Background: There has been a recent rise in the use of eHealth treatments for a variety of psychological disorders, including eating disorders. Objective: This meta-analysis of randomized controlled trials is the first to evaluate the efficacy of eHealth interventions specifically for the treatment of binge eating disorder (characterized by compulsive overconsumption of food, in a relatively short period, and without compensatory behaviors such as purging or fasting). Methods: A search on the electronic databases PubMed, Web of Science, Embase, MEDLINE, and CINAHL was conducted for randomized controlled trials that compared the efficacy of eHealth treatment interventions with waitlist controls. Results: From the databases searched, 3 studies (298 participants in total) met the inclusion criteria. All interventions were forms of internet-based guided cognitive behavioral therapy. The results of the analysis demonstrated that when compared with waitlist controls, individuals enrolled in eHealth interventions experienced a reduction in objective binge episodes (standardized mean difference [SMD] −0.77, 95% CI −1.38 to −0.16) and eating disorder psychopathology (SMD −0.71, 95% CI −1.20 to −0.22), which included shape (SMD −0.61, 95% CI −1.01 to −0.22) and weight concerns (SMD −0.91, 95% CI −1.33 to −0.48). There was no significant difference in BMI between the eHealth interventions and controls (SMD −0.01, 95% CI −0.40 to 0.39). Conclusions: These findings provide promising results for the use of internet-based cognitive behavioral therapy for binge eating disorder treatment and support the need for future research to explore the efficacy of these eHealth interventions.

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中文翻译：

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电子健康干预措施对诊断为完全或阈下暴食症成人的治疗效果：系统评价和荟萃分析


背景：最近，电子健康疗法用于治疗各种心理疾病（包括饮食失调）的情况有所增加。目的：这项随机对照试验的荟萃分析首次评估了专门用于治疗暴食症（其特征是在相对较短的时间内强迫性过度消费食物，并且没有诸如清除或进食等补偿行为）的电子健康干预措施的功效。禁食）。方法：在电子数据库 PubMed、Web of Science、Embase、MEDLINE 和 CINAHL 中检索随机对照试验，比较电子健康治疗干预措施与候补名单对照的疗效。结果：从检索到的数据库中，有 3 项研究（总共 298 名受试者）符合纳入标准。所有干预措施都是基于互联网引导的认知行为治疗的形式。分析结果表明，与等候名单对照相比，参加电子健康干预措施的个体客观暴饮暴食事件（标准化平均差[SMD] -0.77，95% CI -1.38至-0.16）和饮食失调精神病理学（SMD）减少-0.71，95% CI -1.20 至 -0.22），其中包括形状（SMD -0.61，95% CI -1.01 至 -0.22）和重量问题（SMD -0.91，95% CI -1.33 至 -0.48）。电子健康干预措施和对照之间的 BMI 没有显着差异（SMD -0.01，95% CI -0.40 至 0.39）。结论：这些发现为使用基于互联网的认知行为疗法治疗暴食症提供了有希望的结果，并支持未来研究探索这些电子健康干预措施功效的需要。


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