关键词: Cognitive-behavior therapy Eating disorders Estudios de resultado Farmacoterapia Nutrition therapy Outcome studies Pharmacotherapy Psicoterapia cognitivo-conductual Terapia nutricional Trastornos de la conducta alimentaria

Mesh : Adolescent Adult Anorexia Nervosa / therapy Bulimia Nervosa / therapy Cognitive Behavioral Therapy Combined Modality Therapy Feeding and Eating Disorders / therapy Female Humans Male Middle Aged Nutritional Support Prospective Studies Treatment Outcome Young Adult

来  源:   DOI:10.1016/j.medcli.2013.05.042   PDF(Sci-hub)

Abstract:
OBJECTIVE: There are several psychological approaches to treat ED with efficacy being revealed by empirical research; however none of them are universally accepted. The objective was to compare response to Cognitive Behavioral Therapy in patients with different clinical forms of Eating Disorders.
METHODS: Seventy-four patients diagnosed with eating disorders, 32 with Anorexia nervosa (AN), 19 with Bulimia nervosa (BN) and 23 with Eating disorders not otherwise specified (EDNOS) were included. This is a prospective and comparative study. Patients were treated by psychotherapy, nutritional treatment and pharmacotherapy.
RESULTS: The recovery rates in the groups of patients with AN, BN and EDNOS were 14 (43.7%), 8 (42.1%), 10 (43.4%), respectively, p>0.05. The rates of improvement were 14 (43.7%), 10 (52.6%), 12 (52.1%) for AN, BN and EDNOS, respectively, p>0.05. Finally, the rate of patients who had poor outcome were 3 (9.3%), 1 (5.2%), and 1 (4.3%), p>0.05, for AN, BN, and EDNOS, respectively. Cox regression analysis showed that the age of disease onset and no use of psychotropic drugs predicted a good response in patients with ED.
CONCLUSIONS: The treatment response to Cognitive Behavioral Therapy, nutritional support and psychotropic drugs in the majority of patients was favorable and similar in most patients with different types of Eating Disorders. Furthermore, a young age and no use of psychotropic drugs predict a favorable outcome in patients with ED.
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