为接受神经性厌食症多学科治疗的成年妇女父母增加新的莫兹利模式工作坊的非随机比较。

IF 4.3 2区 医学 Q1 NUTRITION & DIETETICS
Cristiano Dani, Eleonora Rossi, Emanuele Cassioli, Valentina Zofia Cordasco, Alice Roscioli, Giulia Selvi, Livio Tarchi, Luca Zompa, Sandra Moretti, Maria Rita Troiani, Stefano Lucarelli, Valentina Cardi, Valdo Ricca, Giovanni Castellini
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引用次数: 0

摘要

目的:研究新莫兹利模式(NMM)对进食障碍(EDs)患者护理人员的影响,对接受强化认知行为治疗(CBT-E)的神经性厌食症(AN)患者的临床结果的影响。对18岁和35岁的女性AN患者进行CBT-E治疗,比较父母同意参加NMM研讨会的患者和父母拒绝参加的患者的结果。方法:随访1年,对患者进行精神病理检查。基线差异采用协方差分析(ANCOVA)进行分析,纵向变化采用广义加性混合模型(GAMMs)进行评估。结果:入院时,NMM组患者ED精神病理、身体不适和述情障碍水平较高。在1年的随访中,两组均有显著改善,组间比较显示NMM组的效果显著。讨论:父母参与NMM研讨会与接受CBT-E治疗的成人AN患者更有利的治疗结果相关。这些发现表明将家庭参与纳入成人AN治疗的潜在相关性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Non-Randomized Comparison of the Addition of New Maudsley Model Workshops for Parents of Adult Women Receiving Multidisciplinary Care for Anorexia Nervosa.

Objective: The impact of the add-on of New Maudsley Model (NMM) training workshops for carers of individuals with eating disorders (EDs) on clinical outcomes in adults with anorexia nervosa (AN) undergoing enhanced cognitive behavior therapy (CBT-E) remains unexplored. The outcomes of females with AN aged 18 and 35 years, treated with CBT-E, were compared between those whose parents agreed to attend NMM workshops and those whose parents declined participation.

Method: Psychopathology was assessed up to 1-year follow-up. Baseline differences were analyzed using analysis of covariance (ANCOVA), while longitudinal changes were evaluated with generalized additive mixed models (GAMMs).

Results: At admission, individuals in the NMM group had higher levels of ED psychopathology, body uneasiness, and alexithymia. At 1-year follow-up, both groups improved significantly, and between-group comparisons revealed significant effect sizes in favor of the NMM group.

Discussion: Parental participation in NMM workshops was associated with more favorable treatment outcomes in adults with AN undergoing CBT-E. These findings suggest the potential relevance of integrating family participation into adult AN treatment.

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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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