PDF(Pubmed)
Abstract：
BACKGROUND: Binge eating disorder (BED) is the most frequent eating behavior among the general population (Guerdjikova in Med Clin 103:669-680, 2019). Many studies on interventions and BED treatments have been carried out in the United States and Europe, few have been reported in Latin American populations. People with this disorder not only have physical consequences of it but also social and psychological ones, therefore a multidisciplinary treatment approach is a good option to treat this condition.
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.
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.
摘要：
背景：暴食症（BED）是普通人群中最常见的饮食行为（GuerdjikovainMedClin103：669-680，2019）。在美国和欧洲已经进行了许多关于干预和BED治疗的研究，在拉丁美洲人口中很少有报道。患有这种疾病的人不仅有身体上的后果，还有社会和心理上的后果，因此，多学科治疗方法是治疗这种疾病的好选择。
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。
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。
