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心理教育对儿童、青少年及其照顾者治疗饮食失调症的有效性:一项系统评价。

Effectiveness of psychoeducation for children, adolescents and caregivers in the treatment of eating disorders: A systematic review.

作者信息

Kurnik Mesarič Katja, Damjanac Žiga, Debeljak Tjaš, Kodrič Jana

机构信息

Department of Nephrology, University Medical Centre Ljubljana, Ljubljana, Slovenia.

Department of Psychology, Faculty of Arts, University of Ljubljana, Ljubljana, Slovenia.

出版信息

Eur Eat Disord Rev. 2024 Jan;32(1):99-115. doi: 10.1002/erv.3028. Epub 2023 Sep 1.

Abstract

BACKGROUND

Eating disorders in childhood and adolescence negatively affect many areas of development and functioning of children, adolescents, and their families. Psychoeducation has an important role in management and treatment of eating disorders.

METHODS

A systematic literature review was performed using multiple databases (PsycInfo, PubMed, and Web of Science). The inclusion criteria comprised empirical studies of psychoeducation for patients with eating disorders or their caregivers. The study reporting quality was assessed with the revised Cochrane Collaboration's risk of bias tool and the Standard Quality Assessment Criteria for Evaluating Primary Research Papers from a Variety of Fields for non-randomized studies.

RESULTS

Ten studies met the inclusion criteria, in three of which the interventions were patient-centred and in seven of which the interventions were caregiver-centred. The studies differed in terms of methodology, outcome measures, and quality. The results suggest that psychoeducation is an effective intervention for children, adolescents and caregivers in the treatment of eating disorders. It may lead to weight gain, a decrease in eating disorder symptoms, and a reduction in caregiver burden.

CONCLUSIONS

There is a need for more randomized controlled trials to determine the effectiveness of psychoeducation for children, adolescents and caregivers in treatment of eating disorders.

摘要

背景

儿童和青少年饮食失调会对儿童、青少年及其家庭的许多发展和功能领域产生负面影响。心理教育在饮食失调的管理和治疗中起着重要作用。

方法

使用多个数据库(PsycInfo、PubMed和Web of Science)进行系统的文献综述。纳入标准包括对饮食失调患者或其照顾者进行心理教育的实证研究。使用修订后的Cochrane协作偏倚风险工具和评估来自不同领域的非随机研究的初级研究论文的标准质量评估标准来评估研究报告的质量。

结果

十项研究符合纳入标准,其中三项干预措施以患者为中心,七项干预措施以照顾者为中心。这些研究在方法、结果测量和质量方面存在差异。结果表明,心理教育是治疗儿童、青少年和照顾者饮食失调的有效干预措施。它可能会导致体重增加、饮食失调症状减轻以及照顾者负担减轻。

结论

需要更多的随机对照试验来确定心理教育对儿童、青少年和照顾者治疗饮食失调的有效性。

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