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评估动机干预对饮食失调患者的影响：一项系统评价与荟萃分析。

Estimating the Effect of Motivational Interventions in Patients with Eating Disorders: A Systematic Review and Meta-Analysis.

作者信息

Fetahi Egzona, Søgaard Anders Stjerne, Sjögren Magnus

机构信息

Eating Disorder Research Unit, Psychiatric Centre Ballerup, 2750 Ballerup, Denmark.

Institute for Clinical Science, Umeå University, 901 85 Umeå, Sweden.

出版信息

J Pers Med. 2022 Apr 4;12(4):577. doi: 10.3390/jpm12040577.

DOI:10.3390/jpm12040577
PMID:35455693
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9028385/
Abstract

Motivation to change behavior is seen as an important factor in achieving a better treatment effect in patients with eating disorders (ED). The aim of this systematic review was to assess whether motivational interviewing (MI) and motivational enhancement therapy (MET) might (1) increase motivation to change behavior and (2) improve eating disorder psychopathology (EDP) and body mass index (BMI) in patients with ED. To investigate this, a literature search was conducted on 9 March 2021 on four scientific databases: Cochrane, Embase (Ovid), MEDLINE (PubMed), and PsycInfo (EBSCO). A total of 2647 publications were identified and following a rigorous stepwise procedure to assess titles and abstracts and, thereafter, full texts of relevant publications, 13 studies were included in the data extraction and analyses. A few individual studies ( = 5) found a significant increase in motivation, two a decrease in ED symptoms ( = 2), while none found an effect on BMI. However, the meta-analysis of each outcome found effect sizes near zero, thereby confirming the results of previous narrative reviews that have described a lack of effect of MET/MI on motivation in ED. Since the individual studies differ substantially in design, and the outcomes were inconsistently assessed with regards to instruments and duration, the effect of MET/MI on motivation for behavioral change, ED psychopathology, and BMI is still unclear.

摘要

改变行为的动机被视为在饮食失调（ED）患者中取得更好治疗效果的一个重要因素。本系统评价的目的是评估动机性访谈（MI）和动机增强疗法（MET）是否可能（1）增加改变行为的动机，以及（2）改善饮食失调患者的饮食失调精神病理学（EDP）和体重指数（BMI）。为了对此进行调查，于2021年3月9日在四个科学数据库上进行了文献检索：Cochrane、Embase（Ovid）、MEDLINE（PubMed）和PsycInfo（EBSCO）。共识别出2647篇出版物，经过严格的逐步程序评估标题和摘要，然后评估相关出版物的全文，13项研究被纳入数据提取和分析。一些个别研究（n = 5）发现动机有显著增加，两项研究（n = 2）发现饮食失调症状有所减轻，而没有研究发现对BMI有影响。然而，对每个结果的荟萃分析发现效应量接近零，从而证实了先前叙述性综述的结果，即MET/MI对饮食失调患者的动机缺乏影响。由于个别研究在设计上有很大差异，并且在工具和持续时间方面对结果的评估不一致，MET/MI对行为改变动机、饮食失调精神病理学和BMI的影响仍不清楚。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc4e/9028385/e169a81589fb/jpm-12-00577-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc4e/9028385/8e3437c460de/jpm-12-00577-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc4e/9028385/b7211741b03a/jpm-12-00577-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc4e/9028385/671d433dfc49/jpm-12-00577-g003.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc4e/9028385/a318e6a752ab/jpm-12-00577-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc4e/9028385/e169a81589fb/jpm-12-00577-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc4e/9028385/8e3437c460de/jpm-12-00577-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc4e/9028385/b7211741b03a/jpm-12-00577-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc4e/9028385/671d433dfc49/jpm-12-00577-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc4e/9028385/7fb6006c0e16/jpm-12-00577-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc4e/9028385/a318e6a752ab/jpm-12-00577-g005.jpg
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