Comorbid depressive symptoms and self‐esteem improve after either cognitive‐behavioural therapy or family‐based treatment for adolescent bulimia nervosa

Valenzuela Fabiola; Lock James; Le Grange Daniel; Bohon Cara

摘要

Abstract >This study examined the effect of family‐based treatment for bulimia nervosa (FBT‐BN) and cognitive behavioral therapy for adolescents (CBT‐A) on depressive symptoms and self‐esteem in adolescents with BN. Data were collected from 110 adolescents, ages 12–18, who met Diagnostic and Statistical Manual of Mental Disorders‐Fourth Edition, text revision criteria for BN or partial BN. Participants were randomly assigned to FBT‐BN or CBT‐A and completed measures of depressive symptoms and self‐esteem before and after treatment and at 6‐ and 12‐month follow‐up assessments. Depressive symptoms and self‐esteem significantly improved in both treatments, and neither treatment appeared superior on these clinical outcomes. Parents often worry whether FBT‐BN addresses comorbid depressive symptoms and low self‐esteem. Our findings address this concern, as they demonstrate that FBT‐BN does not differ from CBT‐A in improving depressive symptoms and self‐esteem, and both treatments result in symptom improvement. These findings can help clinicians guide families to choose a treatment that addresses BN and depressive symptoms and low self‐esteem. </abstract> </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> <div class="translation abstracttxt"> <span class="zhankaihshouqi fivelineshidden" id="abstract"> <span>机译：</span><abstract xmlns =“http://www.wiley.com/namespaces/wiley”type =“main”xml：lang =“en”> <title type =“main”>抽象</ title> >本研究研究了对青少年（CBT-A）对青少年（CBT-A）对青少年（CBT-A）对青少年的抑郁症状和自尊的影响。从110名青少年收集数据，12-18岁，符合精神障碍 - 第四版的诊断和统计手册，为BN或部分BN的文本修订标准。参与者随机分配给FBT-BN或CBT-A，并在治疗前后的抑郁症状和自尊的抑郁症状和自尊的措施，并在6个和12个月的后续评估。治疗中的抑郁症状和自尊显着改善，并且在这些临床结果中既不高。父母经常担心FBT-BN是否解决了合并抑郁症状和低自尊。我们的调查结果解决了这一问题，因为他们证明FBT-BN与改善抑郁症状和自尊的CBT-A没有不同，并且两种治疗导致症状改善。这些发现可以帮助临床医生指导家庭选择解决BN和抑郁症状和低自尊的治疗。</ p> </摘要> </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> </div> <div class="record"> <h2 class="all_title" id="enpatent33" >著录项</h2> <ul> <li> <span class="lefttit">来源</span> <div style="width: 86%;vertical-align: text-top;display: inline-block;"> <a href='/journal-foreign-22873/'>《European eating disorders review》</a> <b style="margin: 0 2px;">|</b><span>2018年第3期</span><b style="margin: 0 2px;">|</b><span>共6页</span> </div> </li> <li> <div class="author"> <span class="lefttit">作者</span> <p id="fAuthorthree" class="threelineshidden zhankaihshouqi"> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Valenzuela Fabiola&option=202" target="_blank" rel="nofollow">Valenzuela Fabiola;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Lock James&option=202" target="_blank" rel="nofollow">Lock James;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Le Grange Daniel&option=202" target="_blank" rel="nofollow">Le Grange Daniel;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Bohon Cara&option=202" target="_blank" rel="nofollow">Bohon Cara;</a> </p> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zkzz" style="display: none;">展开▼</span> </div> </li> <li> <div style="display: flex;"> <span class="lefttit">作者单位</span> <div style="position: relative;margin-left: 3px;max-width: 639px;"> <div class="threelineshidden zhankaihshouqi" id="fOrgthree"> <p>Department of Psychiatry and Behavioral Sciences School of MedicineStanford UniversityStanford CA USA;</p> <p>Department of Psychiatry and Behavioral Sciences School of MedicineStanford UniversityStanford CA USA;</p> <p>Department of PsychiatryUniversity of CaliforniaSan Francisco CA USA;</p> <p>Department of Psychiatry and Behavioral Sciences School of MedicineStanford UniversityStanford CA USA;</p> </div> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zhdw" style="display: none;">展开▼</span> </div> </div> </li> <li > <span class="lefttit">收录信息</span> <span style="width: 86%;vertical-align: text-top;display: inline-block;"></span> </li> <li> <span class="lefttit">原文格式</span> <span>PDF</span> </li> <li> <span class="lefttit">正文语种</span> <span>eng</span> </li> <li> <span class="lefttit">中图分类</span> <span><a href="https://www.zhangqiaokeyan.com/clc/1487.html" title="内分泌腺疾病及代谢病">内分泌腺疾病及代谢病;</a></span> </li> <li class="antistop"> <span class="lefttit">关键词</span> <p style="width: 86%;vertical-align: text-top;"> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=bulimia nervosa&option=203" rel="nofollow">bulimia nervosa;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=cognitive behavioural therapy&option=203" rel="nofollow">cognitive behavioural therapy;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=depression&option=203" rel="nofollow">depression;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=family‐based treatment&option=203" rel="nofollow">family‐based treatment;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=self‐esteem&option=203" rel="nofollow">self‐esteem;</a> </p> <div class="translation"> 机译：贪食性贪婪;认知行为疗法;抑郁症;基于家庭的待遇;自尊; </div> </li> </ul> </div> </div> <div class="literature cardcommon"> <div class="similarity "> <h3 class="all_title" id="enpatent66">相似文献</h3> <div class="similaritytab clearfix"> <ul> <li class="active" >外文文献</li> <li >中文文献</li> <li >专利</li> </ul> </div> <div class="similarity_details"> <ul > <li> <div> <b>1. </b><a class="enjiyixqcontent" href="/journal-foreign-detail/0704023230464.html">Comorbid depressive symptoms and self‐esteem improve after either cognitive‐behavioural therapy or family‐based treatment for adolescent bulimia nervosa</a> <b>[J]</b> . <span> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Valenzuela Fabiola&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">Valenzuela Fabiola,</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Lock James&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">Lock James,</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Le Grange Daniel&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">Le Grange Daniel,</a> <a href="/journal-foreign-22873/" target="_blank" rel="nofollow" class="tuijian_authcolor">European eating disorders review .</a> <span>2018</span><span>,第3期</span> </span> </div> <p class="zwjiyix translation" style="max-width: initial;height: auto;word-break: break-all;white-space: initial;text-overflow: initial;overflow: initial;"> <span>机译：经过认知行为治疗或基于家庭的青少年贪食症状的治疗后，可同经抑郁症状和自尊改善</span> </p> </li> <li> <div> <b>2. </b><a class="enjiyixqcontent" href="/journal-foreign-detail/0704015512004.html">Randomized Clinical Trial of Family-Based Treatment and Cognitive-Behavioral Therapy for Adolescent Bulimia Nervosa</a> <b>[J]</b> . <span> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Le Grange Daniel&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">Le Grange Daniel,</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Lock James&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">Lock James,</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Agras W. 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</b><a class="enjiyixqcontent" href="/patent-detail/06120104087458.html">判别装置、抑郁症状的判别方法、抑郁症状的水平的判断方法、抑郁症患者的分类方法、抑郁症状的治疗效果的判断方法和脑活动训练装置</a> <b>[P]</b> . <span> 中国专利： CN111447874A </span> <span> . 2020-07-24</span> </div> </li> <li> <div> <b>3. </b><a class="enjiyixqcontent" href="/patent-detail/06130401645104.html">Electronic Devices and Methods for Treatment of Depressive Symptoms, Depressive Disorders Utilizing Digital Therapies</a> <b>[P]</b> . <span> 外国专利：  US2020335191A1 </span> <span> . 2020-10-22</span> </div> <p class="zwjiyix translation" style="max-width: initial;height: auto;word-break: break-all;white-space: initial;text-overflow: initial;overflow: initial;"> <span>机译：电子设备和利用数字疗法治疗抑郁症，抑郁症的方法 </span> </p> </li> <li> <div> <b>4. </b><a class="enjiyixqcontent" href="/patent-detail/06130400825815.html">ELECTRONIC DEVICES AND METHODS FOR TREATMENT OF DEPRESSIVE SYMPTOMS, DEPRESSIVE DISORDERS UTILIZING DIGITAL THERAPIES</a> <b>[P]</b> . <span> 外国专利：  WO2020214513A1 </span> <span> . 2020-10-22</span> </div> <p class="zwjiyix translation" style="max-width: initial;height: auto;word-break: break-all;white-space: initial;text-overflow: initial;overflow: initial;"> <span>机译：电子设备和使用数字疗法治疗抑郁症状，抑郁症的方法 </span> </p> </li> <li> <div> <b>5. </b><a class="enjiyixqcontent" href="/patent-detail/06130411324269.html">PREVENTION AND TREATMENT METHOD neurotic and depressive states, INCLUDING after suffering intoxication, infection, trauma BRAIN; Treatment of withdrawal symptoms for alcohol and drug (HEROIN) ADDICTION; CORRECTION reserve opportunities BODY UNDER EXTREME ENVIRONMENTAL IMPACT occupational factors, a pharmaceutical composition for therapy SUCH STATES AND PROCESS FOR ITS PREPARATION</a> <b>[P]</b> . <span> 外国专利：  RU2014125738A </span> <span> . 2016-01-20</span> </div> <p class="zwjiyix translation" style="max-width: initial;height: auto;word-break: break-all;white-space: initial;text-overflow: initial;overflow: initial;"> 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