饮食障碍儿童和年轻人的指导自助治疗:一项概念验证试点研究
Emily Davey1, Rachel Bryant-Waugh2,3, Sophie D Bennett1,4
1UCL Great Ormond Street Institute of Child Health, University College London, London, UK.
概括
这项试点研究探索了一种认知行为疗法 (CBT) 引导的自助干预,用于患有饮食障碍的年轻人. 该干预表明可行性,可接受性和潜在的临床益处,因此需要进一步研究.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 临床心理学 临床心理学
- 饮食障碍治疗方法 饮食障碍治疗方法
背景情况:
- 儿童和青少年的饮食障碍 (ED) 需要可访问和有效的干预措施.
- 认知行为疗法 (CBT) 是对EDs的既定治疗方法,但在这个人群中,引导自助适应的研究较少.
研究的目的:
- 进行一项概念验证试点研究,评估CBT指导的自助干预,用于患有ED的儿科和青少年患者.
- 评估这种新型干预措施的可行性,可接受性和初步临床结果.
主要方法:
- 一项试点研究涉及6名女性青少年 (年龄在13-17岁) 与来自英国门诊服务的EDs.
- 参与者接受了由CBT指导的8个模块的自我帮助干预,每周进行一次支持会议.
- 临床结果 (ED精神病理,BMI,抑郁,焦虑,行为困难) 和定性反在基线和干预后12周被评估.
主要成果:
- 接受CBT指导的自我帮助干预是可行的,对参与者来说是可以接受的,所有参与者都完成了至少六个模块和支持会议.
- 从基线到干预后观察到饮食障碍精神病理和损伤的显著减少.
- 在%中位体质量指数 (BMI) 中发现了积极的趋势,而抑郁症,焦虑症和行为困难的结果是混合的.
结论:
- 通过CBT指导的自助干预,证明了ED青少年的可行性,可接受性和潜在的临床益处.
- 这些发现是初步的,基于一个小的,非随机的白人女性青少年样本.
- 建议使用随机对照试验和更大,多样化的样本进行进一步的严格评估.
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