杂志文章@ 1438- 8871% I Gunther Eysenbach V 15% N 2% P e 12% T基于网络的治疗方案，对进食障碍患者进行强化治疗接触:前后研究%A ter Huurne,Elke D %A Postel,Marloes G %A de Haan,Hein A %A Drossaert,Constance H.C %A DeJong,Cor A.J %+ Tactus成瘾治疗，Institutenweg 1，恩斯赫德，荷兰，31 0883822887,e.terhuurne@tactus.nl %K饮食障碍%K eHealth %K互联网%K网络治疗%K强化治疗接触%K方案评估%K治疗效果。背景:尽管饮食失调在荷兰很常见，但只有少数患者得到了精神卫生保健专业人员的治疗。为了接触和治疗更多的饮食失调患者，Tactus Addiction Treatment开发了一个基于网络的治疗计划，在患者和治疗师之间进行异步和密集的个性化交流。目的:这项试点研究评估了基于网络的治疗方案，在165名饮食失调患者中使用强化治疗接触。方法:采用前后设计，随访6周和6个月，测量饮食障碍精神病理、身体不满、体重指数、身心健康和生活质量。参与者对基于网络的治疗方案的满意度也被研究了。收集了减员数据，如果参与者没有完成基于网络的治疗计划的所有10项任务，他们就被归类为未完成者。研究了完成者和未完成者之间基线特征的差异，以及未完成的原因。此外，还测量了三个主要饮食障碍诊断组EDNOS (n=115)、BN冲洗(n=24)和BN不冲洗(n=24)的参与者在治疗效果、治疗依从性和基线特征方面的差异。 Results: Of the 165 participants who started the web-based treatment program, 89 participants (54%) completed all of the program assignments (completers) and 76 participants (46%) ended the program prematurely (noncompleters). Severe body dissatisfaction and physical and mental health problems seemed to have a negative impact on the completion of the web-based treatment program. Among the participants who completed the treatment program, significant improvements were found in eating disorder psychopathology (F=54.6, df = 68, P<.001, d=1.14). Body dissatisfaction, quality of life, and physical and mental health also significantly improved, and almost all of these positive effects were sustained up to 6 months after the participants had completed the web-based treatment program. Body Mass Index improved only within the group of participants suffering from obesity. The improvement in eating disorder psychopathology occurred in all three eating disorder diagnostic groups, and the percentage of completers did not differ significantly between these groups. Participants’ satisfaction with the treatment program, as well as with their therapist, was high, and participants indicated that they would recommend the program to other patients with eating disorders. Conclusions: The results of this study suggest that the web-based treatment program has the potential to improve eating disorder psychopathology in patients with different types of eating disorders. %M 23380291 %R 10.2196/jmir.2211 %U //www.mybigtv.com/2013/2/e12/ %U https://doi.org/10.2196/jmir.2211 %U http://www.ncbi.nlm.nih.gov/pubmed/23380291