Objective To evaluate symptom change among adolescents with anorexia nervosa (AN) receiving a novel program of family based treatment (FBT) combined with a cognitive behavioural therapy (CBT) module on perfectionism (FBT + CBT‐P). Methods A cohort study was conducted with 21 adolescents with AN who entered FBT + CBT‐P; 19 adolescents completed treatment (an average of 32 sessions). Participants completed four repeated assessments over 1 year, which included measures of eating disorder symptoms and perfectionism, self‐orientated perfectionism, and socially prescribed perfectionism (SPP). Results Using intent‐to‐treat analyses, group means showed significant increases in weight, and decreases in symptoms and perfectionism (except SPP) at the third assessment (following CBT) and at the end of FBT + CBT‐P treatment, relative to pre‐treatment. Of the completing participants, more than half improved on all measures (except SPP), and all participants improved in weight. Discussion FBT + CBT‐P was associated with average declines in adolescents’ eating disorder symptoms and perfectionism, and improvements in perfectionism were associated with improvements in eating disorder symptoms. A randomised controlled trial should be conducted to compare the efficacy of FBT to FBT + CBT‐P, including follow‐up to assess length and rate of symptom remittance or time to relapse.

中文翻译：

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以家庭为基础的厌食症认知行为疗法

目的 评估神经性厌食症 (AN) 青少年接受基于家庭治疗 (FBT) 结合完美主义认知行为治疗 (CBT) 模块 (FBT + CBT-P) 的新计划的症状变化。方法 对 21 名进入 FBT + CBT-P 的 AN 青少年进行队列研究；19 名青少年完成了治疗（平均 32 次）。参与者在一年内完成了四次重复评估，其中包括饮食失调症状和完美主义、自我导向完美主义和社会规定完美主义 (SPP) 的测量。结果 使用意向治疗分析，与前相比，在第三次评估（CBT 之后）和 FBT + CBT-P 治疗结束时，组平均值显示体重显着增加，症状和完美主义（SPP 除外）减少-治疗。在完成的参与者中，超过一半的所有措施（SPP 除外）都有所改善，所有参与者的体重都有所改善。讨论 FBT + CBT-P 与青少年饮食失调症状和完美主义的平均下降有关，完美主义的改善与饮食失调症状的改善有关。应进行随机对照试验以比较 FBT 与 FBT + CBT-P 的疗效，包括随访以评估症状缓解的时间和速度或复发时间。完美主义的改善与饮食失调症状的改善有关。应进行随机对照试验以比较 FBT 与 FBT + CBT-P 的疗效，包括随访以评估症状缓解的时间和速度或复发时间。完美主义的改善与饮食失调症状的改善有关。应进行随机对照试验以比较 FBT 与 FBT + CBT-P 的疗效，包括随访以评估症状缓解的时间和速度或复发时间。