OBJECTIVE: To evaluate the feasibility of a multidisciplinary online intervention (i.e., psychological, nutritional, and physical activity) in patients with BED.
METHODS: The design was a case series study of two clinical treatment groups, with pre-test and post-test psychometric measures along with two follow-ups (at 2 and 6 months). Fifteen people diagnosed with BED (2 men and 13 women), with a mean age of 34.93 years (SD=11.91) and a mean initial BMI of 42, participated in this study. The treatment was carried out over the span of 28 sessions, each one being two hours per week consisting of 1 hour of group therapy and 1 hour of individual therapy. There were four evaluations: pre, post and two follow-ups.
RESULTS: Five patients did not complete the treatment (30%). The comparisons were made through the non-parametric Friedman test, finding a statistically significant decrease in binge eating symptoms (x2=15.57; p=.001), anxiety symptoms (x2=15.96; p=.001) and depression (x2=15.03; p=.002). There was an improvement in clarity (x2=11.60; p=.010) and emotional regulation (x2=7.75; p=.050), only in women. The patients reduced their body weight, and improved their eating and exercise habits by introducing fruits and vegetables and including 20-30 minutes of physical activity into their daily routine. Regarding the Objective Clinical Change Index, in terms of the objective clinical change, a positive change was observed in all the variables addressed.
CONCLUSIONS: The data presented allowed us to conclude that the online multidisciplinary intervention was effective in the treatment of BED. Trial registration Retrospectively registered.
目的:评估多学科在线干预的可行性(即,心理,营养,和身体活动)在BED患者中。
方法:设计是两个临床治疗组的病例系列研究,进行测试前和测试后的心理测量以及两次随访(2个月和6个月)。15人被诊断为BED(2名男性和13名女性),平均年龄34.93岁(SD=11.91),平均初始BMI为42,参与本研究.治疗在28个疗程中进行,每周2小时,包括1小时的小组治疗和1小时的单独治疗.有四个评价:pre,后和两个后续行动。
结果:5例患者未完成治疗(30%)。通过非参数弗里德曼检验进行比较,发现暴饮暴食症状的统计学显着减少(x2=15.57;p=.001),焦虑症状(x2=15.96;p=.001)和抑郁(x2=15.03;p=.002)。清晰度(x2=11.60;p=.010)和情绪调节(x2=7.75;p=.050)有所改善,只有在女人。病人减轻了体重,并通过在日常生活中引入水果和蔬菜以及包括20-30分钟的体育锻炼来改善他们的饮食和运动习惯。关于客观临床变化指数,就客观的临床变化而言,在所处理的所有变量中均观察到正变化.
结论:所提供的数据使我们得出结论,在线多学科干预对BED的治疗是有效的。试用登记追溯登记。