Treating eating disorders over the internet: A systematic review and future research directions
Treating eating disorders over the internet: A systematic review and future research directions
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DOI：
10.1002/eat.22135
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发表时间：
2013-09-01
影响因子：
5.5
通讯作者：
Van Furth, Eric F.
中科院分区：
文献类型：
--
作者：
Aardoom, Jiska J.;Dingemans, Alexandra E.;Van Furth, Eric F.
目的：方法：检索Medline、Embase、PsycInfo、Web of Science等数据库，检索相关文献，对网络治疗进食障碍（艾德）的相关研究进行综述。符合条件的研究评估了基于互联网的治疗艾德，或艾德治疗，其中包括至少一个基于互联网的组件。方法质量各不相同。基于互联网的治疗在减少艾德精神病理学、暴饮暴食和通便频率以及改善（与ED相关的）生活质量方面上级优于等待名单。基于互联网的治疗对患有较少共病精神病理学的个体更有效，与限制性问题相反的暴饮暴食，以及与神经性贪食症相反的暴饮暴食症。更高水平的依从性与更多的艾德症状改善有关。研究脱落率范围为5.3%至76.8%。包括面对面的评估和治疗师的支持似乎提高了研究的依从性。总体而言，互联网可以被认为是一个可接受的车辆提供艾德treatment.Discussion：未来的研究应确定基于互联网的治疗的效用，通过比较他们面对面的治疗。研究应进一步侧重于解开治疗结果，依从性和辍学，分别预测和调解。需要具有良好方法学质量的研究，并根据CONSORT指南提交报告。(c)出版社：Wiley Periodicals，Inc. (Int J Eat Disord 2013; 46：539-552）
Objective: To review the literature regarding internet-based treatment of eating disorders (ED).Method: Relevant studies were identified by searching electronic databases (including Medline, Embase, PsycInfo, and Web of Science). Eligible studies evaluated an internet-based treatment for ED, or an ED treatment that included at least one internet-based component.Results: Twenty-one studies were included. Methodological quality varied. Internet-based treatments were superior to waiting lists in reducing ED psychopathology, frequency of binge eating and purging, and in improving (ED-related) quality of life. Internet-based treatment was more effective for individuals with less comorbid psychopathology, binge eating as opposed to restrictive problems, and individuals with binge eating disorder as opposed to bulimia nervosa. Higher levels of compliance were related to more improvements in ED symptoms. Study dropout ranged from 5.3 to 76.8%. Inclusion of face-to-face assessments and therapist support seemed to enhance study compliance. Overall, the internet can be considered an acceptable vehicle for delivering ED treatment.Discussion: Future research should determine the utility of internet-based treatment by comparing them to face-to-face treatment. Research should furthermore focus on unraveling predictors and mediators of treatment outcome, compliance, and dropout, respectively. Studies with good methodological quality are needed with reports according to CONSORT guidelines. (c) 2013 by Wiley Periodicals, Inc. (Int J Eat Disord 2013; 46:539-552)