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基于智能手机的厌食症偏差修改培训 - 一个随机临床试验
Maximilian Blomberg1, Rachel Schaper2, Anahita Bonabi3
1University of Münster, Institute of Psychology, Department of Clinical Psychology and Translational Psychotherapy, Fliednerstrasse 21, 48149, Münster, Germany; University of Göttingen, Institute of Psychology, Department of Clinical Psychology and Psychotherapy, Gosslerstrasse 14, 37073, Göttingen, Germany.
Behaviour research and therapy
|October 28, 2025
概括
对神经性厌食症 (AN) 的移动方法避免偏差修改训练 (ABMT) 并没有改善饮食障碍心理病理或相关偏差. 这项研究发现,在AN患者中,活跃ABMT与虚假或没有训练相比没有显著的益处.
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:
- 神经性厌食症 (AN) 的治疗反应有限,复发率高.
- 认知偏差修改 (CBM) 针对AN所涉及的认知偏差.
- 一个新的移动方法-避免偏差修改培训 (ABMT) 与食物线索被调查为AN.
研究的目的:
- 检查移动ABMT与食物线索的疗效,作为AN的辅助治疗.
- 评估ABMT对饮食障碍心理病理学,接近回避偏见,对食物的恐惧和BMI的影响.
主要方法:
- 一个随机对照试验 (RCT) 涉及90名住院患者与AN.
- 六次活动或假装的ABMT与食物线索,以及通常的治疗 (TAU).
- 结果在基线,训练结束和6个月后随访测量.
主要成果:
- 积极的ABMT并没有导致与假装或没有训练相比,饮食障碍精神病理的减少更大.
- 没有观察到群体之间的BMI,接近回避偏差或对食物变化的恐惧有显著差异.
- 方法避免偏差的变化没有调解任何测量结果的训练效应.
结论:
- 第一个关于AN的ABMT的RCT没有发现活性ABMT在对照条件中的优越性.
- 移动ABMT与食物线索,以目前的形式,似乎不足以作为一个附加的住院TAU的AN.
- 需要进一步的研究来探索修改后的协议和个性化的方法ABMT在AN.
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