在一个随机对照试验中,预测者和调节者对三项在线干预饮食障碍症状进行了随机对照试验
Pieter J Rohrbach1,2, Marjolein Fokkema3, Philip Spinhoven4,5
1GGZ Rivierduinen Eating Disorders Ursula, Leiden, the Netherlands.
The International journal of eating disorders
|July 11, 2023
概括
对饮食障碍的在线干预对于新开始治疗的人来说是最有效的,特别是在减少焦虑和抑郁方面. 随着时间的推移,更高的社会支持与更少的饮食障碍症状有关.
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
- 数字健康数字健康
背景情况:
- 优化饮食障碍治疗需要了解个体反应的变化.
- 在线干预提供了可访问的选择,但其有效性预测器需要调查.
研究的目的:
- 确定在线自助干预 (Featback) 和在线专家-患者支持的结果的预测因素和调节者.
- 确定年龄,动机或治疗史等因素是否影响干预的有效性.
主要方法:
- 一项随机对照试验比较了Featback,专家-患者支持,联合治疗和8周的等待列表.
- 用混合效应分区分析了饮食障碍和二次结果 (焦虑,抑郁) 的预测者和调节者.
主要成果:
- 较高的基线社会支持预测了饮食障碍症状的减少,无论治疗条件如何.
- 在没有先前饮食障碍治疗的个体中,在积极治疗组中,焦虑和抑郁症状的减少更大.
结论:
- 在线,低值干预对以前没有接受过治疗的个体是有益的,特别是对于二次结果,这表明适合早期干预.
- 一个支持的环境对于那些经历饮食障碍症状的人来说至关重要.
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