Video-based CBT-E improves eating patterns in obese patients with eating disorder: A single case multiple baseline study

Video-based CBT-E improves eating patterns in obese patients with eating disorder: A single case multiple baseline study
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DOI:
10.1016/j.jbtep.2018.06.010
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发表时间:
2018-12-01
影响因子:
1.8
通讯作者:
Alfonsson, S.
Alfonsson, S.
中科院分区:
医学3区
文献类型:
--
作者:
Abrahamsson, N.;Ahlund, L.;Alfonsson, S.

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背景与目的:认知行为疗法(CBT)对治疗饮食失调症有效,但可能很难接触到远离城市中心的患者。基于移动的视频的心理治疗可能会提高服务范围,但尚未进行评估。本研究的目的是调查的影响,移动的视频为基础的CBT进食disorder.Methods:一个控制的单例多基线设计,允许随机化测试和非重叠的所有对(NAP)的统计分析,并探讨使用这种技术在临床上的可行性。五名患者在进食障碍治疗的第一阶段被纳入,主要的结果变量是每日用餐频率。次要结果变量包括进食障碍症状、心理困扰和治疗满意度。
Background and Objectives: Cognitive Behavioral Therapy (CBT) is effective for treating eating disorders but it may be difficult to reach patients living far from urban centers. Mobile video-based psychotherapy may potentially improve service reach but has not yet been evaluated. The purpose of this study was to investigate the effects of mobile video-based CBT for eating disorder and to explore the feasibility to use this technology in clinical care.Methods: A controlled single case multiple baseline design was used which allowed for statistical analyses with randomization tests and non-overlap of all pairs (NAP). Five patients in the first stage of eating disorder treatment were included and the main outcome variable was daily meal frequency. Secondary outcome variables included eating disorder symptoms, psychological distress and treatment satisfaction.Results: The treatment resulted in a significant (p