Hartmann Steffen
Department of Psychology, Heidelberg University, Heidelberg, Germany.
Int J Eat Disord. 2025 Aug;58(8):1436-1439. doi: 10.1002/eat.24470. Epub 2025 May 19.
Eating disorders are associated with a high burden, functional impairment, and many comorbidities. Thus, evaluating the effectiveness of self-help interventions solely based on eating disorder symptom reduction limits their practical impact. The recent meta-analysis by Linardon and colleagues investigated the effectiveness of self-help interventions on general mental health outcomes. Although the results were promising, they also underscore several challenges encountered in research on self-help interventions for eating disorders. These include small effect sizes, limited data on clinically diagnosed samples, and insufficient evidence regarding mechanisms of change. In the future, adopting a transdiagnostic, process-oriented perspective and taking advantage of the flexibility of self-help interventions may lead to more effective treatments. Ultimately, this could help generalize treatment effects across various mental health symptoms and enhance overall quality of life in patients with eating disorders.
饮食失调与高负担、功能损害和许多共病相关。因此，仅基于饮食失调症状减轻来评估自助干预措施的有效性会限制其实际影响。利纳登及其同事最近的荟萃分析研究了自助干预措施对总体心理健康结果的有效性。尽管结果令人鼓舞，但它们也凸显了饮食失调自助干预措施研究中遇到的几个挑战。这些挑战包括效应量小、临床诊断样本的数据有限以及关于改变机制的证据不足。未来，采用跨诊断、以过程为导向的观点并利用自助干预措施的灵活性可能会带来更有效的治疗方法。最终，这有助于将治疗效果推广到各种心理健康症状，并提高饮食失调患者的整体生活质量。
