Integrative Cognitive Affective Therapy for Binge Eating Disorder

暴食症的综合认知情感疗法

• 批准号: 8581991
• 负责人: Stephen Arthur Wonderlich
• 金额: $ 23.19万
• 依托单位: SANFORD RESEARCH NORTH
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-08-23 至 2016-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8581991
• 关键词: Abstinence; Adherence; Affective; Anxiety; Behavior; Behavioral; Binge Eating; Binge eating disorder; Body mass index; Clinical; Cognition; Cognitive; Cognitive Therapy; DSM-IV; Data; Diagnosis; Diagnostic and Statistical Manual; Disease remission; Distress; Eating Behavior; Eating Disorders; Emotions; Evidence based treatment; Frequencies; Hyperphagia; Impairment; Individual; Interview; Laboratories; Maintenance; Measures; Medical; Mental Depression; Modeling; Obesity; Outcome; Outcome Measure; Outpatients; Overweight; Participant; Patient Self-Report; Patients; Pattern; Persons; Physical activity; Pilot Projects; Process; Psychopathology; Psychotherapy; Quality of life; Randomized; Randomized Controlled Trials; Recurrence; Research; Risk Factors; Specific qualifier value; Subgroup; Testing; Treatment Efficacy; Treatment Protocols; Treatment outcome; base; comparative efficacy; depressive symptoms; emotion regulation; follow-up; innovation; public health relevance; secondary outcome; self esteem; self help

DESCRIPTION (provided by applicant): Binge eating disorder (BED) involves recurrent episodes of uncontrolled overeating that cause significant distress and impairment. BED is also considered to be a risk factor for a variety of psychiatric and medical problems, including depression, anxiety, impaired quality of life, obesity, and numerous negative medical outcomes. The present study proposes to compare a new treatment for BED (Integrative Cognitive-Affective Therapy-BED; ICAT-BED) to an evidence based treatment for BED (Cognitive Behavior Therapy-Guided Self- Help; CBTgsh). BED participants will be randomized to one of the two treatment conditions, in which they will receive 17 weeks of outpatient treatment. Participants will be comprehensively assessed at baseline, end of treatment, and 6-month follow-up. In addition, participants will complete Ecological Momentary Assessments (EMA) of eating behavior, emotion, and activity at baseline, end of treatment, and 6-month follow-up. Participants' treatment sessions will be digitally recorded and teams of adherence raters will assess the degree to which clinicians adhered to the treatment protocols. Outcomes will focus on reductions in binge eating behavior and core eating disorder psychopathology, as well as comorbid psychopathology, treatment acceptance, clinical impairment, attrition, body mass index, and physical activity. Hypothesized binge eating maintenance factors including cognitive self-discrepancy will be examined as potential treatment moderators. Data from this project will further clarify the efficacy of ICAT-BED and will provide a test of an underlying conceptual model of BED based on momentary emotion regulation processes.

描述（由申请人提供）：暴饮暴食（BED）涉及不受控制的暴饮暴食的反复发作，造成严重的困扰和障碍。床也被认为是各种精神病和医学问题的危险因素，包括抑郁症，焦虑，生活质量受损，肥胖和许多负面的医疗结果。本研究建议将床（综合认知影响治疗床； ICAT床）的新疗法与基于证据的床（认知行为疗法引导的自助帮助； CBTGSH）进行比较。床参与者将被随机分为两种治疗条件之一，在这种情况下，他们将接受17周的门诊治疗。参与者将在基线，治疗结束和6个月的随访中进行全面评估。此外，参与者将在基线，治疗结束和6个月的随访中完成对饮食行为，情感和活动的生态瞬时评估（EMA）。参与者的治疗课程将被数字记录，依从性评估者团队将评估临床医生遵守治疗方案的程度。结果将集中于降低暴饮暴食行为和核心饮食障碍心理病理学，以及合并症的心理病理学，治疗认可，临床障碍，损耗，体重指数和体育活动。假设的暴饮暴食维护因素在内，包括认知自我遗嘱验证的因素将被检查为潜在的治疗主持人。来自该项目的数据将进一步阐明ICAT床的功效，并将根据瞬时的情绪调节过程对基础概念的基础概念模型进行测试。