治疗被忽视的大多数人:英国国家医疗服务体系(NHS)对暴饮暴食症人际团体心理治疗的适应性研究的定量结果

IF 1 Q4 PSYCHIATRY
Z. Hepburn, E. Rothwell, Julia Ann Fox-Clinch
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引用次数: 0

摘要

评估适应人际群体心理治疗(IPT-G)的有效性,促进短期和长期改善饮食失调症状,心理社会障碍,焦虑,抑郁和依恋困难在超重和诊断为暴食症(BED)的成年人中。共有24名参与者在IPT-G开始、治疗中期、出院和6个月随访时完成了测量。定量结果分析采用单向重复测量方差分析。治疗保留率为100%。在暴食频率、心理障碍和抑郁方面,在治疗中期取得了显著改善,并在治疗后和6个月的随访中保持了显著改善,而且效果显著。依恋焦虑在治疗后显著减少,并在六个月复查时保持不变。身体质量指数(BMI)在治疗中期稳定,并在治疗后和6个月的随访中保持不变。所有的假设都得到了支持,除了依恋回避没有显著改善,在治疗后减少后,焦虑症状在六个月的随访中略有恶化,因此它们不再与治疗前的水平有显著差异。尽管是最普遍的饮食失调(与神经性厌食症和神经性贪食症相比),BED在临床环境中未得到充分认识和治疗。结果表明IPT-G在改善与BED相关的饮食失调和共病症状方面的持续有效性。这是英国首个调查IPT-G治疗BED有效性的研究。与之前在该领域的研究不同,这项研究没有根据年龄、BMI或精神合并症排除参与者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Treating the overlooked majority: quantitative outcomes from an NHS adaptation of Interpersonal Group Psychotherapy for binge eating disorder
To evaluate the effectiveness of an adaptation of Interpersonal Group Psychotherapy (IPT-G), in facilitating short- and longer-term improvements in eating disorder symptomology, psychosocial impairment, anxiety, depression and attachment difficulties among adults living with overweight and diagnosed with binge eating disorder (BED).,In total, 24 participants completed measures at the start of IPT-G, mid-treatment, discharge and six-month follow-up. Quantitative outcomes were analysed utilising one-way repeated measures analysis of variance.,Treatment retention was 100%. Significant improvements in binge-eating frequency, psychosocial impairment and depression were achieved at mid-treatment and maintained at post-treatment and six-month follow-up, and with large effect sizes. Attachment anxiety had reduced significantly at post-treatment and was maintained at six-month review. Body mass index (BMI) had stabilised by mid-treatment and was maintained at post-treatment and six-month follow-up. All hypotheses were supported, with the exception that attachment avoidance did not improve significantly and following a post-treatment reduction, anxiety symptoms deteriorated slightly by six-month follow-up, such that they were no longer significantly different from pre-treatment levels.,Despite being the most prevalent of the eating disorders (compared to anorexia nervosa and bulimia nervosa), BED is under-recognised and under-treated in clinical settings. Results indicate the sustained effectiveness of IPT-G in improving eating disorder and comorbid symptomology associated with BED.,This is the first UK study to investigate the effectiveness of IPT-G at treating BED. Unlike previous studies in the field, this study did not exclude participants based on age, BMI or psychiatric comorbidity.
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来源期刊
CiteScore
2.20
自引率
8.30%
发文量
32
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