情绪调节困难和消极情绪对成人暴饮暴食症在线自助指导项目短期和长期治疗结果的预测价值。
The predictive value of emotion regulation difficulties and negative mood on short and long-term treatment outcomes in an online guided self-help programme for adults with binge-eating disorder.
作者信息
Forrer Felicitas, Rubo Marius, Wyssen Andrea, Meyer Andrea H, Munsch Simone
机构信息
Department of Psychology, Clinical Psychology and Psychotherapy, University of Fribourg, Fribourg, Switzerland.
Department of Psychology, Cognitive Psychology, Perception and Research Methods, University of Bern, Bern, Switzerland.
出版信息
Eur Eat Disord Rev. 2025 Jan;33(1):163-173. doi: 10.1002/erv.3135. Epub 2024 Sep 20.
OBJECTIVE
Cognitive behaviour therapy (CBT) online guided self-help programs represent efficacious and accessible treatment options for adults with binge-eating disorder (BED), but research on predictors of treatment outcome is scarce. This study aimed to investigate the predictive value of emotion regulation difficulties relative to that of negative mood on short- and longer-term treatment outcomes in an online guided self-help programme for BED above and beyond other predictors (age, sex, baseline BED severity).
METHODS
Participants were 63 adults (87% female, mean age 37.2 years) with BED. Data was analysed using a hierarchical model approach.
RESULTS
Emotion regulation difficulties better predicted both weekly binge-eating frequency and eating disorder (ED) pathology at posttreatment than negative mood, after controlling for the effect of age, sex and baseline BED severity. At 6-month follow-up, neither emotion regulation difficulties nor negative mood further added to the prediction of weekly binge-eating frequency, whereas negative mood, but not emotion regulation difficulties, did so for ED pathology.
CONCLUSION
These findings indicate that emotion regulation difficulties at treatment begin might be a relevant predictor of immediate treatment outcome in online guided self-help for adults with BED but might have lower impact on longer-term treatment outcome than negative mood.
CLINICAL TRIAL REGISTER NUMBER
The clinical trial register number is not given in this version of the manuscript due to anonymisation.
目的
认知行为疗法（CBT）在线指导自助项目是治疗成人暴食症（BED）的有效且可及的治疗选择，但关于治疗结果预测因素的研究较少。本研究旨在调查在一个针对BED的在线指导自助项目中，相较于负面情绪，情绪调节困难对短期和长期治疗结果的预测价值，同时考虑其他预测因素（年龄、性别、基线BED严重程度）。
方法
研究对象为63名患有BED的成年人（87%为女性，平均年龄37.2岁）。采用分层模型方法分析数据。
结果
在控制了年龄、性别和基线BED严重程度的影响后，情绪调节困难比负面情绪能更好地预测治疗后每周的暴食频率和饮食失调（ED）病理状况。在6个月的随访中，情绪调节困难和负面情绪都没有进一步增加对每周暴食频率的预测能力，而负面情绪而非情绪调节困难对ED病理状况有预测作用。
结论
这些发现表明，治疗开始时的情绪调节困难可能是成人BED在线指导自助治疗即时治疗结果的一个相关预测因素，但对长期治疗结果的影响可能比负面情绪小。
临床试验注册号
由于匿名化，本版本手稿未给出临床试验注册号。
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