在饮食失调症女性患者的 CBT-E 治疗过程中采用附加心理运动身体形象方案的可行性研究

IF 1.7 4区医学 Q3 PSYCHIATRY

Journal of Behavior Therapy and Experimental Psychiatry Pub Date : 2025-03-29 DOI:10.1016/j.jbtep.2025.102034

Suzanne H.W. Mares , Marjon Voskamp , Elke Wezenberg , Annemarie A. van Elburg

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引用次数: 0

摘要

背景与目的当涉及到饮食失调时，身体形象失调是一个潜在的前兆和维持因素。强化认知行为疗法（CBT-E）是饮食失调的主要治疗方法之一，它将认知情感身体形象维度作为核心治疗目标。添加一个专注于生活身体维度的组件，可以改善身体形象。在目前的研究中，研究了精神运动性身体图像治疗作为CBT-E附加治疗的可行性。方法本研究纳入115例门诊CBT-E治疗的不同饮食失调患者，主要为女性。他们被要求在精神运动身体形象治疗前后完成身体形象调查问卷。结果患者对治疗满意程度较高，精神运动性身体意象治疗后身体态度和身体满意度均有显著改善，效果量大，具有临床意义。结果还显示，总体而言，神经性厌食症、神经性贪食症和暴食症诊断亚组患者的治疗前水平和治疗过程中身体态度和身体满意度的变化没有差异。局限性：缺乏对照组，身体形象治疗是CBT-E的补充。这意味着目前尚不清楚是否有其他因素导致了当前研究中所显示的身体形象的变化。结论在认知行为方法的基础上，结合体验性精神运动方法是可行的，值得进一步研究。

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A feasibility study of an add-on psychomotor body-image protocol during CBT-E in female patients with an eating disorder

Background and objectives

Disturbed body image is a potential precursor and maintaining factor when it comes to eating disorders. One of the dominant treatment approaches for eating disorders, enhanced cognitive-behaviour therapy (CBT-E), includes the cognitive-affective body image dimension as a core treatment target. Adding a component that focuses on the lived body dimension, could improve body image. In the current study, the feasibility of a psychomotor body image treatment as an add-on to CBT-E was examined.

Methods

In this pilot study, 115 primarily female patients with different eating disorders in outpatient CBT-E treatment participated. They were asked to complete questionnaires examining body image before and after the psychomotor body image treatment.

Results

Results showed good satisfaction with the treatment, and a significant improvement in body attitude and body satisfaction after the psychomotor body image treatment, with large effect sizes and clinical relevance. Results also showed that, overall, pre-treatment levels and changes over the course of treatment in body attitude and body satisfaction did not differ between patients within anorexia nervosa, bulimia nervosa or binge eating disorder diagnostic subgroups.

Limitations

Limitations were lack of a control group, and the fact that the body image treatment was complementary to CBT-E. This means that it is unclear whether other factors contributed to the change in body image as shown in the current study.

Conclusions

These results indicate that an experiential psychomotor approach in addition to a more cognitive-behavioral approach is feasible, and warrants future research.

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来源期刊

Journal of Behavior Therapy and Experimental Psychiatry Multiple-

CiteScore

3.60

自引率

5.60%

发文量

期刊介绍： The publication of the book Psychotherapy by Reciprocal Inhibition (1958) by the co-founding editor of this Journal, Joseph Wolpe, marked a major change in the understanding and treatment of mental disorders. The book used principles from empirical behavioral science to explain psychopathological phenomena and the resulting explanations were critically tested and used to derive effective treatments. The second half of the 20th century saw this rigorous scientific approach come to fruition. Experimental approaches to psychopathology, in particular those used to test conditioning theories and cognitive theories, have steadily expanded, and experimental analysis of processes characterising and maintaining mental disorders have become an established research area.