Effectiveness of intensive cognitive behavioral therapy in adolescents and adults with anorexia nervosa

被引:30
|
作者
Dalle Grave, Riccardo [1 ]
Conti, Maddalena [1 ]
Calugi, Simona [1 ]
机构
[1] Villa Garda Hosp, Dept Eating & Weight Disorders, Via Monte Baldo 89, I-37016 Garda VR, Veneto, Italy
关键词
anorexia nervosa; cognitive behavioral therapy; adults; adolescents; eating disorders; inpatient treatment; RANDOMIZED CONTROLLED-TRIAL; BRIEF-SYMPTOM-INVENTORY; LONG-TERM COURSE; INPATIENT TREATMENT; SURVIVAL ANALYSIS; RELAPSE; WEIGHT; RECOVERY; MAINTENANCE; IMPAIRMENT;
D O I
10.1002/eat.23337
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Objective This study aimed to compare the effectiveness of an intensive treatment based on enhanced cognitive behavioral therapy (CBT-E) in adolescent and adult patients with anorexia nervosa. Methods A total of 150 consecutive patients (74 adolescents and 81 adults) were admitted to a 20-week intensive CBT-E program (13 weeks of inpatient followed by 7 weeks of day-hospital treatment). All patients had responded poorly to previous outpatient treatments and were assessed at admission, end of treatment (EOT), and 20- and 60-week follow-ups. Results About 70% of eligible patients began the program, and more than 85% completed it. Body mass index (BMI) in adults and BMI-for-age percentile in adolescents improved significantly from baseline to EOT, remained stable until 20-week follow-up, and slightly decreased from 20-week follow-up to 60-week follow-up, while remaining in the lower normal range. Eating disorder psychopathology, general psychopathology, and clinical impairment scores decreased significantly at EOT and showed only a slight increase from EOT to follow-ups. No difference was found between adolescent and adult patients in treatment acceptance, dropout, or any outcome measure. Discussion These findings indicate that intensive CBT-E seems to be an effective treatment for severely ill adolescent and adult patients with anorexia nervosa.
引用
收藏
页码:1428 / 1438
页数:11
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