饮食障碍群体方案治疗的临床有效性,成本效益和过程评估:多中心随机对照试验的研究方案
Suzanne H W Mares1, Jeffrey Roelofs2, Janôt Zinzen2,3
1Department of Eating Disorders (Amarum), GGNet Mental Health, St. Annastraat 312c, Nijmegen, 6525 HG, The Netherlands. s.mares@ggnet.nl.
BMC psychology
|March 4, 2024
概括
群组方案治疗 (GST) 可能比增强认知行为疗法 (CBT-E) 更有效和更具成本效益,用于饮食障碍 (ED) 患者,这些患者对初始CBT-E没有反应. 这项研究将在多中心试验中比较GST和CBT-E.
科学领域:
- 精神病学和行为科学
- 卫生经济学 卫生经济学
背景情况:
- 像神经性厌食症 (AN) 和神经性 Bulimia (BN) 这样的饮食障碍 (ED) 存在重大治疗挑战和社会经济负担.
- 增强认知行为疗法 (CBT-E) 是一种标准治疗方法,但对于没有迅速改善的患者,其疗效可能是有限的.
- 群组方案疗法 (GST) 对ED有希望,但需要进一步的证据,特别是在成本效益方面.
研究的目的:
- 为了比较GST与CBT-E的临床有效性和成本效益,对于 (非典型) 的AN和BN患者,初始CBT-E没有反应.
- 对GST和CBT-E进行流程评估,以了解治疗实施和患者体验.
- 根据治疗结果的比较,为优化ED护理轨迹提供指导.
主要方法:
- 一个多中心随机对照试验 (RCT) 涉及232名荷兰患者 (非典型的) AN或BN,被称为CBT-E.
- 临床有效性和成本效益在基线,治疗后,以及6个月和12个月后期进行评估.
- 过程评估包括患者的经验和遵守协议,以及对生活质量和目标实现的定性访谈.
主要成果:
- 假设GST将在临床和成本效益方面优于CBT-E,对于目标患者群体而言.
- 数据分析将采用基于回归的混合建模,多变量灵敏度分析和定性编码.
结论:
- 这是第一个多中心RCT协议,旨在在ED治疗中非快速响应者中比较GST和CBT-E.
- 该研究协议概述了潜在的风险,旨在向医疗保健利益相关者提供关于优化ED治疗途径的信息.
- 预期的发现将有助于基于证据的决策在饮食障碍护理.
相关概念视频
Group Therapy
33
Group therapy is a sociocultural approach to psychological treatment, where individuals with shared psychological challenges come together under the guidance of a mental health professional. This therapeutic modality offers unique opportunities for individuals to connect, share, and grow within the context of a supportive group. By fostering mutual understanding and collaboration, group therapy can address a range of psychological concerns effectively, often complementing or surpassing the...
33
Binge Eating Disorders
65
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...
65
Modeling in Therapy
72
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
72
Anorexia Nervosa
64
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...
64
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
Electroconvulsive Therapy
39
Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early...
39


