Department of Geoscience and Natural Resource Management, Rolighedsvej 23, 1958 Frederiksberg C, Denmark.
Danish Cancer Society, Strandboulevarden 49, 2100 Copenhagen Ø, Denmark.
Int J Environ Res Public Health. 2018 Nov 8;15(11):2486. doi: 10.3390/ijerph15112486.
Binge eating disorder (BED), characterized by recurrent episodes of binge eating with a subjective experience of lack of control, is the world's most common eating disorder. The aim of the present pilot study was to examine the feasibility of implementing nature-based therapy (NBT) in the treatment of BED. The NBT intervention was compared to Support Group Meetings (SGMs), which are the only publicly available form of support for people diagnosed with BED in Denmark. Twenty participants with a BED diagnosis were included in the study, which had a mixed-methods design including Eating Disorder Examination interviews, semi-structured interviews, and questionnaires measuring well-being (The Psychological General Well-Being Index) and self-esteem (Rosenberg's Self-Esteem Scale). Both the NBT and the SGMs showed positive results on all outcome measures (decreases in binge eating episodes and increases in general psychological well-being and self-esteem). The interviews indicated that the NBT context made the psychotherapeutic content more accessible to the participants and further helped them transfer the therapeutic gains to daily life after completing treatment. However, these results should be interpreted with caution due to the small sample size-ideally, they would need to be tested on a larger, randomized sample.
暴食障碍（BED），其特征为反复发作的暴食行为，伴有无法自控的主观体验，是世界上最常见的饮食障碍。本初步研究旨在检验基于自然的疗法（NBT）应用于暴食障碍治疗的可行性。NBT 干预与支持小组会议（SGMs）进行比较，后者是丹麦唯一针对 BED 患者提供的公开支持形式。本研究纳入了 20 名 BED 诊断患者，采用混合方法设计，包括饮食障碍检查访谈、半结构化访谈以及衡量幸福感（心理总体幸福感指数）和自尊心（罗森伯格自尊心量表）的问卷。NBT 和 SGMs 在所有结果测量指标上均显示出积极结果（暴食发作次数减少，总体心理幸福感和自尊心提高）。访谈表明，NBT 环境使参与者更容易接受心理治疗内容，并在完成治疗后进一步帮助他们将治疗效果转移到日常生活中。然而，由于样本量小，这些结果应谨慎解释——理想情况下，需要在更大的随机样本中进行测试。
