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基于互联网的计算机自助平台对饮食障碍的有效性 (带有或没有相关的应用程序):系统性审查
Alessandra Diana Gentile1, Yosua Yan Kristian2, Erica Cini1,2,3
1Department of Child & Adolescent Psychiatry, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom.
PLOS digital health
|April 23, 2025
概括
无指导的基于互联网的自助平台有效地减少了短期内饮食障碍 (ED) 的症状和行为. 这些数字工具显示出在分层医疗保健系统中早期干预的前景.
科学领域:
- 数字健康数字健康
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 随着COVID-19的流行,基于互联网的饮食障碍 (ED) 的干预措施的采用加速了.
- 无指导的计算机自助平台为ED预防和治疗提供了可访问的工具.
- 本次审查系统地评估这些数字平台的有效性.
研究的目的:
- 系统地审查基于互联网的无人引导的计算机自助平台对饮食障碍的有效性.
- 评估这些平台对ED症状和相关行为的影响.
主要方法:
- 在主要数据库 (Ovid MEDLINE,Embase,全球健康,APA PsycInfo) 进行系统的文献搜索,直到2024年5月31日.
- 遵守系统审查和元分析 (PRISMA) 准则的首选报告项目.
- 使用推评估,发展和评价 (GRADE) 标准对结果的质量评估.
主要成果:
- 包括12项随机对照试验 (RCT),涉及3400名参与者.
- 平台在减少核心ED症状和相关行为方面表现出有效性.
- 精神教育,认知行为和基于异调的方法是最常用的治疗策略.
结论:
- 无指导的基于互联网的自助平台提供短期减少ED症状和行为.
- 建议这些平台在分层的饮食障碍治疗系统中尽早实施.
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