ECHOMANTRA个人在线干预支持青少年饮食失调患者康复的有效性：一项随机对照试验。

IF 3.4 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review Pub Date : 2025-07-21 DOI:10.1002/erv.70013

A Ruiz, Y Quiles, E León, M L Vila, G Piera, A Navarro, G Pagán, M Segura, I Agulló, G Llorca, C Romero, M España

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引用次数: 0

摘要

ECHOMANTRA支持患者和护理人员作为辅助治疗饮食失调（Eds）。目的：本研究评估ECHOMANTRA作为青少年ED患者及其护理人员常规治疗（TAU）的附加治疗的有效性，可接受性和可行性，使用个性化的在线格式。方法：一项多中心随机对照试验比较了两个平行组（TAU + ECHOMANTRA组与TAU单独组）的108名患者-护理者。结果：两组患者在BMI、ED症状、情绪状态、生活质量、改变信心、强迫症、完美主义等方面均有改善，其中ECHOMANTRA + TAU组效果更大。两组护理人员在表达情绪、适应、感知ED影响和情绪幸福感方面均有改善，ECHOMANTRA + TAU组效果更大。只有这组护理人员的护理技能有所提高。治疗完成率高（患者87.04%，护理人员81.84%），满意度高。结论：ECHOMANTRA是一种有效的、可行的在线干预措施，当加入标准治疗时，可以提高青少年ED患者和护理人员的预后。

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Efficacy of the ECHOMANTRA Individual Online Intervention to Support Recovery From Eating Disorders in Adolescent Patients: A Randomized Controlled Trial.

Introduction: ECHOMANTRA supports both patients and carers as an adjunct to treatment in Eating Disorders (Eds).

Objective: This study evaluates the efficacy, acceptability, and feasibility of ECHOMANTRA as an add-on to treatment-as-usual (TAU) for adolescent ED patients and their carers, using an individualised online format.

Method: A multicenter, randomized controlled trial compared two parallel groups (TAU + ECHOMANTRA vs. TAU alone) with 108 patient-carer dyads.

Results: Patients in both groups showed improvements in BMI, ED symptoms, emotional state, quality of life, confidence in change, obsessiveness, and perfectionism, with larger effects in the ECHOMANTRA + TAU group. Carers in both groups improved in expressed emotion, accommodation, perceived ED impact, and emotional well-being, with greater effects in the ECHOMANTRA + TAU group. Only carers in this group improved in caregiver skills. Completion rates were high (patients: 87.04%, carers: 81.84%), with strong satisfaction.

Conclusions: ECHOMANTRA is an effective, feasible online intervention that enhances outcomes for adolescent ED patients and carers when added to standard care.

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来源期刊

European Eating Disorders Review PSYCHOLOGY, CLINICAL-

CiteScore

8.90

自引率

7.50%

发文量

期刊介绍： European Eating Disorders Review publishes authoritative and accessible articles, from all over the world, which review or report original research that has implications for the treatment and care of people with eating disorders, and articles which report innovations and experience in the clinical management of eating disorders. The journal focuses on implications for best practice in diagnosis and treatment. The journal also provides a forum for discussion of the causes and prevention of eating disorders, and related health policy. The aims of the journal are to offer a channel of communication between researchers, practitioners, administrators and policymakers who need to report and understand developments in the field of eating disorders.