传统与虚拟部分住院治疗计划治疗进食障碍:可行性和效果的初步比较。
Traditional versus virtual partial hospital programme for eating disorders: Feasibility and preliminary comparison of effects.
机构信息
The Renfrew Center, Coconut Creek, FL, USA.
Department of Psychology, Miami University, Oxford, OH, USA.
出版信息
Eur Eat Disord Rev. 2024 Mar;32(2):163-178. doi: 10.1002/erv.3031. Epub 2023 Sep 7.
OBJECTIVE
Minimal research has examined teletherapy for group or intensive eating disorder (ED) treatment, particularly partial hospital programme (PHP). This study compared treatment outcomes for individuals treated before and after a pandemic-driven implementation of virtual PHP.
METHOD
Patients received care at ED treatment centres using the Renfrew Unified Treatment for Eating Disorders and Comorbidity. Patients treated with virtual PHP were compared to patients treated with traditional PHP. Measures of ED symptomology and behaviours, depressive symptoms, anxiety severity, anxiety sensitivity, experiential avoidance, mindfulness, and body mass index (BMI; reported for anorexia nervosa [AN] patients only) were collected at intake and discharge. Multiple regression analyses were conducted to examine the effect of treatment group on outcomes, controlling for intake score, comorbidity, discharge status, AN diagnosis, and step-down status.
RESULTS
Differences in treatment type were only found for binge eating frequency, with those in virtual PHP reporting significantly lower binge eating episodes at discharge than those in traditional PHP. Body mass index showed significantly less improvement in virtual PHP than in traditional PHP.
CONCLUSIONS
Preliminary results suggest virtual PHP is feasible and effective, potentially increasing access to evidence-based, intensive ED treatment. However, additional research is needed to establish efficacious support for weight gain among individuals with AN in virtual programs.
目的
针对团体或强化饮食失调(ED)治疗的远程治疗,特别是部分住院计划(PHP),研究甚少。本研究比较了在大流行驱动的虚拟 PHP 实施前后接受治疗的个体的治疗结果。
方法
患者在 ED 治疗中心接受饮食失调及共病的 Renfrew 统一治疗。接受虚拟 PHP 治疗的患者与接受传统 PHP 治疗的患者进行了比较。在入院和出院时收集了 ED 症状和行为、抑郁症状、焦虑严重程度、焦虑敏感、体验回避、正念和体重指数(BMI;仅针对神经性厌食症 [AN] 患者报告)的措施。进行多元回归分析,以检查治疗组对结果的影响,控制入院分数、共病、出院状态、AN 诊断和降级状态。
结果
仅发现暴食频率的治疗类型存在差异,虚拟 PHP 组报告的出院时暴食发作明显低于传统 PHP 组。虚拟 PHP 组的体重指数改善明显低于传统 PHP 组。
结论
初步结果表明虚拟 PHP 是可行且有效的,可能会增加对基于证据的强化 ED 治疗的可及性。然而,需要进一步的研究来为虚拟项目中 AN 患者的体重增加建立有效的支持。