Evaluation of the Effects of Telepsychotherapy in the Treatment and Prevention of Eating Disorders in Adolescents
Abstract
:1. Introduction
2. Materials and Methods
2.1. Research Object
2.2. Search Strategy
2.3. Elegibility Criteria
- Participants: adolescents diagnosed with eating disorders, as the main recipients of the interventions, and adolescents who met the risk criteria for anorexia, bulimia and binge eating disorder.
- Intervention: included interventions using telepsychotherapy for the delivery of therapeutic treatments (CBT and FBT) through video conferencing, smartphone apps, online questionnaires for qualitative research, a web-based prevention program for parents of adolescents who met the risk criteria for anorexia, bulimia and binge eating disorderAN.
- Comparison: therapy as usual (TAU), wait-list control condition.
- Outcomes: body image satisfaction was considered for the results; increased body weight in an; reduction in psychopathological symptoms of the eating disorder (deliberate and planned weight control, food restriction due to weight concerns, excessive frequency of diets, vomiting, fasting, use of laxatives, tablets to lose weight, skipping meals) and secondary symptoms (anxiety, depression, self-esteem); reduction in anorexia, bulimia and binge eating disorderAN risk factors in prevention interventions.
- Study design: clinical trials, randomized clinical trial, review, systematic review, books and document.
2.4. Data Extraction
3. Results
3.1. Schemes
3.1.1. Heinicke et al. (2007)
3.1.2. Anastasiadou et al. (2020)
3.1.3. Anderson et al. (2017)
3.1.4. Jacobi et al. (2018)
3.1.5. Yaffa et al. (2021)
3.1.6. Wood S. et al. (2020)
4. Discussion
5. Conclusions
Author Contributions
Funding
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Authors | Year | Title | Nation | Type of Study | Sample | Measures | Follow Up | Results |
---|---|---|---|---|---|---|---|---|
Heinicke, B. E., Paxton, S. J., McLean, S. A., and Wertheim, E. H. | 2007 | Internet-delivered targeted group intervention for body dissatisfaction and disordered eating in adolescent girls: a randomized controlled trial. | Australia | Randomized Controlled Trial | 73 | BMI BSQ-SF DEBQ-R EDI-B SATAQ BDI-SF | 2 months 6 months | Significant improvements in measures of body dissatisfaction and symptoms of disordered eating (T2) in the intervention group undergoing CBT-like online sessions. These results were also maintained in the follow-up at 2 and 6 months. |
Anastasiadou, D., Folkvord, F., Brugnera, A., Cañas Vinader, L., SerranoTroncoso, E., Carretero Jardí, C., Linares Bertolin, R., Muñoz Rodríguez, R., Martínez Nuñez, B., Graell Berna, M., Torralbas-Ortega, J., Torrent-Solà, L., Puntí-Vidal, J., Carrera Ferrer, M., Muñoz Domenjó, A., Diaz Marsa, M., Gunnard, K., Cusido, J., Arcal Cunillera, J., & Lupiañez-Villanueva, F | 2020 | An mHealth intervention for the treatment of patients with an eating disorder: A multicenter randomized controlled trial. | Spain | Randomizes controlled trial | 106 | EDE-Q SEED BDI-II STAI EQ-5D-5L | NO | Significant reductions in primary and secondary outcomes were observed for participants in both groups, with no differences between the experimental and control groups, demonstrating that the combined intervention between CBT and smartphone apps does not provide further improvements in symptoms. |
Anderson, K. E., Byrne, C. E., Crosby, R. D., and Le Grange, D. | 2017 | Utilizing Telehealth to deliver family-based treatment for adolescent anorexia nervosa. | USA | Clinical trial | 10 | BMI EDE BDI RSE MINI-kid | 6 months | The percentage of mBMI improved significantly from basaline to the end of treatment, and from baseline to FU, with medium-large effect sizes. Reduction in secondary symptoms (depression). |
Jacobi, C., Hütter, K., Völker, U., Möbius, K., Richter, R., Trockel, M., Jones Bell, M., Lock, J., & Taylor, C. B. | 2018 | Efficacy of a Parent-Based, Indicated Prevention for Anorexia Nervosa: Randomized Controlled Trial | Germany | Randomized controlled trial | 66 Families with high risk’s daughters for AN. | WCS EDI-2 MPS-F EDE PMI | 6 months 12 months | The girls in the intervention group gained significantly more weight, although the size of the effect falls within the medium-small range. Parental participation in prevention intervention was very low |
Yaffa S. Adi E Itai P. Marit J. Doron G. Daniel S. | 2021 | Treatment of eating disorders in adolescents during the COVID-19 pandemic: a case series | Israel | Case report | 4 patients with ED | NO | The use of multidisciplinary interurban telemedicine treatment resulted in an improvement in the condition in three of the four adolescents living in well-organized families, only one teenager showed no improvement. | |
Wood M., M.S.H.P MD., White K., M.P.H MD., Peebles R., Pickel MD J., Alausa M., Mehringer J., Dowshen N., M.S.H.P. MD. | 2020 | Outcomes of a Rapid Adolescent Telehealth Scale-Up During the COVID-19 Pandemic | USA | Clinica Trial | 392 | No | In 331 unique patients, with an 82% appointment completion rate. Video visits were conducted for eating disorders (39%), contraception/menstrual disorders (22%), gender-affirming care (17%), general adolescent medicine (15%), HIV treatment (6%), and substance abuse (1%). |
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Maglia, M.; Corello, G.; Caponnetto, P. Evaluation of the Effects of Telepsychotherapy in the Treatment and Prevention of Eating Disorders in Adolescents. Int. J. Environ. Res. Public Health 2021, 18, 12573. https://doi.org/10.3390/ijerph182312573
Maglia M, Corello G, Caponnetto P. Evaluation of the Effects of Telepsychotherapy in the Treatment and Prevention of Eating Disorders in Adolescents. International Journal of Environmental Research and Public Health. 2021; 18(23):12573. https://doi.org/10.3390/ijerph182312573
Chicago/Turabian StyleMaglia, Marilena, Graziana Corello, and Pasquale Caponnetto. 2021. "Evaluation of the Effects of Telepsychotherapy in the Treatment and Prevention of Eating Disorders in Adolescents" International Journal of Environmental Research and Public Health 18, no. 23: 12573. https://doi.org/10.3390/ijerph182312573