摘要
目的:研究团体认知行为疗法对大学生贪食行为的疗效。方法:采用进食障碍调查问卷对某医学院在校学生1 900人进行问卷调查,选取进食障碍调查问卷得分小于41分者(有进食障碍倾向)126人,参照DSM-IV诊断标准进行筛选,选取具有贪食行为的医学生30名,随机分为甲、乙两组,每组15人:甲组为治疗组,实施团体CBT治疗方法进行干预,每周1次,共8周;乙组为对照组。8周后观察甲乙两组之间的差异。结果:治疗前两组间进食障碍问卷、体质量指数(BMI)、压力和SCL-90得分上无显著性差异(P>0.05);治疗后,甲组在治疗前后进食障碍发生倾向、压力改善和心理健康状况上改善明显(P<0.05),且甲乙两组间存在显著差异(P<0.05)。乙组在治疗前后无明显改善(P>0.05)。结论:团体认知行为疗法可显著改善大学生贪食行为。
Objective ： To observe the effects of group cognitive behavior therapy （GCBT） on bulimia nervosa. Methods：Eating Disorders Inventory was used to investigate the bulimia behavior in 1 900 students in a medical college, and 126 subjects were included concerning whose scores were under 41 on the questionnaire as potential eating disorders. Further confirmation by DSM-IV,30 d the 126 participants were diagnosed as bu- limia nervosa and evenly randomized into groups of treatment and controls. The treatment group were given GCBT once a week for g consecutive weeks,and both gruups were compared after 8 weeks of intervention for the dift^renee. Results：There was no significant difference between the two groups regarding the estimation by questionnaire BMI, stress and scores on SCL-90 before intervention（ P 〉0.05） ,whereas the two groups differed a lot, especially the treatment group were found with significant improvement in tendency of eating disorders, stress and mental health status（ P 〈 0.05 ）. The controls had no significant change （ P 〉 0.05 ）. Conclusion ： GCBT may be effective to management of hulimia nervosa in college students.
出处
《皖南医学院学报》
CAS
2012年第3期236-240,共5页
Journal of Wannan Medical College
基金
院中青年科研基金社科类(WKS201009)
关键词
团体疗法
认知行为
贪食行为
group therapy
cognitive behavior
polyhagia
