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通过虚拟方式向饮食失调康复期成年人提供“饮食、呼吸、茁壮成长康复方案”的疗效:一项随机对照试验。

Efficacy of the Eat Breathe Thrive Recovery Protocol Delivered Virtually to Adults Recovering From Eating Disorders: A Randomized Controlled Trial.

作者信息

Cook-Cottone Catherine, Roff Chelsea, Perey Iris, Lagutaine Marianne, Guyker Wendy

机构信息

Department of Counseling, School, and Educational Psychology, University at Buffalo, State University of New York, Buffalo, New York, USA.

Eat Breathe Thrive, Give Back Yoga, London, UK.

出版信息

Int J Eat Disord. 2025 Feb;58(2):372-388. doi: 10.1002/eat.24337. Epub 2024 Nov 29.

Abstract

OBJECTIVE

Current treatments for eating disorders have limited effectiveness, leaving over half of patients unremitted. The evaluation of emerging interventions to support recovery is therefore critical. This study evaluated the efficacy and acceptability of an innovative, virtual intervention for eating disorders (Eat Breathe Thrive; EBT-R).

METHOD

Participants recovering from eating disorders from 27 different countries (N = 277) were randomly allocated to EBT-R or waitlist conditions. Assessments were completed at baseline, postintervention, and three-month follow-up. Primary outcomes were eating disorders and co-occurring psychopathology; secondary outcomes included measures of positive embodiment.

RESULTS

Compared with controls, participants in EBT-R demonstrated significant improvements in eating disorders and associated psychopathology (i.e., depression, anxiety) than controls. Participants also reported increased appreciation for the body, interoception, interoceptive attunement, intuitive eating, emotion regulation, mindful self-care, and integrity.

DISCUSSION

This study evaluated the efficacy of a brief, virtual, embodiment-focused intervention for eating disorders. The findings suggest that EBT-R may be an effective intervention to support recovery from eating disorders and development of positive embodiment.

摘要

目的

目前针对饮食失调的治疗效果有限,超过半数患者病情未得到缓解。因此,评估支持康复的新兴干预措施至关重要。本研究评估了一种创新的饮食失调虚拟干预措施(“饮食·呼吸·茁壮成长”;EBT-R)的疗效和可接受性。

方法

来自27个不同国家的饮食失调康复参与者(N = 277)被随机分配到EBT-R组或等待名单组。在基线、干预后和三个月随访时完成评估。主要结局是饮食失调和共病精神病理学;次要结局包括积极身体体验的测量指标。

结果

与对照组相比,EBT-R组参与者在饮食失调及相关精神病理学(即抑郁、焦虑)方面的改善显著优于对照组。参与者还报告了对身体的欣赏、内感受、内感受协调、直觉饮食、情绪调节、正念自我护理和完整性方面的增强。

讨论

本研究评估了一种简短的、虚拟的、以身体体验为重点的饮食失调干预措施的疗效。研究结果表明,EBT-R可能是支持饮食失调康复和积极身体体验发展的有效干预措施。

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