination-EDE) using data from a randomized clinical trial testing an adjunctive treatment for adolescents with AN who failed to gain 2.4 kg by Session 4-a predictor of poor outcome. The main hypothesis is that attitudes toward compulsive exercise and decreases in compulsive exercise behavior would improve over the course of treatment.

Results: Participants reported decreases in compulsive exercise attitudes by Session 4 and compulsive exercise episodes by end of treatment (EOT). There were no differences between early FBT responders (weight gain of 2.4 kg by session 4) and early non-responders.

Discussion: These results suggest that FBT facilitates adolescents with AN to change attitudes toward compulsive exercise early in treatment (by Session 4) as well as reduction in compulsive exercise behaviors by EOT. Future studies should assess whether changes in attitudes toward compulsive exercise early in treatment is a mechanism of FBT treatment effect.

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来源期刊
CiteScore
10.00
自引率
12.70%
发文量
204
审稿时长
4-8 weeks
期刊介绍: Articles featured in the journal describe state-of-the-art scientific research on theory, methodology, etiology, clinical practice, and policy related to eating disorders, as well as contributions that facilitate scholarly critique and discussion of science and practice in the field. Theoretical and empirical work on obesity or healthy eating falls within the journal’s scope inasmuch as it facilitates the advancement of efforts to describe and understand, prevent, or treat eating disorders. IJED welcomes submissions from all regions of the world and representing all levels of inquiry (including basic science, clinical trials, implementation research, and dissemination studies), and across a full range of scientific methods, disciplines, and approaches.
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