European eating disorders review : the journal of the Eating Disorders Association · 2025
Self-Guided Psychological Interventions for the Treatment and Prevention of Eating Disorders: A Meta-Analysis of Randomized Controlled Trials.
СтатьяМетаанализОбзорПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Linardon Jake, Liu Claudia, McClure Zoe, Jarman Hannah K, Messer Mariel, Anderson Cleo, Fuller-Tyszkiewicz Matthew
Аннотация
BACKGROUND: Self-guided interventions may broaden the dissemination of evidence-based prevention and treatment protocols for eating disorders. We conducted a meta-analysis comparing self-guided prevention and treatment approaches for eating disorders to (1) control groups and (2) professionally guided self-help programs.
METHODS: Forty-six trials were included. Interventions ranged from web, to app, to CD-ROM to book-based programs. Random effects meta-analyses were conducted on numerous symptom and risk outcomes.
RESULTS: Only four trials recruited an unselected sample, with self-guided programs reducing shape/weight concerns over control groups (g = 0.18). Among high risk/symptomatic samples (k = 25), self-guided interventions reduced several behavioural and cognitive symptoms (gs = 0.31-0.50) over control groups, with effects being robust when adjusting for higher risk of bias and small sample trials. Among clinical samples (k = 17), evidence for the effectiveness of self-guided interventions over control groups on symptom measures was only found for binge-eating disorder, as too few studies sampled other diagnostic subtypes. Among 10 trials that compared guided to unguided self-help, we observed a significant effect in symptom reduction in favour of guided self-help (g = -0.26). Dropout did not differ between guided and unguided self-help (OR = 0.97).
CONCLUSION: Self-guided interventions may be an effective, low intensity intervention format for high risk individuals or for binge-eating disorder presentations.
METHODS: Forty-six trials were included. Interventions ranged from web, to app, to CD-ROM to book-based programs. Random effects meta-analyses were conducted on numerous symptom and risk outcomes.
RESULTS: Only four trials recruited an unselected sample, with self-guided programs reducing shape/weight concerns over control groups (g = 0.18). Among high risk/symptomatic samples (k = 25), self-guided interventions reduced several behavioural and cognitive symptoms (gs = 0.31-0.50) over control groups, with effects being robust when adjusting for higher risk of bias and small sample trials. Among clinical samples (k = 17), evidence for the effectiveness of self-guided interventions over control groups on symptom measures was only found for binge-eating disorder, as too few studies sampled other diagnostic subtypes. Among 10 trials that compared guided to unguided self-help, we observed a significant effect in symptom reduction in favour of guided self-help (g = -0.26). Dropout did not differ between guided and unguided self-help (OR = 0.97).
CONCLUSION: Self-guided interventions may be an effective, low intensity intervention format for high risk individuals or for binge-eating disorder presentations.