一个基于辩证行为疗法的简短在线干预,以减少过度饮食症状和饮食病理
Silvia Cerolini1,2, Monica D'Amico1, Andrea Zagaria1
1Department of Psychology, Sapienza University of Rome, 00185 Roma, Italy.
Nutrients
|August 29, 2024
概括
基于网络的辩证行为疗法 (DBT) 干预显著减少了过度饮食障碍 (BED) 和神经性嗜食症 (BN) 的症状. 这种可访问的治疗也改善了心理痛苦和自我效能,显示了持久的结果.
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
- 行为科学 行为科学
背景情况:
- 失调的饮食行为,包括过度饮食障碍 (BED) 和神经过敏 (BN),是普遍存在的,并对健康产生负面影响.
- 获得及时诊断和治疗BED和BN的机会往往会延迟,这凸显了需要可访问的干预措施的需要.
研究的目的:
- 评估使用辩证行为疗法 (DBT) 对患有BED和BN的个体进行的10次,基于网络的多学科小组干预的有效性.
- 评估干预措施对减少心理困扰,过度饮食症状,提高自尊和饮食自我效能的影响.
主要方法:
- 总共有65名饮食行为失调的参与者被分配到实验组 (N=43) 接受基于网络的DBT干预或通常治疗 (TAU) 组 (N=22).
- 该干预包括9个每周的会议,重点是DBT原则和1个营养治疗教育会议.
- 干预前 (T0),干预后 (T1) 和干预后一个月 (T2) 进行了评估.
主要成果:
- 实验组显示,从T0到T1.0的暴饮暴食症状和一般精神病理显著减少.
- 实验组的参与者还报告说,在干预后的社会背景下,自尊心和饮食自我效能有所增加.
- 这些改善在1个月的随访 (T2) 中维持了过度饮食症状,精神病理学和社交饮食自我有效性的改善.
结论:
- 简短的,基于网络的,多学科的小组干预,结合DBT是有效的减少进食症状和心理困扰.
- 这项干预成功地提高了饮食行为失调的个体的自尊和饮食自我效能.
- 基于网络的干预提供了一种可持续和可访问的方法,在公共卫生机构内管理与暴饮暴食相关的症状.
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