成年人饮食障碍认知行为疗法的绝对和相对结果:元分析
Pim Cuijpers1,2, Mathias Harrer1,3, Clara Miguel1
1Department of Clinical, Neuro and Developmental Psychology, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Eating disorders
|November 8, 2024
概括
认知行为疗法 (CBT) 可能会改善饮食障碍治疗结果. 虽然它对许多神经过敏症和暴饮暴食障碍患者有效,但很大一部分患者对CBT没有充分的反应.
科学领域:
- 临床心理学 临床心理学
- 精神病学是一个精神病学.
- 行为科学 行为科学
背景情况:
- 认知行为疗法 (CBT) 是一种广泛研究的饮食障碍治疗方法.
- 之前的元分析没有专注于绝对的临床结果.
- 了解绝对结果对于临床决策至关重要.
研究的目的:
- 更新对饮食障碍的CBT的元分析,专注于绝对结果.
- 评估CBT在不同饮食障碍中与对照条件相比的疗效.
- 评估与CBT相关的禁欲率.
主要方法:
- 在PubMed,Embase,PsycINFO和CINAHL的系统文献搜索.
- 包括随机对照试验,将CBT与成人对照组进行比较.
- 随机效应模型用于分析36项试验 (44项比较,2809名参与者).
主要成果:
- 对CBT的整体效果大小 (g) 为0.88 (95% CI:0.71;1.04),表明显著的疗效.
- 观察到很高的异质性 (I2=74%).
- 绝对戒断率:CBT的36%,对照的10%.
结论:
- 对神经过敏症和过度饮食障碍而言,CBT可能是有效的.
- 显著的比例的患者没有达到足够的响应CBT.
- 可能需要进一步的研究来优化对不响应患者的治疗.
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