一个随机对照的可行性试验的超认知训练与青少年接受治疗精神性厌食症
Ryan P Balzan1, Madeline Gilder1, Matthew Thompson1
1Flinders Institute for Mental Health and Wellbeing, Blackbird Initiative, Flinders University, Adelaide, South Australia, Australia.
The International journal of eating disorders
|June 9, 2023
概括
饮食障碍的元认知培训 (MCT-ED) 是一种可行的在线干预措施,用于精神性厌食症 (AN) 的青少年. 与等候名单对照组相比,该计划的保留率高,完美主义降低,这表明该计划适合作为辅助治疗.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 青少年健康 青少年健康
背景情况:
- 饮食障碍,特别是神经性厌食症 (AN),显著影响青少年的心理健康.
- 像完美主义和认知不灵活性这样的认知因素与AN有关.
- 超认知训练 (MCT) 针对思维模式,并且在各种精神疾病中表现有前途.
研究的目的:
- 调查饮食障碍 (MCT-ED) 的元认知培训在患有AN的青少年中的可行性和初步有效性.
- 评估治疗消耗,主观评估以及认知灵活性,完美主义和饮食障碍病理学的变化.
- 为了比较MCT-ED加正常治疗 (TAU) 组和TAU等候名单对照组之间的结果.
主要方法:
- 一项试点研究涉及35名被诊断患有AN或非典型AN的女性青少年门诊患者 (年龄13-17岁).
- 随机分配到TAU + MCT-ED或TAU等候名单条件中的一个.
- 在基线,干预后和3个月的随访期间评估认知灵活性,完美主义和饮食障碍病理.
主要成果:
- 而MCT-ED组的治疗消耗率低于15%,并提供了积极的项目评价.
- 在干预后 (d = -1.25) 和3个月后期 (d = -0.83) 观察到,对错误的担忧,完美主义的显著减少,有利于MCT-ED组.
- 虽然干预后完美主义的增长是显著的,但在3个月的随访中,它们并没有持续持续下去.
结论:
- 饮食障碍的元认知训练 (MCT-ED) 似乎是精神性厌食症青少年可行的辅助干预措施.
- 在线交付,积极的反和高的保留率支持了它的适用性.
- 需要使用更大的样本大小进行进一步的研究,以确认疗效和长期结果.
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