Flinders University Institute for Mental Health and Wellbeing, Blackbird Initiative, Flinders University, Adelaide, South Australia, Australia.
Int J Eat Disord. 2023 May;56(5):864-866. doi: 10.1002/eat.23930. Epub 2023 Mar 9.
Schleider and colleagues' paper on the application of single-session interventions (SSIs) to eating disorders is timely given the broader focus in mental health on flexible approaches to delivering support at the time the person needs it most. The eating disorder field needs to embrace these innovations including developing a "single-session mindset" with greater attention paid to testing the relevance of SSI for eating disorders. The use of well-powered trials of brief, focused and rapidly scalable interventions is an ideal vehicle for generation and evaluation of new and longer interventions. Our future research agenda needs to carefully consider our target audience, the primary outcome variable of most relevance, and the SSI topic that would be most likely to effect change. Research in prevention might focus on weight concern and evaluation of SSIs that focus on self-compassion or cognitive dissonance related to appearance ideals in the media. Work in early intervention could target denial and disordered eating using SSIs on growth mindset, behavioral activation, and imagery rescripting. Treatment waitlists provide another suitable opportunity, evaluating SSIs that aim to increase hope for change, treatment retention, and kick start early change in therapy, a robust predictor of better treatment outcome.
施莱德及其同事关于单次干预(SSI)在饮食障碍中的应用的论文非常及时,因为心理健康领域更侧重于在人们最需要的时候灵活地提供支持。饮食障碍领域需要接受这些创新,包括培养一种“单次干预思维模式”,更加关注测试 SSI 在饮食障碍中的相关性。使用有力的简短、重点突出和快速可扩展干预措施的试验是产生和评估新的和更长干预措施的理想手段。我们未来的研究议程需要仔细考虑我们的目标受众、最相关的主要结果变量,以及最有可能产生影响的 SSI 主题。预防研究可能侧重于体重问题和针对自我同情或与媒体中外表理想相关的认知失调的 SSI 的评估。早期干预工作可以针对否认和饮食障碍,使用关于成长思维模式、行为激活和意象改写的 SSI。治疗候补名单提供了另一个合适的机会,可以评估旨在增加对改变的希望、治疗保留以及在治疗中尽早启动改变的 SSI,这是治疗结果更好的有力预测因素。