Acute Augmentations to Psychological Therapies in Eating Disorders: A Systematic Review and Meta-Analysis.

IF 5.5 2区医学 Q1 PSYCHIATRY

Current Psychiatry Reports Pub Date : 2024-09-01 Epub Date: 2024-08-02 DOI:10.1007/s11920-024-01519-y

Jamie-Lee Pennesi, Catherine Johnson, Marcela Radünz, Tracey D Wade

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Abstract

Purpose of review: The purpose of this systematic review and meta-analysis was to examine the use and efficacy of acute augmentation therapies in eating disorders.

Recent findings: A meta-analysis addressing this topic across psychological disorders found augmentation significantly improved therapy outcome with strongest findings for augmentations targeting biological mechanisms; however, only one study examined eating disorders. Our systematic review identified 29 studies examining people with eating disorders (N = 1831 participants, 93.7% female), of which 17 RCTs (n = 1162 participants) were included in the meta-analysis. Small subgroups of acute augmentations were identified. Adding acute augmentations to an intervention was effective in 72.4% of studies, with a significant effect on eating disorder outcomes (Hedges' g = 0.14, 95% CI: [0.02, 0.26]). Acute augmentation looks to be a promising approach regardless of weight status or whether it is added to treatment as usual or a single therapy approach.

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饮食失调症心理疗法的急性辅助疗法：系统回顾与元分析》。

综述目的：本系统综述和荟萃分析旨在研究急性增强疗法在进食障碍中的应用和疗效：一项针对各种心理障碍的荟萃分析发现，增强疗法能显著改善治疗效果，其中针对生物机制的增强疗法效果最佳；然而，只有一项研究对进食障碍进行了研究。我们的系统综述确定了 29 项针对饮食失调症患者的研究（N = 1831 名参与者，93.7% 为女性），其中 17 项 RCT（N = 1162 名参与者）被纳入荟萃分析。确定了急性增强疗法的小分组。在72.4%的研究中，在干预措施中加入急性增强疗法是有效的，对饮食失调的结果有显著影响（Hedges' g = 0.14, 95% CI: [0.02, 0.26]）。不管体重状况如何，也不管是在常规治疗的基础上还是在单一疗法的基础上，急性增强疗法看起来都是一种很有前景的方法。

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来源期刊

Current Psychiatry Reports PSYCHIATRY-

CiteScore

11.30

自引率

3.00%

发文量

审稿时长

6-12 weeks

期刊介绍： This journal aims to review the most important, recently published research in psychiatry. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care of those affected by psychiatric disorders. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as anxiety, medicopsychiatric disorders, and schizophrenia and other related psychotic disorders. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.