Guided self-help as the first step for bulimic symptoms: Implementation of a stepped-care model within specialized psychiatry
| Autor: | Ata Ghaderi, Mia Ramklint, Sven Holmgren, Mats Jeansson |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Adult
medicine.medical_specialty Cognitive Behavioral Therapy Bulimia nervosa Health Behavior Treatment outcome MEDLINE Cognition medicine.disease Self Care Self-help Psychiatry and Mental health Treatment Outcome medicine Humans Female Stepped care Bulimia Medical diagnosis Bulimia Nervosa Psychology Psychiatry Depression (differential diagnoses) Clinical psychology |
| Zdroj: | International Journal of Eating Disorders. 45:70-78 |
| ISSN: | 0276-3478 |
| Popis: | Objective: This study describes the implementation and effectiveness of the first step, guided self-help (GSH), in a clinical setting, of a stepped-care model of cognitive behavior therapy for patients with bulimic symptoms. Method: Eighty-nine patients participated. Results: In the intent to-treat analyses, the effect sizes were small to moderate (0.25–0.66). However, the effect sizes were substantially larger (0.44–1.66) for the patients who completed all the GSH sessions (45%). The majority of noncompleters stayed within psychiatric services. Supplementary treatments were mostly directed towards comorbid conditions, especially depression. Those discontinuing treatment in advance where characterized by more lifetime diagnoses and higher ratings on the restraint subscale of the EDE-Q. Discussion: GSH within specialized psychiatry might be effective for about 30% of the patients. There is no indication of patients losing their confidence in psychiatric services by being offered GSH as the first treatment. © 2011 by Wiley Periodicals, Inc. (Int J Eat Disord 2012) |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text