期刊文章JMIR出版物基于网络的全自动自助与不同水平的治疗师支持进食障卡塔尔世界杯8强波胆分析碍症状的个体:随机对照试验%A Aardoom,Jiska J %A Dingemans,Alexandra E %A Spinhoven,Philip %A van Ginkel,Joost R %A de Rooij,Mark %A van Furth,Eric F %+ Rivierduinen饮食失调症Ursula，荷兰Leiden, 2300 AK，荷兰，31 718903009,j.aardoom@rivierduinen.nl %K ehealth %K饮食失调症%K基于互联网的%K治疗师支持%K自我监控%K自助%D 2016 %7 2016年6月17日%9原文%J J Med Internet Res %G English %X背景:尽管饮食失调(ED)具有致残的性质，但许多有ED症状的人没有得到适当的心理保健。基于互联网的干预措施有可能通过提供易于获得的卫生保健服务来减少未满足的需求。目的:本研究旨在调查一种基于互联网的干预措施对有ED症状的个体的有效性，这种干预措施被称为“Featback”。此外，还研究了不同强度治疗师支持的附加价值。方法:参与者(N=354)年龄在16岁或以上，有自我报告的ED症状，包括神经性厌食症、神经性贪食症和暴食症的症状。参与者是通过一个名为Featback的网站和一个荷兰支持康复的电子社区网站招募的，该社区专门为有ED问题的年轻女性提供服务。参与者被随机分配到:(1)由心理教育和全自动自我监测和反馈系统组成的Featback，(2)辅以低强度(每周)数字治疗师支持的Featback，(3)辅以高强度(每周3次)数字治疗师支持的Featback，以及(4)等待名单控制条件。在基线、干预后(即基线后8周)以及3个月和6个月的随访中完成互联网管理的自我报告问卷。 The primary outcome measure was ED psychopathology. Secondary outcome measures were symptoms of depression and anxiety, perseverative thinking, and ED-related quality of life. Statistical analyses were conducted according to an intent-to-treat approach using linear mixed models. Results: The 3 Featback conditions were superior to a waiting list in reducing bulimic psychopathology (d=−0.16, 95% confidence interval (CI)=−0.31 to −0.01), symptoms of depression and anxiety (d=−0.28, 95% CI=−0.45 to −0.11), and perseverative thinking (d=−0.28, 95% CI=−0.45 to −0.11). No added value of therapist support was found in terms of symptom reduction although participants who received therapist support were significantly more satisfied with the intervention than those who did not receive supplemental therapist support. No significant differences between the Featback conditions supplemented with low- and high-intensity therapist support were found regarding the effectiveness and satisfaction with the intervention. Conclusions: The fully automated Internet-based self-monitoring and feedback intervention Featback was effective in reducing ED and comorbid psychopathology. Supplemental therapist support enhanced satisfaction with the intervention but did not increase its effectiveness. Automated interventions such as Featback can provide widely disseminable and easily accessible care. Such interventions could be incorporated within a stepped-care approach in the treatment of EDs and help to bridge the gap between mental disorders and mental health care services. Trial Registration: Netherlands Trial Registry: NTR3646; http://www.trialregister.nl/trialreg/admin/ rctview.asp?TC=3646 (Archived by WebCite at http://www.webcitation.org/6fgHTGKHE) %M 27317358 %R 10.2196/jmir.5709 %U //www.mybigtv.com/2016/6/e159/ %U https://doi.org/10.2196/jmir.5709 %U http://www.ncbi.nlm.nih.gov/pubmed/27317358