Scanferla Elisabetta, de Salle Juliette, Monthuy-Blanc Johana, Mancusi Rossella Letizia, Lespine Louis-Ferdinand, Rey Romain, Gorwood Philip
CRPMS (EP), Université Paris Cité, Paris, France.
GHU Paris Psychiatrie et Neurosciences, CMME, Hôpital Sainte-Anne, Paris, France.
Eur Psychiatry. 2025 Aug 22;68(1):e121. doi: 10.1192/j.eurpsy.2025.10089.
There is an urgent need to improve early accessibility to psychoeducational interventions for informal caregivers of individuals with eating disorders (EDs). We adapted the BREF programme, a short, single-family, psycho-educational intervention originally developed for caregivers in severe mental disorders, to EDs (BREF-ED) and assessed at diagnosis announcement. We hypothesised that it has a good acceptability and effectiveness in reducing short-term caregivers' self-reported levels of burden and depressive symptoms.
Data of caregivers who participated in the BREF-ED programme were analysed. Adherence, satisfaction, and perceived usefulness were evaluated. Changes in self-reported burden and depression symptoms were measured pre-, post-, and 3 months after the intervention using the Zarit Burden Interview (ZBI) and Center for Epidemiological Studies - Depression scale (CES-D).
Of the 53 caregivers included in the study, 52 participants completed the BREF-ED programme. As compared to baseline, ZBI scores showed a significant reduction after the intervention (Cohen's = 0.61, < 0.001), and at the 3-month assessment (Cohen's = 0.62, < 0.001). The CES-D scores also significantly decreased by the end of the third session (Cohen's = 0.83, < 0.001) and at the 3-month follow-up (Cohen's = 0.77, < 0.001). Satisfaction scores were high, with 90.1% of participants reporting being "very satisfied" and 9.9% "satisfied."
Preliminary findings demonstrated high adherence rates, caregiver satisfaction, and a positive impact on burden and related depressive symptoms immediately after the programme and at short-term follow-up. This time- and resource-efficient programme has the potential for easy dissemination.
迫切需要提高饮食失调（ED）患者的非正式照料者获得心理教育干预的早期可及性。我们对BREF项目进行了改编，该项目是一种简短的、针对单一家庭的心理教育干预措施，最初是为严重精神障碍患者的照料者开发的，将其应用于饮食失调患者（BREF-ED），并在诊断告知时进行评估。我们假设它在降低照料者短期自我报告的负担水平和抑郁症状方面具有良好的可接受性和有效性。
分析参与BREF-ED项目的照料者的数据。评估依从性、满意度和感知有用性。使用Zarit负担访谈量表（ZBI）和流行病学研究中心抑郁量表（CES-D）在干预前、干预后和干预后3个月测量自我报告的负担和抑郁症状的变化。
在纳入研究的53名照料者中，52名参与者完成了BREF-ED项目。与基线相比，干预后ZBI评分显著降低（科恩d值=0.61，P<0.001），在3个月评估时也显著降低（科恩d值=0.62，P<0.001）。CES-D评分在第三阶段结束时也显著下降（科恩d值=0.83，P<0.001），在3个月随访时也显著下降（科恩d值=0.77，P<0.001）。满意度评分很高，90.1%的参与者报告“非常满意”，9.9%“满意”。
初步研究结果表明，该项目的依从率高、照料者满意度高，并且在项目结束后立即和短期随访时对负担和相关抑郁症状有积极影响。这个节省时间和资源的项目具有易于推广的潜力。
