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一个辩证行为治疗技能培训的智能手机应用程序,用于反复的暴饮暴食:一个随机临床试验
Jake Linardon1, Cleo Anderson1, Zoe McClure1
1SEED Lifespan Strategic Research Centre, School of Psychology, Faculty of Health, Deakin University, Geelong, Australia.
Psychological medicine
|December 9, 2024
概括
一个新的辩证行为疗法 (DBT) 智能手机应用程序在临床试验中有效地减少了暴饮暴食和饮食障碍症状. 这种数字干预表明,增加获得基于证据的饮食障碍治疗的机会是有前途的.
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
- 数字健康数字健康
背景情况:
- 辩证行为疗法 (DBT) 有证据表明过度饮食障碍,但由于密集的面对面要求,它面临着可访问性挑战.
- 现代技术提供了一种解决方案,可以提高基于证据的治疗方法的可访问性.
- 一个针对DBT的新型智能手机应用程序 (Resilience:eDBT) 已被开发用于过度饮食障碍.
研究的目的:
- 为了评估弹性:eDBT智能手机应用程序在减少暴饮暴食 eating disorders 的症状中的有效性.
- 将应用程序的有效性与等候名单对照组进行比较.
主要方法:
- 进行了一项随机临床试验,参与者报告了反复出现的暴饮暴食.
- 参与者被随机分配到弹性应用程序 (n=287) 或等候名单 (n=289).
- 主要结果包括客观的暴饮暴食和饮食障碍精神病理学;次要结果评估了行为,认知和痛苦症状,以及假设的变化过程.
主要成果:
- 与6周的等待名单相比,干预组在客观的暴饮暴食事件和饮食障碍精神病理学方面的减少明显更大.
- 二次结果,除了主观暴饮暴食,心理痛苦和痛苦耐受,也有利于干预组.
- 虽然主要症状在12周后进一步改善,但干预组的退学率很高 (48%),并且随着时间的推移,参与度下降.
结论:
- 基于DBT的低强度智能手机应用程序可以有效地减少饮食障碍症状.
- 可扩展的数字干预措施,如弹性:eDBT有可能改善获得基于证据的饮食障碍护理的机会.
- 需要进一步的研究来解决数字心理健康干预中的参与和保留挑战.
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