使用基于网络的,指导的自我帮助来弥合面对面的外科医疗治疗食谱障碍的等待时间:随机对照试验
Bianka Vollert1, See Heng Yim2, Dennis Görlich3
1Institute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Germany.
BJPsych open
|February 26, 2024
概括
基于网络的everyBody Plus干预措施显著减少了食谱饮食障碍患者的核心症状,为弥合治疗差距提供了宝贵的工具.
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
- 数字健康数字健康
背景情况:
- 对于饮食失调的有效治疗,由于治疗师的可用性有限和长时间的等待列表,面临着进入障碍.
- 基于网络的自助干预措施可以减轻这些延迟,并改善治疗的可访问性.
- 现有的饮食障碍治疗缺口需要创新的解决方案.
研究的目的:
- 为了评估基于网络的指导自助干预措施的有效性,everyBody Plus.
- 评估这项干预措施对神经性嗜食症,暴饮暴食症和其他特定的食和饮食障碍等待门诊治疗的患者的影响.
- 为了确定everyBody Plus是否可以有效地弥合传统治疗的等待时间.
主要方法:
- 一项随机对照试验涉及德国和英国的343名患者.
- 参与者被分配到everyBody Plus干预或等候名单对照组.
- 主要结局:核心饮食障碍症状的临床相关改善的时间;次要结局:饮食障碍态度/行为,一般心理病理.
主要成果:
- 在6个月和12个月的随访期内,everyBody Plus组的症状戒断概率显著更高 (HR: 1.997,P=0.0249).
- 与对照组相比,干预参与者在饮食障碍心理病理学,一般心理病理学,焦虑,抑郁和生活质量方面表现得更好.
- 据报道,在线治疗师与在线治疗师的合作联盟评级很高.
结论:
- 每个Body Plus干预,与标准化的在线指导,有效地弥合了治疗缺口的饮食障碍.
- 这种数字干预有助于更快,更实质性的减少核心饮食障碍症状.
- 基于网络的自助指导是一种可行的方法,可以提高治疗机会和治疗结果.
相关概念视频
Binge Eating Disorders
68
Binge eating disorder is a significant mental health condition characterized by recurrent episodes of excessive food consumption within a short period, accompanied by a perceived loss of control over eating behavior. Unlike occasional overeating, binge eating disorder is marked by distressing emotions such as guilt, shame, and anxiety following binge episodes. The disorder affects individuals across different ages and backgrounds, with profound implications for physical and psychological...
68
Bulimia Nervosa
78
Bulimia nervosa is a complex and severe eating disorder characterized by a cyclical pattern of binge-and-purge eating pattern. It generally involves an episode of binge eating, followed by compensatory behaviors such as vomiting, excessive exercise, laxative use, or fasting, to prevent weight gain. Despite often maintaining a normal weight, individuals with bulimia are intensely preoccupied with their body image and harbor an overwhelming fear of gaining weight. This can contribute to the...
78
Self-Help Support Groups
30
Self-help support groups are voluntary, community-based organizations that provide a platform for individuals with shared concerns to exchange support, insights, and practical strategies for coping with life challenges. Typically led by group members or paraprofessionals, these groups form a cornerstone of mental health care, especially in reaching populations that are underserved by traditional healthcare systems.
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
30
Irritable Bowel Syndrome III: Medical and Nursing Management
208
Managing Irritable Bowel Syndrome (IBS) involves a multifaceted approach, including lifestyle modifications, dietary changes, and medication.
208
Anorexia Nervosa
68
Anorexia nervosa is a complex and severe eating disorder characterized by an intense fear of weight gain, an unrelenting pursuit of thinness, and a distorted body image. It often leads to dangerously low body weight relative to an individual's age and height. This disorder is marked by significant physical and psychological consequences, making it one of the most life-threatening psychiatric illnesses.
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
68
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
160
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
160


