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对现有饮食失调模型的系统回顾:它们是否为有效干预措施的制定提供了信息?

A systematic review of the existing models of disordered eating: Do they inform the development of effective interventions?

出版信息

Clin Psychol Rev. 2016 Feb;43:175-92. doi: 10.1016/j.cpr.2015.12.004.

DOI:10.1016/j.cpr.2015.12.004
PMID:26781985
Abstract

Despite significant advances in the development of prevention and treatment interventions for eating disorders and disordered eating over the last decade, there still remains a pressing need to develop more effective interventions. In line with the 2008 Medical Research Council (MRC) evaluation framework from the United Kingdom for the development and evaluation of complex interventions to improve health, the development of sound theory is a necessary precursor to the development of effective interventions. The aim of the current review was to identify the existing models for disordered eating and to identify those models which have helped inform the development of interventions for disordered eating. In addition, we examine the variables that most commonly appear across these models, in terms of future implications for the development of interventions for disordered eating. While an extensive range of theoretical models for the development of disordered eating were identified (N=54), only ten (18.5%) had progressed beyond mere description and to the development of interventions that have been evaluated. It is recommended that future work examines whether interventions in eating disorders increase in efficacy when developed in line with theoretical considerations, that initiation of new models gives way to further development of existing models, and that there be greater utilisation of intervention studies to inform the development of theory.

摘要

尽管在过去十年中,针对饮食失调和饮食失调的预防和治疗干预措施取得了重大进展,但仍迫切需要开发更有效的干预措施。为了符合英国医学研究理事会(MRC)在 2008 年制定的针对改善健康的复杂干预措施的开发和评估的评估框架,健全的理论是开发有效干预措施的必要前提。本综述的目的是确定现有的饮食失调模型,并确定那些有助于为饮食失调干预措施的发展提供信息的模型。此外,我们还研究了这些模型中最常见的变量,以了解它们对未来饮食失调干预措施发展的影响。虽然已经确定了广泛的用于饮食失调发展的理论模型(N=54),但只有 10 个(18.5%)模型不仅仅是描述性的,而是已经发展出了已经评估过的干预措施。建议未来的研究检查一下,根据理论考虑开发的饮食失调干预措施是否会提高疗效,新模型的启动是否会促进现有模型的进一步发展,以及是否更多地利用干预研究来为理论的发展提供信息。

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