Department of Psychological Medicine, King's College London, Institute of Psychiatry, London, United Kingdom.
Int J Eat Disord. 2015 May;48(4):349-61. doi: 10.1002/eat.22298. Epub 2014 May 31.
A variety of interventions have been developed for caregivers of people with an eating disorder either to help them cope with the burden and distress that commonly accompanies this role or to make them more effective at providing support. The aim of the study is to perform a meta-analysis of quantitative studies that have described the impact of these interventions on caregivers.
Electronic databases were searched between September 2001 and September 2013. Thirteen studies were finally selected for inclusion. Pooled effect size estimates were summarized. Meta-regressions were used to determine whether type of intervention, team, measure used or risk of bias were effect modifiers of the relationship. We also summarized the content and form (amount of professional help) of the interventions.
Most interventions produced a moderate sized reduction in carer distress and a small/moderate reduction in carer burden and expressed emotion post treatment and these changes were maintained over follow-up.
Carer distress, burden and expressed emotion can be reduced by a variety of psychoeducational interventions and these changes are sustainable over time. The interventions themselves are easy to disseminate and deliver.
已经开发出各种针对饮食障碍患者照顾者的干预措施，这些措施要么帮助他们应对照顾角色带来的负担和困扰，要么提高他们提供支持的有效性。本研究旨在对描述这些干预措施对照顾者影响的定量研究进行荟萃分析。
2001 年 9 月至 2013 年 9 月期间在电子数据库中进行检索。最终有 13 项研究被选入进行分析。汇总了合并后的效应量估计值。使用元回归来确定干预措施的类型、团队、使用的措施或偏倚风险是否是关系的调节变量。我们还总结了干预措施的内容和形式（专业帮助的数量）。
大多数干预措施在治疗后减轻了照顾者的痛苦，减轻了照顾者的负担和表达的情绪，且这些变化在随访期间得到了维持。
各种心理教育干预措施可以减轻照顾者的痛苦、负担和表达的情绪，并且这些变化可以持续很长时间。这些干预措施本身易于传播和实施。
