Internet-based relapse prevention for anorexia nervosa: nine- month follow-up

Journal of Eating Disorders

Susanne Lindner¹  Norbert Quadflieg¹  Manfred Maximilian Fichter² 

[1] Department of Psychiatry and Psychotherapy, University of Munich (LMU), Nussbaumstraße 7, 80336 München, Germany;Schön Klinik Roseneck affiliated with the Medical Faculty of the University of Munich (LMU), 83209 Prien, Germany

关键词: Maintenance;    Follow-up;    Internet;    Eating disorder;    Adherence;    Risk of relapse;    Online psychotherapy;    Internet-based prevention;    Relapse prevention;    Anorexia nervosa;   

Others  :  802672
DOI  :  10.1186/2050-2974-1-23

 received in 2013-01-17, accepted in 2013-05-31,  发布年份 2013

【 摘 要 】

Background

To study the longer term effects of an internet-based CBT intervention for relapse prevention (RP) in anorexia nervosa.

Methods

210 women randomized to the RP intervention group (full and partial completers) or the control group were assessed for eating and general psychopathology. Multiple regression analysis identified predictors of favorable course concerning Body Mass Index (BMI). Logistic regression analysis identified predictors of adherence to the RP program.

Results

Most variables assessed showed more improvement for the RP than for the control group. However, only some scales reached statistical significance (bulimic behavior and menstrual function, assessed by expert interviewers blind to treatment condition). Very good results (BMI) were seen for the subgroup of “full completers” who participated in all nine monthly RP internet-based intervention sessions. “Partial completers” and controls (the latter non-significantly) underwent more weeks of inpatient treatment during the study period than “full completers”, indicating better health and less need for additional treatment among the “full completers”. Main long-term predictors for favorable course were adherence to RP, more spontaneity, and more ineffectiveness. Main predictors of good adherence to RP were remission from lifetime mood and lifetime anxiety disorder, a shorter duration of eating disorder, and additional inpatient treatment during RP.

Conclusions

Considering the high chronicity of AN, internet-based relapse prevention following intensive treatment appears to be promising.

【 授权许可】

   
2013 Fichter et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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