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基于网络的自助指导与过度饮食障碍的通常治疗:一项随机临床试验
Ella van Beers1,2, Bernou Melisse3,4, Petra Poelstra1
1Novarum Centre for Eating Disorders and Obesity, Amstelveen, the Netherlands.
JAMA network open
|October 10, 2025
概括
基于网络的自助指导与过度饮食障碍的标准护理一样有效. 这种可扩展的治疗方法提供了一个可行的替代方案,解决了精神卫生保健中的可访问性和成本障碍.
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
- 数字健康数字健康
背景情况:
- 基于网络的指导自助 (WBSH) 显示出对过度饮食障碍 (BED) 的承诺,因为其可扩展性和简洁性.
- 很少有研究直接将WBSH与BED的通常治疗 (TAU) 进行比较.
- 评估低治疗师参与度的治疗是降低成本和可访问性的关键.
研究的目的:
- 为了确定WBSH是否不劣于BED的TAU.
- 为了比较较短,基于网络的干预与标准护理的有效性.
主要方法:
- 一个2臂非劣势随机临床试验,涉及患有BED的成年人.
- 参与者接受了12周的WBSH或20周的TAU.
- 主要结局:治疗结束时和治疗后20周客观暴饮暴食事件的差异.
主要成果:
- 在减少暴饮暴食事件方面,WBSH与TAU无差.
- 在两次治疗后评估中,在WBSH组中观察到更少的暴饮暴食事件.
- 没有注意到缓解,学或次要结局的显著差异.
结论:
- 基于网络的指导自助是与TAU相比,BED的非劣质治疗选择.
- 这一发现支持数字心理健康干预措施的有效性,鉴于当前的医疗保健挑战,这一点至关重要.
- WBSH为BED治疗提供了一个具有成本效益和可访问的替代方案.
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