引导性基于互联网的认知行为疗法,用于神经性买妇女:一项随机临床试验
Sayo Hamatani1,2,3, Kazuki Matsumoto4, Gerhard Andersson5,6,7
1Research Center for Child Mental Development, University of Fukui, Fukui, Japan.
JAMA network open
|August 5, 2025
概括
在日本的一项试验中,基于互联网的认知行为疗法 (ICBT) 显著减少了神经性买limia的症状. 这种指导性ICBT显示了改善饮食障碍妇女治疗可获得性的承诺.
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
- 饮食障碍 饮食障碍 饮食障碍 饮食障碍
背景情况:
- 神经过敏症的患病率正在上升,但有效治疗的机会有限.
- 在东亚,基于互联网的认知行为疗法 (ICBT) 对神经过敏的有效性和可接受性尚未得到充分证实.
研究的目的:
- 评估导向ICBT程序的有效性和可接受性,用于治疗日本女性神经性食欲症.
主要方法:
- 一项随机临床试验,涉及61名在日本7所大学医院的神经性食欲症妇女.
- 参与者接受了通常的护理或通常的护理以及为期12周的治疗师指导的ICBT计划,以适应日本文化.
- 用每周暴饮暴食和补偿性行为频率来评估神经过敏症症状的严重程度.
主要成果:
- 与对照组相比,指导性ICBT显著降低了暴饮暴食和补偿行为的每周频率 (调整后的平均差异:9.84次;P=.01;Cohen d=0.73).
- 敏感性分析证实了这些发现的可靠性.
- 干预组显示, були米亚症状显著下降.
结论:
- 治疗师指导的ICBT是有效和可接受的治疗神经过敏在日本妇女.
- 将指导性ICBT整合到常规护理中,可以提高对神经性买limia的有效治疗方法的获取.
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