治疗和预防饮食障碍的自我指导心理干预:对随机对照试验的元分析
Jake Linardon1, Claudia Liu1, Zoe McClure1
1SEED Lifespan Strategic Research Centre, Faculty of Health, School of Psychology, Deakin University, Geelong, Australia.
概括
自主指导的干预措施有望减少高风险个体的饮食障碍症状和过度饮食障碍. 专业指导的自我帮助比无指导的方法产生了更大的症状减轻.
科学领域:
- 心理学 心理学 心理学
- 公共卫生 公共卫生
- 临床医学 临床医学
背景情况:
- 自主指导干预提供了一个可扩展的方法,以传播基于证据的饮食障碍预防和治疗.
- 分析将自我指导的干预与对照组和专业指导的程序进行比较.
研究的目的:
- 评估饮食障碍自我指导干预措施的有效性.
- 将自我指导干预与对照组和专业指导的自我帮助进行比较.
主要方法:
- 包括46个网络,应用程序,CD-ROM和基于书籍的自我指导干预的试验.
- 对各种症状和风险结果进行随机效应元分析.
- 在非选择,高风险/症状和临床样本中比较结果.
主要成果:
- 在未经选择的样本 (g=0.18) 中,自导程序减少了形状/重量问题.
- 在高风险样本中观察到行为和认知症状的显著减少 (gs=0.31-0.50).
- 临床样本中的有效性仅限于过度饮食障碍;指导自助显示出更大的症状减少 (g=-0.26) 与类似的退学率.
结论:
- 自主导的干预措施是高风险个体和过度饮食障碍的有效低强度选择.
- 与未经指导的格式相比,专业指导的自助可以提供更好的症状减轻.
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