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导向基于互联网的认知行为治疗对神经性厌食症的长期结果:三年随访
Sayo Hamatani1,2,3,4, Kazuki Matsumoto5, Jumpei Takahashi6
1Research Center for Child Mental Development, University of Fukui, Fukui, Japan.
Brain and behavior
|September 9, 2025
概括
基于互联网的指导性认知行为疗法 (ICBT) 对神经性厌食症 (AN) 门诊患者显示出长期的有效性. 这种治疗也具有成本效益,为持续恢复提供了一个有希望的选择.
科学领域:
- 精神病学是一个精神病学.
- 卫生经济学 卫生经济学
- 数字健康数字健康
背景情况:
- 基于互联网的指导性认知行为疗法 (ICBT) 是一种可访问的神经性厌食症 (AN) 治疗方法.
- 短期可行性和有效性已确定,但长期门诊结果需要进一步调查.
研究的目的:
- 对接受门诊治疗的女性进行指导性ICBT的长期结果进行调查.
- 在这个患者群体中评估指导性ICBT的成本效益.
主要方法:
- 一项为期3年的随访研究,对11名先前接受指导性ICBT的AN成年女性进行了随访.
- 使用饮食障碍检查问卷 (EDE-Q) 和身体质量指数 (BMI) 评估AN严重程度.
- 使用经质量调整的寿命年 (QALY) 和日本医疗保健成本计算的增量成本效益比 (ICER).
主要成果:
- 在1年和3年随访期间,EDE-Q总分显著下降 (d = -0.72,d = -0.65).
- 在1年和3年随访期间,BMI显著增加 (d = 0.66,d = 0.98).
- 低估计的ICER每年约为111,000日元 (725美元).
结论:
- 导向ICBT显示出在门诊AN治疗中长期有效性的潜力.
- 较低的ICER表明,引导性ICBT是日本AN门诊患者的成本效益高的干预措施.
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