在患有暴饮暴食的患者中,与情绪相关的治疗 - - 一个系统性审查和元分析
Kathrin Schag1,2, Jessica Werthmann3, Elisabeth Johanna Leehr4
1Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tübingen, Tübingen, Germany.
概括
与情绪相关的治疗方法显著减少了暴饮暴食,并改善了患者的情绪调节. 这些对过度饮食障碍的积极影响是长期维持的,显示出有效治疗的希望.
科学领域:
- 心理学 心理学 心理学
- 精神病学是一个精神病学.
- 行为科学 行为科学
背景情况:
- 情绪可以引发暴饮暴食,这通常被用作一种不适应的情绪调节策略.
- 调查以情感为中心的干预措施对于理解暴饮暴食障碍 (BED) 治疗至关重要.
研究的目的:
- 系统地审查和元分析与情绪相关的治疗对过度饮食患者的疗效.
- 为了确定影响过度饮食治疗结果的潜在因素.
主要方法:
- 对38项研究的系统综述和元分析 (31项元分析) 关于过度饮食的情感相关治疗方法.
- 主要结局:暴饮暴食频率的变化. 二次结果:饮食障碍病理学和情绪调节.
- 研究的影响因素:BMI,诊断,治疗类型,年龄,性别.
主要成果:
- 治疗后观察到过度饮食频率的显著减少.
- 与情绪相关的治疗比等候名单对照的表现更好,并且与主动对照可比.
- 过度饮食,饮食障碍病理学和情绪调节的改善,在随访 (1-12个月) 后效果稳定.
结论:
- 与情绪相关的治疗方法在治疗暴饮暴食和改善情绪调节方面显著有前途.
- 情绪调节似乎是这些干预措施中变化的关键机制.
- 治疗疗效没有受到BMI,诊断或人口统计等因素的显著影响.
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