一个基于正念的数字干预的试点公开试验,用于神经性厌食症
Margaret Sala1, Cheri A Levinson2, Hedy Kober3
1Ferkauf Graduate School of Psychology, Yeshiva University.
Behavior therapy
|June 17, 2023
概括
一个新的数字正念干预,正念勇气-Beta,显示出治疗神经性厌食症 (AN) 的希望. 干预改善了正念,情绪调节,并减少了饮食障碍症状和身体不满.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 数字健康数字健康
背景情况:
- 神经性厌食症 (AN) 是一种严重的精神疾病,治疗疗效有限,影响30-50%的康复率.
- 目前对AN的治疗选择是不够的,这凸显了对创新的治疗方法的需求.
研究的目的:
- 评估Mindful Courage-Beta的可接受性,可行性和初步有效性,这是一种基于AN的数字正念干预.
- 评估干预技能使用与日常状态正念之间的关联.
- 检查心理机制和临床结果的前后变化.
主要方法:
- 一个公开的试验,涉及18名参与者,过去一年的AN或非典型AN.
- 2周的数字干预包括多媒体模块,每日冥想,核心技能 (BOAT:呼吸,观察,接受,花点时间) 和电话辅导.
- 评估可接受性,坚持性,技能使用,状态正念,特征正念,情绪调节,饮食障碍症状和身体不满.
主要成果:
- 高可接受性 (易用性:8.2/10,有用性:7.6/10) 和优秀的坚持性 (100%基础,96%的迷你模块).
- 每天使用BOAT技能和状态正念之间存在显著的关联.
- 在特征正念 (d=0.96) 和情绪调节 (d=0.76) 中显著改善,并减少饮食障碍症状 (d=0.36-0.67) 和身体不满 (d=0.60).
结论:
- 意识到勇气-Beta是一个可接受和可行的数字干预对AN.
- 这项干预表明了改善核心心理机制和减少饮食障碍精神病理的潜力.
- 需要进一步研究更精细,更长版本的Mindful Courage-Beta.
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