Latinos/as are underrepresented in eating disorders clinical trials. This study compared results of a culturally adapted individual cognitive-behavioral treatment (CBT) for binge-spectrum eating disorders that included or excluded a family enhanced module (CBT + FE), in a proof-of-principle pilot study with a sample of Latina adults and one family member per patient. Twenty-five patients (M_age = 37 yrs) and 25 family members (M_age = 40 yrs) were randomized to CBT (n = 13) or CBT+ FE (n = 12). DSM-IV eating disorder diagnoses were: 48% (n = 12) bulimia nervosa, 28% (n = 7) binge-eating disorder, and 24% (n = 6) eating disorder not otherwise specified. Effect sizes favored CBT + FE on adherence and retention, and scores on treatment satisfaction and therapeutic alliance were high, indicating treatment acceptability. In spite of the hypothesis that family outcomes such as support, familism, cohesion, pride, family cultural conflict, burden, and marital satisfaction (in couples) would be superior in CBT + FE, the preliminary data were inconclusive and results were mixed. The hypothesis that eating disorder outcomes including global eating psychopathology, binge eating, and purging would improve in CBT + FE was not supported. There was some evidence that patients in CBT improved more particularly on binge eating, otherwise the groups had no differences. In conclusion, the results suggest that CBT + FE could enhance treatment adherence and retention, although this did not automatically translate to better family and symptom outcomes.

拉丁裔/as 在饮食失调临床试验中的代表性不足。本研究在原理验证试验研究中比较了针对包括或排除家庭增强模块 (CBT + FE) 的暴食症的文化适应个体认知行为治疗 (CBT) 的结果，其中包括拉丁裔样本成人和每位患者一名家庭成员。25 名患者（M_年龄 = 37 岁）和 25 名家庭成员（M_年龄 = 40 岁）随机接受 CBT（n  = 13）或 CBT+FE（n  = 12）。DSM-IV 进食障碍诊断为：48% ( n  = 12) 神经性贪食症、28% ( n  = 7) 暴食症和 24% ( n = 6) 没有特别说明的进食障碍。效果大小有利于 CBT + FE 在依从性和保留方面，治疗满意度和治疗联盟得分很高，表明治疗可接受性。尽管假设支持、家庭主义、凝聚力、自豪感、家庭文化冲突、负担和婚姻满意度（在夫妻中）等家庭结果在 CBT + FE 中会更好，但初步数据尚无定论，结果好坏参半。不支持饮食失调结果（包括全球饮食精神病理学、暴饮暴食和清除）会在 CBT + FE 中得到改善的假设。有一些证据表明，CBT 患者尤其在暴饮暴食方面有所改善，否则各组之间没有差异。总之，结果表明 CBT + FE 可以提高治疗依从性和保留率，