基于网络的指导自助认知行为疗法-增强对比治疗通常的过度饮食障碍:一个随机对照试验协议随机对照试验协议
Ella van Beers1, Bernou Melisse1,2, Margo de Jonge1
1Novarum Center for Eating Disorders & Obesity, Amstelveen, Netherlands.
Frontiers in psychiatry
|March 4, 2024
概括
基于网络的指导自助 认知行为疗法增强 (CBT-E) 与标准治疗相比,在过度饮食障碍 (BED) 中显示出非劣质的疗效. 这种低成本的方法可能会成为一个广泛可用的第一线治疗选择.
科学领域:
- 精神病学和行为科学 精神病学和行为科学
- 临床心理学 临床心理学
- 卫生经济学 卫生经济学
背景情况:
- 暴饮暴食障碍 (BED) 是一种严重的精神疾病,其特点是经常出现不受控制的过度进食.
- 认知行为疗法增强 (CBT-E) 是BED的有效治疗方法,通常需要20次治疗,但成本很高.
- 需要低强度,具有成本效益的BED治疗方法,可以作为一线干预措施广泛传播.
研究的目的:
- 为了确定基于网络的自助CBT-E与BED患者的常规CBT-E治疗相比,基于网络的自助CBT-E疗效的非劣.
- 评估BED低强度指导自助治疗的成本效益和成本效益.
主要方法:
- 一项非劣势性随机对照试验,涉及180名患有BED的患者.
- 参与者被随机分配到接受基于网络的指导自助CBT-E或常规CBT-E治疗.
- 通过减少暴饮暴食的日子来衡量有效性,其次要结果包括缓解率,生活质量和经济评估.
主要成果:
- 这项研究旨在证明,指导自助CBT-E在减少暴饮暴食的日子方面与常规CBT-E相比没有劣势.
- 二次结果分析将评估两个治疗臂之间的缓解,心理健康和经济影响的差异.
- 将检查基线分数,人口统计和BMI等调节因素,以了解差异化治疗效应.
结论:
- 基于Web的指导自助CBT-E被假设与BED的标准CBT-E一样有效,提供了更容易获得和更实惠的选择.
- 如果确定非劣质性,这种低强度治疗可以被广泛传播为BED的第一线干预.
- 该研究提供了关键的经济数据,以支持对过度饮食障碍实施具有成本效益的治疗方法.
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