虚拟交付的引导自助治疗暴饮暴食障碍和神经性嗜食症:来自服务评估的调查结果
Bethan Dalton1,2, Molly R Davies2, Michaela Flynn2
1South London and Maudsley NHS Foundation Trust, Maudsley Hospital, Denmark Hill, London, UK.
Behavioural and cognitive psychotherapy
|January 24, 2024
概括
虚拟指导自助 (GSH) 有效地减少了成人饮食障碍 (ED) 症状. 这种可访问的视频会议方法也大大缩短了治疗等待时间.
科学领域:
- 临床心理学 临床心理学
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 及时干预对于有效的饮食障碍治疗至关重要.
- 有限的ED服务能力往往导致治疗延迟.
- 这项研究评估了成年人患有食欲障碍谱EDs的虚拟交付指导自助 (GSH).
研究的目的:
- 评估虚拟交付GSH的可行性,可接受性和初步有效性.
- 为了确定GSH是否可以减少ED治疗等待时间.
- 探索GSH对ED行为和态度症状的影响.
主要方法:
- 成年患有神经过食症,过度饮食障碍和OSFED等待治疗的患者提供了GSH.
- 这项为期八个会议的课程使用了一本基于证据的认知行为自助书.
- 非专家教练通过视频会议提供了GSH计划.
主要成果:
- 82%的患者开始治疗,60%完成了GSH计划.
- 补充剂显示ED行为和态度症状显著减少 (ED-15).
- 对于减少暴饮暴食频率 (d = -0.89) 和饮食问题 (d = -1.72) 观察到较大的效果大小.
结论:
- 几乎交付的GSH是一种可行的,可接受的和有效的干预措施,用于食欲障碍谱EDS.
- 实施GSH可以减少治疗等待时间,解决服务能力问题.
- 进一步的研究应该将GSH与其他疗法进行比较,并检查不同患者群体的障碍.
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