Internet-based interventions for eating disorders in adults: a systematic review

BMC Psychiatry

Research Article

Annemarie Tietjen¹  Ruth Dölemeyer²  Birgit Wagner²  Anette Kersting² 

[1] Department of Psychosomatic Medicine and Psychotherapy, University of Leipzig, Semmelweisstr. 10, 04103, Leipzig, Germany;Department of Psychosomatic Medicine and Psychotherapy, University of Leipzig, Semmelweisstr. 10, 04103, Leipzig, Germany;Leipzig University Medical Center, IFB AdiposityDiseases, Leipzig, Germany;

关键词: Eating disorders;    Internet-based intervention;    Systematic review;    Binge eating disorder;    Bulimia nervosa;    EDNOS;   

DOI  :  10.1186/1471-244X-13-207

 received in 2012-08-16, accepted in 2013-07-17,  发布年份 2013

来源: Springer

【 摘 要 】

BackgroundThis systematic review evaluates the efficacy of internet-based interventions for the treatment of different eating disorders in adults.MethodA search for peer reviewed journal articles detailing Randomised Control Trials (RCT) and Controlled Trials (CT) addressing participants with eating disorders aged at least 16 was completed in the electronic databases Web of Science, PsycInfo and PubMed. The quality of the included articles was assessed, results were reviewed and effect sizes and corresponding confidence intervals were calculated.ResultsEight studies, including a total of N = 609 participants, fulfilled the selection criteria and were included. The majority of treatments applied in these studies were based on CBT principles. Six studies described guided self-help interventions that showed significant symptom reduction in terms of primary and secondary outcomes regarding eating behaviour and abstinence rates. These studies produced significant medium to high effect sizes both within and between the groups after utilisation of guided self-help programs or a self-help book backed up with supportive e-mails. The two remaining studies utilised a specific writing task or e-mail therapy that did not follow a structured treatment program. Here, no significant effects could be found. Treatment dropout rates ranged from 9% to 47.2%. Furthermore, reductions in other symptoms, for example depression and anxiety, and an increase in quality of life were found by four studies.ConclusionsOverall, the results support the value of internet-based interventions that use guided self-help to tackle eating disorders, but further research is needed due to the heterogeneity of the studies.

【 授权许可】

CC BY   
© Dölemeyer et al.; licensee BioMed Central Ltd. 2013