{"title":"青少年饮食失调心理干预的有效性:系统综述","authors":"G. García-Fernández","doi":"10.21134/rpcna.2023.10.1.10","DOIUrl":null,"url":null,"abstract":"Eating disorders (EDs) are high prevalent among adolescents with serious consequences. Evidence of effectiveness of psychological interventions for eating disorders in adolescents lacks a systematic synthesis of systematic reviews. The goal of this umbrella review is to summarize evidence from systematic reviews examining effects of psychological interventions for eating disorders targeting adolescents. Web of Science, PsycINFO and Cochrane Database of Systematic Reviews were searched for systematic reviews on effectiveness and/or efficacy of any psychological intervention aiming to treat eating disorders in terms of outcomes in adolescents (improvement of eating-disorder symptoms, weight restoration and treatment retention). The methodological quality of each study was assessed using AMSTAR 2. The original search identified 831 reviews, 9 of which were included in the overview of systematic reviews rated as having a low methodological quality. Predominant psychological interventions for EDs in adolescents are family-based interventions. The efficacy of cognitive behavioral therapy and third-wave treatments has been less researched. Anorexia nervosa and bulimia nervosa are the EDs that have been studied the most. This study provides evidence supporting the positive impact of psychological interventions on eating disorders in adolescents. Family based treatment is the most evidence-based psychological intervention. There is a need for high-quality systematic reviews as well as systematic reviews to examine if psychological interventions are effective for different eating disorders.","PeriodicalId":43399,"journal":{"name":"Revista de Psicologia Clinica con Ninos y Adolescentes","volume":null,"pages":null},"PeriodicalIF":0.8000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effectiveness of psychological interventions for eating disorders in adolescence: An overview of systematic reviews\",\"authors\":\"G. García-Fernández\",\"doi\":\"10.21134/rpcna.2023.10.1.10\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Eating disorders (EDs) are high prevalent among adolescents with serious consequences. Evidence of effectiveness of psychological interventions for eating disorders in adolescents lacks a systematic synthesis of systematic reviews. 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引用次数: 0
摘要
饮食失调(EDs)在青少年中非常普遍,后果严重。青少年饮食失调心理干预有效性的证据缺乏系统综述的系统综合。本综述的目的是总结来自系统综述的证据,这些综述检查了针对青少年饮食失调的心理干预的效果。检索Web of Science、PsycINFO和Cochrane系统评价数据库,从结果(改善饮食失调症状、体重恢复和治疗效果)方面对任何旨在治疗青少年饮食失调的心理干预的有效性和/或疗效进行系统评价。使用AMSTAR 2评估每项研究的方法学质量。最初的检索确定了831篇综述,其中9篇被列入被评为具有低方法学质量的系统综述。青少年急症的主要心理干预是家庭干预。认知行为疗法和第三波疗法的疗效研究较少。神经性厌食症和神经性贪食症是目前研究最多的EDs。本研究为心理干预对青少年饮食失调的积极影响提供了证据。以家庭为基础的治疗是最循证的心理干预。有必要进行高质量的系统评价,以及系统评价,以检查心理干预是否对不同的饮食失调有效。
Effectiveness of psychological interventions for eating disorders in adolescence: An overview of systematic reviews
Eating disorders (EDs) are high prevalent among adolescents with serious consequences. Evidence of effectiveness of psychological interventions for eating disorders in adolescents lacks a systematic synthesis of systematic reviews. The goal of this umbrella review is to summarize evidence from systematic reviews examining effects of psychological interventions for eating disorders targeting adolescents. Web of Science, PsycINFO and Cochrane Database of Systematic Reviews were searched for systematic reviews on effectiveness and/or efficacy of any psychological intervention aiming to treat eating disorders in terms of outcomes in adolescents (improvement of eating-disorder symptoms, weight restoration and treatment retention). The methodological quality of each study was assessed using AMSTAR 2. The original search identified 831 reviews, 9 of which were included in the overview of systematic reviews rated as having a low methodological quality. Predominant psychological interventions for EDs in adolescents are family-based interventions. The efficacy of cognitive behavioral therapy and third-wave treatments has been less researched. Anorexia nervosa and bulimia nervosa are the EDs that have been studied the most. This study provides evidence supporting the positive impact of psychological interventions on eating disorders in adolescents. Family based treatment is the most evidence-based psychological intervention. There is a need for high-quality systematic reviews as well as systematic reviews to examine if psychological interventions are effective for different eating disorders.