Evaluation of a combined, online intervention for binge-type eating disorders and high body weight in young adults.
Evaluation of a combined, online intervention for binge-type eating disorders and high body weight in young adults.
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DOI：
10.1016/j.eatbeh.2023.101789
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发表时间：
2023-08
期刊：
影响因子：
2.8
通讯作者：
Wilfley, Denise E.
中科院分区：
文献类型：
--
作者：
Grammer, Anne Claire;Monterubio, Grace E.;D'Adamo, Laura;Balantekin, Katherine N.;Taylor, C. Barr;Fitzsimmons-Craft, Ellen E.;Wilfley, Denise E.
暴食型饮食障碍(EDS；即神经性暴食症、暴饮暴食障碍)在体重较高的年轻人中很常见，但很少有针对这两种疾病的干预措施。这项研究测试了一种在线指导的自助干预，该干预为患有暴饮型ED和高体重的年轻人提供了针对ED的认知行为疗法(CBT)工具和行为减肥(BWL)内容。60名18-39岁患有临床/亚临床狂欢型ED且体重较高的成年人被随机分为联合治疗组和单纯CBT治疗组。参与者接受为期8周的自助内容和自我报告的ED态度、暴饮暴食和补偿行为的频率，以及基线、4周和8周的体重。线性混合模型和负二项模型比较了每个时间点的ED态度、ED行为和体重的变化情况。卡方检验和独立样本t检验比较了项目完成度和会话参与度两个条件之间的差异。体重变化或勃起功能障碍症状变化在两种情况下没有显著差异。从基线到8周，两种情况都显著降低了勃起功能障碍的态度、狂欢发作和代偿行为(PS<；0.05)。从基线到8周，这两种情况都没有显示出显著的体重下降。计划完成率(47%)和课程参与度(57%)在不同条件下同样高。这两种情况都出现了ED症状的变化；然而，这两种情况都与体重变化无关。需要研究确定BWL的策略类型和剂量，以促进年轻人临床上显著的体重和ED症状的改变。
Binge-type eating disorders (EDs; i.e., bulimia nervosa, binge eating disorder) are common among young adults with high body weight, yet few interventions target both conditions. This study tested an online guided self-help intervention that provided cognitive behavioral therapy (CBT) tools for EDs and behavioral weight loss (BWL) content to young adults with binge-type EDs and high body weight. 60 adults aged 18–39 with clinical/subclinical binge-type EDs and high body weight were randomized to a combined condition or a CBT-only condition. Participants received self-help content for 8 weeks and self-reported ED attitudes, frequency of binge eating and compensatory behaviors, and weight at baseline, 4-weeks, and 8-weeks. Linear mixed models and negative binomial models compared changes between conditions in ED attitudes, ED behaviors, and weight at each timepoint. Chi-square test and independent samples t-test compared program completion and session engagement between conditions. No significant differences in weight change or ED symptom change emerged between the conditions. Both conditions achieved significant reductions in ED attitudes, binge episodes, and compensatory behaviors from baseline to 8-weeks (ps < .05). Neither condition demonstrated significant weight loss from baseline to 8-weeks. Program completion (47 %) and session engagement (57 %) were equally high across conditions. Both conditions achieved ED symptom change; however, neither condition was associated with weight change. Research is needed to identify the types of strategies and doses of BWL that promote clinically significant weight and ED symptom change in young adults.
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虚拟预防儿童，青少年和新兴成年人的饮食失调：范围审查。
影响因子：
4.1
作者：
Pellegrini, Danielle;Grennan, Laura;Bhatnagar, Neera;McVey, Gail;Couturier, Jennifer
通讯作者：
Couturier, Jennifer
DOI：
10.1080/07448481.2018.1483936
发表时间：
2019-05
期刊：
Journal of American college health : J of ACH
影响因子：
--
作者：
Graham AK;Trockel M;Weisman H;Fitzsimmons-Craft EE;Balantekin KN;Wilfley DE;Taylor CB
通讯作者：
Taylor CB
DOI：
10.1038/oby.2005.126
发表时间：
2005-06-01
期刊：
OBESITY RESEARCH
影响因子：
--
作者：
Devlin, MJ;Goldfein, JA;Walsh, BT
通讯作者：
Walsh, BT
DOI：
10.1002/oby.22975
发表时间：
2020-11
期刊：
Obesity (Silver Spring, Md.)
影响因子：
--
作者：
Grilo CM;White MA;Ivezaj V;Gueorguieva R
通讯作者：
Gueorguieva R
影响因子：
5.5
作者：
Fitzsimmons-Craft, Ellen E.;Chan, William W.;Jacobson, Nicholas C.
通讯作者：
Jacobson, Nicholas C.