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基于网络的认知行为自助干预对暴饮暴食障碍的有效性:一项随机临床试验
Luise Pruessner1, Christina Timm1, Sven Barnow1
1Department of Psychology, Heidelberg University, Heidelberg, Germany.
JAMA network open
|May 16, 2024
概括
基于网络的认知行为自助干预显著减少过度饮食情节,并改善了成年人过度饮食障碍 (BED) 的心理健康. 这种无障碍的治疗提供了一个有希望的解决方案,以弥合BED专业护理的差距.
科学领域:
- 精神病学和行为科学
- 数字健康干预措施 数字健康干预措施
- 饮食障碍研究 饮食障碍研究
背景情况:
- 暴饮暴食障碍 (BED) 是一种普遍的饮食病理,导致严重的痛苦.
- 医疗保健资源有限,限制了获得专门的BED治疗的机会.
- 基于网络的干预提供了一个可扩展和可访问的护理替代方案.
研究的目的:
- 评估基于网络的认知行为自助干预对被诊断为BED的个体的有效性.
- 评估干预对暴饮暴食和相关心理结果的影响.
主要方法:
- 一个并行组随机临床试验,涉及154名被诊断患有BED的成年参与者.
- 参与者被随机分配到基于网络的自助干预或等待列表对照组.
- 主要结局是从基线到治疗后客观暴饮暴食事件的变化.
主要成果:
- 与对照组相比,干预组的暴饮暴食事件显著减少 (科恩d = -0.79).
- 在全球饮食精神病理学,临床障碍,幸福感,抑郁,焦虑,自尊和情绪调节方面观察到显著的改善.
- 大多数结局的效果大小从中度到大,表明治疗效果强大.
结论:
- 基于网络的认知行为自助干预在治疗BED时是有效的.
- 这种数字方法成功地减少了暴饮暴食,并改善了相关的心理健康症状.
- 这项干预提供了一个可行的策略,以扩大BED患者的治疗可用性.
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