基于网络的指导自助认知行为疗法的有效性,用于过度饮食障碍:一项实施研究
Bernou Melisse1,2,3, Elske van den Berg1, Edwin de Beurs3,4
1Novarum Center for Eating Disorders & Obesity, Amstelveen, The Netherlands.
The International journal of eating disorders
|October 25, 2023
概括
基于网络的指导自助认知行为疗法增强 (CBT-E) 在现实环境中显著减少过度饮食. 这种数字干预措施的有效性与过度饮食障碍 (BED) 的传统试验相美.
科学领域:
- 精神病学是一个精神病学.
- 数字健康数字健康
- 行为治疗是一种行为疗法.
背景情况:
- 基于网络的指导自助认知行为疗法增强 (CBT-E) 是对过度饮食障碍 (BED) 的数字化干预.
- 以前的随机对照试验 (RCT) 在受控条件下证明了它的有效性.
- 它在现实世界的临床环境中的有效性在很大程度上仍未被探索.
研究的目的:
- 在现实临床环境中检查基于网络的CBT-E对BED的指导自我帮助的干预后有效性.
- 评估暴饮暴食事件的减少,并评估完全康复率.
- 分析心理社会功能和一般精神病理学的改善.
主要方法:
- 采用一项队列设计研究,使用治疗意图 (ITT) 分析.
- 在干预前和后评估了278名患有BED的患者.
- 主要结局:暴饮暴食事件的减少;次要结局:完全康复,心理社会功能和一般心理病理.
主要成果:
- 暴饮暴食的发作显著减少,从平均每4周的16次减少到每4周的5次.
- 30%的患者从暴饮暴食中戒断,28%的患者报告完全康复.
- 对于所有结果措施,观察到很大的效果大小 (科恩d ≥1.0),ITT和补充样本之间没有显著差异.
结论:
- 基于网络的指导自助CBT-E在现实环境中对BED患者进行了显著的短期改善.
- 效果似乎与RCT中观察到的效果相似,尽管直接比较需要谨慎.
- 需要进行更多的长期随访研究,以确认治疗效益的持续性.
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