The predictive value of emotion regulation difficulties and negative mood on short and long-term treatment outcomes in an online guided self-help programme for adults with binge-eating disorder.

IF 4.3 3区材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC

ACS Applied Electronic Materials Pub Date : 2024-09-20 DOI:10.1002/erv.3135

Felicitas Forrer, Marius Rubo, Andrea Wyssen, Andrea H Meyer, Simone Munsch

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Abstract

Objective: Cognitive behaviour therapy (CBT) online guided self-help programs represent efficacious and accessible treatment options for adults with binge-eating disorder (BED), but research on predictors of treatment outcome is scarce. This study aimed to investigate the predictive value of emotion regulation difficulties relative to that of negative mood on short- and longer-term treatment outcomes in an online guided self-help programme for BED above and beyond other predictors (age, sex, baseline BED severity).

Methods: Participants were 63 adults (87% female, mean age 37.2 years) with BED. Data was analysed using a hierarchical model approach.

Results: Emotion regulation difficulties better predicted both weekly binge-eating frequency and eating disorder (ED) pathology at posttreatment than negative mood, after controlling for the effect of age, sex and baseline BED severity. At 6-month follow-up, neither emotion regulation difficulties nor negative mood further added to the prediction of weekly binge-eating frequency, whereas negative mood, but not emotion regulation difficulties, did so for ED pathology.

Conclusion: These findings indicate that emotion regulation difficulties at treatment begin might be a relevant predictor of immediate treatment outcome in online guided self-help for adults with BED but might have lower impact on longer-term treatment outcome than negative mood.

Clinical trial register number: The clinical trial register number is not given in this version of the manuscript due to anonymisation.

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在针对暴饮暴食症成人的在线指导自助计划中，情绪调节困难和消极情绪对短期和长期治疗效果的预测价值。

目的：认知行为疗法（CBT）在线指导自助项目是针对暴饮暴食障碍（BED）成人的一种有效且方便的治疗方法，但有关治疗结果预测因素的研究却很少。本研究旨在调查情绪调节困难相对于消极情绪对暴食症在线指导自助项目短期和长期治疗结果的预测价值，以及其他预测因素（年龄、性别、暴食症基线严重程度）之外的预测价值：参与者为 63 名患有 BED 的成年人（87% 为女性，平均年龄 37.2 岁）。采用层次模型法对数据进行分析：结果：在控制了年龄、性别和基线 BED 严重程度的影响后，情绪调节困难比消极情绪更能预测治疗后每周暴饮暴食频率和进食障碍（ED）病理。在6个月的随访中，情绪调节困难和消极情绪都没有进一步增加对每周暴饮暴食频率的预测，而消极情绪（而非情绪调节困难）则增加了对进食障碍病理的预测：这些研究结果表明，在对患有 BED 的成人进行在线指导自助治疗时，治疗开始时的情绪调节困难可能是预测即时治疗结果的相关因素，但对长期治疗结果的影响可能低于消极情绪：临床试验登记号：由于匿名化原因，本版手稿未提供临床试验登记号。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

ACS Applied Electronic Materials Multiple-

CiteScore

7.20

自引率

4.30%

发文量

567