预测者,调解者和调节者对饮食障碍的数字干预措施的反应:系统性审查
Zoe McClure1, Matthew Fuller-Tyszkiewicz1,2, Mariel Messer1
1School of Psychology, Deakin University, Geelong, Victoria, Australia.
The International journal of eating disorders
|October 27, 2023
概括
对饮食障碍 (EDs) 的数字干预有希望,但它是.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 饮食障碍 (ED) 研究
- 心理治疗的结果
背景情况:
- 数字干预为饮食障碍 (ED) 的预防和管理提供了可扩展和可访问的选择.
- 了解治疗反应的预测因素,调节者和调解者对于优化数字ED干预至关重要.
- 目前的知识差距阻碍了个性化治疗匹配和有效干预开发.
研究的目的:
- 系统地审查和综合实证研究预测器,调节器和调解器对ED的数字干预措施的反应.
- 确定影响数字ED程序吸收,参与和症状变化的因素.
- 为了区分与没有正式诊断ED的人群的研究之间的发现.
主要方法:
- 使用六个数据库 (PROSPERO CRD42022295565) 进行了对86项研究的系统审查.
- 变量被分类 (人口统计,症状严重程度,心理) 并进行定性合成.
- 研究对没有正式ED诊断的样本 (以预防为重点) 和有正式ED诊断的样本 (以治疗为重点) 进行了单独分析.
主要成果:
- 在没有正式ED诊断的研究中 (n=70),很少有预测因素具有统计学意义;年龄,基线症状严重程度,信心,动机和参与显示了初步预后潜力.
- 在以预防为重点的样本中,没有发现强大的调节者或调解者.
- 在正式诊断ED的研究中 (n=16),没有发现可靠的治疗反应预测器,调节器或调解器.
结论:
- 数字ED干预措施有效的机制,最佳用户配置文件和具体条件仍然不清楚.
- 建议进行进一步的研究,以确定预测成功的客户特征和干预组件.
- 提高这种理解对于改善治疗匹配和为ED开发更有效的数字干预措施至关重要.
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