A specific form of family therapy (family-based treatment) is the leading treatment for adolescents with anorexia nervosa. As this treatment has certain limitations, alternative approaches are needed. "Enhanced" cognitive behaviour therapy (CBT-E) is a potential candidate given its utility as a treatment for adults with eating disorder psychopathology. The aim of the present study was to establish, in a representative cohort of patients with marked anorexia nervosa, the immediate and longer term outcome following CBT-E. Forty-nine adolescent patients were recruited from consecutive referrals to a community-based eating disorder clinic. Each was offered 40 sessions of CBT-E over 40 weeks from a single therapist. Two-thirds completed the full treatment with no additional input. In these patients there was a substantial increase in weight together with a marked decrease in eating disorder psychopathology. Over the 60-week post-treatment follow-up period there was little change despite minimal subsequent treatment. These findings suggest that CBT-E may prove to be a cost-effective alternative to family-based treatment.

译文

:一种特殊形式的家庭治疗(基于家庭的治疗)是神经性厌食症青少年的主要治疗方法。由于这种治疗有一定的局限性,因此需要其他方法。鉴于“增强型”认知行为疗法(CBT-E)可用于患有饮食失调症的心理病理学成年人,因此是一种潜在的候选药物。本研究的目的是在具有明显神经性厌食症的患者的代表性队列中建立CBT-E术后的近期和长期预后。从连续转诊到社区饮食失调诊所招募了49名青少年患者。一位治疗师在40周内为每位患者提供了40次CBT-E疗程。三分之二的人完成了全部治疗,没有其他投入。在这些患者中,体重显着增加,而进食障碍的精神病理学显着下降。在治疗后的60周随访期内,尽管后续治疗最少,但变化不大。这些发现表明,CBT-E可能被证明是替代基于家庭的治疗的一种经济有效的选择。

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