Absolute and relative outcomes of cognitive behavior therapy for eating disorders in adults: a meta-analysis.

IF 3 3区医学 Q2 PSYCHIATRY

Eating Disorders Pub Date : 2024-11-08 DOI:10.1080/10640266.2024.2421057

Pim Cuijpers, Mathias Harrer, Clara Miguel, Aaron Keshen, Eirini Karyotaki, Jake Linardon

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引用次数: 0

Abstract

Cognitive-behavioral therapy (CBT) is the best examined treatment for eating disorders. However, previous meta-analyses of cognitive-behavioral therapy have not examined absolute outcomes, which are important from a clinical perspective. We updated a meta-analysis and conducted new searches in PubMed, Embase, PsycINFO and CINAHL. We included randomized trials comparing CBT with control conditions in adults with a diagnosed eating disorder. We used random effects models in all analyses. We included 36 trials with 44 comparisons between CBT and controls (2,809 participants), 22 trials on binge eating disorder (BED), 11 on bulimia nervosa (BN), and three on anorexia nervosa and mixed disorders. The overall effect of CBT compared to controls was g = 0.88 (95% CI: 0.71; 1.04), with high heterogeneity (I² = 74; 95% CI: 65; 81; PI: -0.06; 1.81) and no significant difference between BED and BN. Effects were smaller studies with low risk of bias. The absolute abstinence rate was 0.36 (95% CI: 0.31; 0.43) for CBT and 0.10 (95% CI: 0.08; 0.12) in controls. ly effective in the treatment of bulimia nervosa and binge-eating disorder, but there is also a large group of patients who do not respond sufficiently.

查看原文本刊更多论文

成人饮食失调认知行为疗法的绝对和相对疗效：一项荟萃分析。

认知行为疗法（CBT）是治疗饮食失调症的最佳疗法。然而，以往对认知行为疗法进行的荟萃分析并未对绝对疗效进行研究，而从临床角度来看，绝对疗效是非常重要的。我们更新了一项荟萃分析，并在 PubMed、Embase、PsycINFO 和 CINAHL 中进行了新的检索。我们纳入了对已确诊患有饮食失调症的成人进行 CBT 与对照条件比较的随机试验。我们在所有分析中都使用了随机效应模型。我们纳入了 36 项试验，其中有 44 项是对 CBT 和对照组（2809 名参与者）进行比较，22 项试验涉及暴饮暴食症（BED），11 项涉及神经性贪食症（BN），3 项涉及神经性厌食症和混合性障碍。与对照组相比，CBT 的总体效果为 g = 0.88 (95% CI: 0.71; 1.04)，异质性较高 (I2 = 74; 95% CI: 65; 81; PI: -0.06; 1.81)，BED 和 BN 之间无显著差异。影响较小的研究偏倚风险较低。CBT 的绝对戒断率为 0.36 (95% CI: 0.31; 0.43)，对照组为 0.10 (95% CI: 0.08; 0.12)。 CBT 在治疗神经性贪食症和暴饮暴食症方面效果显著，但也有很大一部分患者反应不佳。

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

Eating Disorders PSYCHIATRY-PSYCHOLOGY

CiteScore

7.70

自引率

9.10%

发文量

期刊介绍： Eating Disorders is contemporary and wide ranging, and takes a fundamentally practical, humanistic, compassionate view of clients and their presenting problems. You’ll find a multidisciplinary perspective on clinical issues and prevention research that considers the essential cultural, social, familial, and personal elements that not only foster eating-related problems, but also furnish clues that facilitate the most effective possible therapies and treatment approaches.