在常规临床护理中治疗成人饮食障碍的认知行为疗法:系统审查和元分析
Lars-Göran Öst1,2,3, Martin Brattmyr4, Anna Finnes3,5
1Department of Psychology, Stockholm University, Stockholm, Sweden.
The International journal of eating disorders
|December 15, 2023
概括
认知行为疗法 (CBT) 在常规临床护理中对饮食障碍 (ED) 有效,性能与疗效研究相提并论. 然而,许多研究中的偏差风险要求谨慎解释研究结果.
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
- 行为科学 行为科学
背景情况:
- 饮食障碍 (ED) 很普遍,并导致严重的负面健康后果.
- 认知行为疗法 (CBT) 是对ED的推治疗方法,主要基于疗效研究.
- 对于CBT在常规临床环境中的有效性,人们的了解有限.
研究的目的:
- 在常规临床护理中分析CBT对各种ED的有效性.
- 为了比较CBT在常规护理中的表现与疗效研究.
- 检查治疗结果的调节者和偏差风险.
主要方法:
- 在2023年6月之前对Ovid MEDLINE,Embase OVID和PsycINFO进行系统搜索.
- 包括50项研究,其中4299名参与者接受CBT.
- 对结果的元分析,方法质量,偏差风险和调节者,与疗效研究进行基准对比.
主要成果:
- 在治疗后 (ES=1.12) 和随访 (ES=1.22) 时,ED心理病理的大型群体内效应大小.
- 磨损率为25.5%,在大多数研究中存在相当大的偏差风险.
- 疗效研究显示效果大小与疗效研究相似 (治疗后ES=1.20,随访ES=1.28).
结论:
- 当在常规临床护理中提供时,CBT是ED的有效治疗方法.
- 常规护理中的有效性与疗效研究中的发现相似.
- 证据应谨慎解释,因为大量的研究具有显著的偏差风险.
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