一个支持的在线自助治疗方案的可接受性,可行性和初步有效性,用于过度饮食障碍
Sean Rom1,2, Jane Miskovic-Wheatley2, Sarah Barakat2
1Faculty of Health, School of Psychology, Deakin University, Geelong, VIC, Australia.
Frontiers in psychiatry
|October 20, 2023
概括
支持的在线自助计划有效地减少过度饮食障碍 (BED) 的症状,并且对患者来说是可行的. 这种电子疗法改善了暴饮暴食和精神病理学,显示出高接受度和坚持.
科学领域:
- 临床心理学 临床心理学
- 数字健康干预措施 数字健康干预措施
- 饮食障碍治疗方法 饮食障碍治疗方法
背景情况:
- 支持的在线自助计划 (eTherapies) 对跨诊断性饮食障碍 (EDs) 显示出希望.
- 对过度饮食障碍 (BED) 的电子疗法的评估是有限的,尽管患病率很高,治疗接受率很低.
- 需要通过数字平台扩大对BED基于证据的治疗方法的访问.
研究的目的:
- 调查支持的BED电子治疗的可接受性,可行性和初步疗效.
- 在整个电子治疗计划中检查BED或subthresholdBED患者的症状变化.
- 评估客观的过度饮食事件 (OBE) 频率和ED心理病理.
主要方法:
- 19名患有BED的女性参加了基于认知行为疗法的10次认知行为疗法.
- 该研究采用了前后设计,并进行了为期3个月的随访.
- 结果包括OBE频率,ED精神病理 (EDE-Q,EDE-QS),计划坚持和参与者的满意度.
主要成果:
- 在治疗后观察到OBE和ED精神病理学的统计和临床显著减少,并在随访时保持 (大效果大小).
- 报告了高的计划可行性 (84%的内容完成) 和可接受性 (93%的满意度).
- 症状改善的速度在四次治疗后出现了减缓.
结论:
- 支持的eTherapy计划证明了BED患者的可接受性,可行性和初步有效性.
- 症状的变化在治疗期间有所不同,观察到显著的改善.
- 需要在随机对照试验中进行进一步的调查.
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