饮食干预,以家庭为基础治疗饮食障碍:随机比较有效性研究的结果
Megan Hellner1, Dori Steinberg, Jessica Baker
1Research Department, Equip Health, Carlsbad, California, USA.
Eating disorders
|April 9, 2024
概括
青少年饮食障碍 (ED) 的家庭治疗可能会从每日卡路里目标方法中受益,照顾者发现,与Plate-by-PlateTM方法相比,每日卡路里目标方法在体重增加和症状改善方面更有效.
科学领域:
- 儿科心理学 儿科心理学
- 临床营养学 临床营养学
- 饮食障碍治疗方法 饮食障碍治疗方法
背景情况:
- 基于家庭的治疗 (FBT) 是青少年饮食障碍 (ED) 的首要干预措施.
- 早期体重增加和照顾者赋权是FBT成功的关键预测因素.
- 在FBT中,各种饮食干预措施的有效性尚未得到充分证实.
研究的目的:
- 为了比较青少年ED治疗中两个虚拟交付的饮食干预措施的临床结果和用户经验.
- 为了评估每日卡路里目标的有效性与每盘一盘TM方法相比.
- 评估护理人员的信心和每个干预措施的感知有效性.
主要方法:
- 一项涉及100名正在接受饮食障碍治疗的青少年的比较研究.
- 两个干预组:每日卡路里目标和每盘一盘的方法,几乎交付.
- 测量结果包括体重增加,ED症状的改善以及护理人员的信心和评分.
主要成果:
- 每日卡路里目标群体的平均体重增加略高.
- 两组都经历了类似的进食障碍症状改善率.
- 护理人员报告了更高的信心,并将每日卡路里目标方法评为更有效.
- 护理人员对这两种干预措施的使用方便程度均被评为相似.
结论:
- 每日卡路里目标方法可能是FBT中更有效的饮食干预措施,用于患有ED的青少年.
- 这些发现挑战了传统的FBT假设,表明以卡路里为重点的框架可以帮助护理人员恢复健康.
- 临床医生可能会考虑采用基于卡路里的方法来提高FBT的有效性.
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