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智能手机应用程序用于饮食障碍:随机对照试验的系统审查和元分析

Telma Cruz^1,2, Cristiana Duarte³, Tiago B Ferreira^1,4

¹Center for Psychology at the University of Porto, Porto, Portugal.

The International journal of eating disorders

|June 19, 2025

概括

智能手机应用程序有望减少饮食障碍 (ED) 的症状,如过度饮食,特别是在风险较高的人群中. 然而,需要更多高质量的研究来证实它们在临床环境中的有效性.

科学领域:

精神病学是一个精神病学.
数字健康数字健康
行为科学行为科学

背景情况:

饮食障碍 (ED) 在全球范围内越来越普遍.
智能手机应用程序 (APP) 正在成为ED的新型干预工具.
基于应用程序的治疗ED的临床有效性需要严格的评估.

研究的目的:

对ED的应用干预进行随机对照试验 (RCT) 的元分析.
评估基于应用程序的干预措施在减少ED症状方面的有效性.
确定这些数字干预中使用的心理方法.

主要方法:

在SCOPUS,PubMed和EBSCO的系统文献搜索到2025年2月.
遵守PRISMA系统审查指南.
从14个RCT中进行干预后数据的元分析,以95%的置信区间计算聚合效应大小.

主要成果:

在非正式诊断的样本中,应用程序干预显著减少了全球ED症状,形状/体重问题,饮食限制,暴饮暴食和补偿行为.
没有观察到对身体不满或对瘦身的驱动有重大影响.
在正式诊断的样本中,应用程序集成到指导自助中显示出对客观暴饮暴食的中等效果;辅助应用程序的使用没有超过传统治疗.

结论:

基于应用程序的干预措施在缓解关键的ED症状,特别是暴饮暴食和相关问题方面表现出有效性,特别是在风险人群中.
认知行为治疗原则是大多数应用干预的基础.
进一步的高质量的RCT,更大的样本和强有力的后续对巩固发现至关重要.

关键词:

饮食障碍饮食障碍饮食障碍这是一个元分析.随机对照试验是随机对照试验.智能手机应用程序智能手机应用程序系统性审查系统性审查

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