Davey Emily, Bryant-Waugh Rachel, Bennett Sophie D, Micali Nadia, Baudinet Julian, Konstantellou Anna, Clark-Stone Sam, Green Amelia, Shafran Roz
UCL Great Ormond Street Institute of Child Health, University College London, London, UK.
Maudsley Centre for Child and Adolescent Eating Disorders, South London and Maudsley NHS Foundation Trust, London, UK.
Eur Eat Disord Rev. 2025 May;33(3):595-607. doi: 10.1002/erv.3171. Epub 2025 Jan 2.
To conduct a proof-of-concept pilot study of a CBT guided self-help intervention for children and young people with eating disorders.
Children and young people were recruited from two outpatient eating disorder services in England. They received a CBT guided self-help intervention consisting of eight modules and weekly support sessions. Clinical outcomes (eating disorder psychopathology and associated impairment, changes in %median BMI, depression, anxiety, and behavioural difficulties) were assessed at baseline and post-intervention (12 weeks). Qualitative data were collected for future intervention refinement.
Six female adolescents (aged 13-17) received the CBT guided self-help intervention. All participants completed a minimum of six modules and six support sessions. Quantitative and qualitative feedback suggested that the intervention was acceptable. From baseline to post-intervention, there was a reduction in eating disorder psychopathology and impairment, along with an increase in %median BMI. Outcomes for depression, anxiety and behavioural difficulties were mixed.
The CBT guided self-help intervention was feasibly implemented, acceptable to participants, and showed potential to produce clinical benefits. While promising, these findings are preliminary and derived from a small, non-randomised sample of White female adolescents. More rigorous evaluation with a randomised design and a larger, representative sample is warranted.
对一项针对患有饮食失调症的儿童和青少年的认知行为疗法（CBT）引导式自助干预措施进行概念验证性试点研究。
从英格兰的两家门诊饮食失调服务机构招募儿童和青少年。他们接受了一项由八个模块和每周一次支持性会议组成的CBT引导式自助干预。在基线和干预后（12周）评估临床结果（饮食失调精神病理学及相关损害、中位体重指数（BMI）百分比变化、抑郁、焦虑和行为困难）。收集定性数据以供未来完善干预措施。
六名女性青少年（年龄13 - 17岁）接受了CBT引导式自助干预。所有参与者至少完成了六个模块和六次支持性会议。定量和定性反馈表明该干预措施是可接受的。从基线到干预后，饮食失调精神病理学及损害有所减少，同时中位BMI百分比有所增加。抑郁、焦虑和行为困难的结果不一。
CBT引导式自助干预措施得以切实实施，参与者可接受，且显示出产生临床益处的潜力。尽管前景乐观，但这些发现是初步的，且来自一小群非随机抽样的白人女性青少年。有必要采用随机设计和更大规模、更具代表性的样本进行更严格的评估。
