The Role of Regular Eating and Self-Monitoring in the Treatment of Bulimia Nervosa: A Pilot Study of an Online Guided Self-Help CBT Program
The Role of Regular Eating and Self-Monitoring in the Treatment of Bulimia Nervosa: A Pilot Study of an Online Guided Self-Help CBT Program
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DOI：
10.3390/bs7030039
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发表时间：
2017-09-01
影响因子：
2.6
通讯作者：
Touyz, Stephen
中科院分区：
文献类型：
--
作者：
Barakat, Sarah;Maguire, Sarah;Touyz, Stephen
背景：尽管认知行为疗法（CBT）被认为是神经性贪食症（BN）的一线治疗选择，但其耗时和昂贵的性质等障碍限制了患者的获取。为了扩大治疗的可获得性和可负担性，可以通过使用在线治疗和选择性地强调其最有效的成分（行为技术构成重点）来提高CBT的疗效和便利性。方法：26名BN患者参加了基于cbt的在线自助计划，其中17人完成了为期四周的常规饮食和食物监测，使用在线食物日记工具。研究人员每周打电话与参与者联系，并在五个时间点（基线和第1-4周）评估他们的暴食症状严重程度。结果：在治疗前后，自我报告的客观暴食发作频率、相关的失控和客观暴食天数显著减少。在饮食失调检查问卷的大部分分量表中也观察到显著的改善。结论：这项研究提供了令人鼓舞的初步证据，表明在线CBT行为技术在治疗BN方面的潜力。在线治疗是一种潜在的可行的和实用的治疗形式，在这个疾病群体。这些初步发现支持了使用对照组进行更大规模研究的必要性。
Background: Despite cognitive behavioural therapy (CBT) being regarded as the first-line treatment option for bulimia nervosa (BN), barriers such as its time-consuming and expensive nature limit patient access. In order to broaden treatment availability and affordability, the efficacy and convenience of CBT could be improved through the use of online treatments and selective emphasis on its most potent' components of which behavioural techniques form the focus. Method: Twenty-six individuals with BN were enrolled in an online CBT-based self-help programme and 17 completed four weeks of regular eating and food-monitoring using the online Food Diary tool. Participants were contacted for a weekly check-in phone call and had their bulimic symptom severity assessed at five time points (baseline and weeks 1-4). Results: There was a significant decrease in the frequency of self-reported objective binge episodes, associated loss of control and objective binge days reported between pre- and post-treatment measures. Significant improvements were also observed in most subscales of the Eating Disorder Examination-Questionnaire. Conclusion: This study provides encouraging preliminary evidence of the potential of behavioural techniques of online CBT in the treatment of BN. Online therapy with this focus is potentially a viable and practical form of treatment delivery in this illness group. These preliminary findings support the need for larger studies using control groups.