섭식장애에서 비약물적 중재의 효과: 체계적 문헌고찰 및 메타분석
The effects of non-pharmacological interventions for adults with eating disorders: A systematic review and meta-analysis
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Objectives: Despite the importance of Non-pharmacological interventions for Eating Disorders, no meta-analysis providing definite conclusions in this field has been reported. The purpose of the this study was to conduct meta-analysis of Non-pharmacological interventions for the improvement of eating disorders. Methods: We searched the Koreamed, KISTI, KMBASE, RISS and KISS and so on up to October 2017 using search terms such as ((Eating disorders OR anorexia OR binge) AND (Mediation OR program OR treatment OR therapy OR technique)) in Korean. Results: Initial searches yielded 602 citations. Of these results, seven met selection criteria. Interventions reduced the risk of binge eating disorder (standardised mean difference [SMD] -2.133, 95% CI -3.107∼-1.159). Interventions reduced drive for leanness (-1.857, -3.143∼-0.571), body dissatisfaction (-1.357, -2.238∼-0.477), depression (-0.745, -1.298∼-0.192), but not physical function (0.191, -0.089∼0.471). Conclusions: The results from this study indicate that Non-pharmacological Interventions may help Eating disorders' binge eating, drive for thinness, body dissatisfaction, depression. However, larger-scale studies are needed to confirm this conclusion.
Abstract
Objectives: Despite the importance of Non-pharmacological interventions for Eating Disorders, no meta-analysis providing definite conclusions in this field has been reported. The purpose of the this study was to conduct meta-analysis of Non-pharmacological interventions for the improvement of eating disorders. Methods: We searched the Koreamed, KISTI, KMBASE, RISS and KISS and so on up to October 2017 using search terms such as ((Eating disorders OR anorexia OR binge) AND (Mediation OR program OR treatment OR therapy OR technique)) in Korean. Results: Initial searches yielded 602 citations. Of these results, seven met selection criteria. Interventions reduced the risk of binge eating disorder (standardised mean difference [SMD] -2.133, 95% CI -3.107∼-1.159). Interventions reduced drive for leanness (-1.857, -3.143∼-0.571), body dissatisfaction (-1.357, -2.238∼-0.477), depression (-0.745, -1.298∼-0.192), but not physical function (0.191, -0.089∼0.471). Conclusions: The results from this study indicate that Non-pharmacological Interventions may help Eating disorders' binge eating, drive for thinness, body dissatisfaction, depression. However, larger-scale studies are needed to confirm this conclusion.
참고문헌 (38)
- Agras, W. S., "A multicenter comparison of cognitive-behavioral therapy and interpersonal psychotherapy for bulimia nervosa", Archives of General Psychiatry, 57(5), pp.459~466 (2000)[DOI]
- Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV, "American Psychiatric Association", American Psychiatric Association, ~ (1994)
- Arnow, B., "The emotional eating scale: The development of a measure to assess coping with negative affect by eating", International Journal of Eating Disorders, 18, pp.79~90 (1995)[DOI]
- Baer, R. A., "Mindfulness-based cognitive therapy applied to binge eating: A case study", Cognitive and Behavioral Practice, 12(3), pp.351~358 (2005)[DOI]
- Baer, R. A., "Mindfulness and acceptance in the treatment of disordered eating", Journal of Rational-emotive and Cognitive-behavior Therapy, 23, pp.281~300 (2005)[DOI]
- Binford, R. B., "Relation of binge eating age of onset to functional aspects of binge eating in binge eating disorder", International Journal of Eating Disorders, 35(3), pp.286~292 (2004)[DOI]
- Cooper, Z., "Cognitivebehavioral treatment of obesity—a clinicians’ guide" (2006), The Guilford Press
- Fairburn, C. G., "Eating disorders", The Lancet, 361(9355), pp.407~416 (2003)[DOI]
- Fox, J. R. E., "Eating disorders and multi-level models of emotion: An integrated model", Clinical Psychology and Psychotherapy, 16, pp.240~267 (2009)[DOI]
- Han, J. H, "Effect of cognitive-behavioral group therapy of bulimia nervosa", master, pp.2003
- "DAMI & RoBANS version 2.0 by HIRA" (2010)[URL]
- Higgins, J. P. T., "Cochrane handbook for systematic reviews of interventions 5.1.0", pp.34~49 (2011), Cochrane Collaboration
- Higgins, J. P., "Measuring inconsistency in meta-analyses", British Medical Journal, 327(7414), pp.557~ (2003)[DOI]
- Kim, G. E., "Overview and recent trends of systematic reviews and meta-analyses in hepatology", Clinical Molecular and Hepatology, 20(2), pp.137~150 (2014)[DOI]
- Kim, J. H., "Types of mindfulness meditation and their implications for cognitive behavioral therapy", Cognitive Behavior Therapy in Korea, 4(2), pp.27~44 (2004)
- 김미옥, "여대생들의 체중에 대한 인식과 신체 부위별 만족도", 한국식품영양학회지, 22(2), pp.205~214 (2009), 한국식품영양학회
- Kim, S. H., "Effect of clinical art therapy on self-esteem and depression of eating disorder patients", Journal of The Korean Academy of Clinical Art Therapy, 9(2), pp.27~38 (2014)
- 김율리, "섭식장애의 신체적 이상과 치료", 대한의사협회지, 61(3), pp.191~197 (2018), 대한의사협회[DOI]
- 공성숙, "섭식장애를 위한 낮병원 프로그램 개발에 관한 연구", Journal of Korean Academy of Nursing, 34(1), pp.25~34 (2004), 한국간호과학회
- Kristeller, J. L., "An exploratory study of a meditation-based intervention for binge eating disorder", Journal of Health Psychology, 4, pp.357~363 (1999)[DOI]
- Kwon, H. I., "The effects of cognitive-behavioral treatment of college women with binge eating", Cognitive Behavior Therapy in Korea, 3(1), pp.27~42 (2003)
- 이지은, "폭식행동에 대한 단기 심리교육 프로그램의 효과", 청소년상담연구, 10(2), pp.141~159 (2002), 한국청소년상담복지개발원
- 이정윤, "여대생의 이상식사행동 수준에 따른 심리적, 정서적 특성", 한국심리학회지: 상담 및 심리치료, 15(1), pp.111~124 (2003), 한국상담심리학회
- 이수진, "마음챙김 명상이 섭식장애환자의 폭식, 신체 불만족, 우울 및 분노에 미치는 효과: 예비적 연구", 정신건강과 사회복지, 43(3), pp.58~81 (2015), 한국정신건강사회복지학회
- 이상선, "몸매와 체중에 근거한 자기 평가와 신체 불만족이 여대생의 이상 섭식 행동에 미치는 영향", Korean Journal of Clinical Psychology, 23(1), pp.91~106 (2004), 한국임상심리학회
- McFarlane, T., "Weight-related and shape‐related self‐evaluation in eating‐disordered and non-eating-disordered women", International Journal of Eating Disorders, 29(3), pp.328~335 (2001)[DOI]
- 박누리, "Characteristics of Binge Eating Disorder and the Effectiveness of Cognitive Behavioral Therapy with College Students Prone to BED", 한국심리학회지: 건강, 17(3), pp.609~642 (2012), 한국건강심리학회[DOI]
- Park. C. S., "The relationships of eating Disorders and self-concept, perfectionism in the adolescence", doctoral, pp.2009
- Patton, G. C., "Prognosis of adolescent partial syndromes of eating disorder", The British Journal of Psychiatry, 192(4), pp.294~299 (2008)[DOI]
- Qian, J., "Prevalence of eating disorders in the general population : A systematic review", Shanghai Archives of Psychiatry, 25(4), pp.212~223 (2013)
- Reas, D. L., "Review and meta-analysis of pharmacotherapy for Binge-eating disorder", Obesity, 16(9), pp.2024~2038 (2008)[DOI]
- Smith, B. W., "A preliminary study of the effects of a modified mindfulness intervention on binge eating", Complementary Health Practice Review, 11, pp.133~143 (2006)[DOI]
- 송혜정, "수용전념 집단 프로그램이 폭식장애 경향이 있는 대학생의 분노, 스트레스 및 폭식행동에 미치는 효과", 한국심리학회지: 건강, 16(1), pp.15~27 (2011), 한국건강심리학회[DOI]
- Sullivan, P. F., "Outcome of anorexia nervosa: a case-control study", American Journal of Psychiatry, 155(7), pp.939~946 (1998)[DOI]
- Vocks, S., "Meta-analysis of the effectiveness of psychological and pharmacological treatments for binge eating disorder", International Journal of Eating Disorders, 43(3), pp.205~217 (2010)[DOI]
- Wegner, K. E., "An evaluation of the relationship between mood and binge eating in the natural environment using ecological momentary assessment", International Journal of Eating Disorders, 32(3), pp.352~361 (2002)[DOI]
- Whitehouse, A. M., "Prevalence of eating disorders in three Cambridge general practices: hidden and conspicuous morbidity", Br J Gen Pract, 42(355), pp.57~60 (1992)
- Wilfley, D. E., "Group cognitive-behavioral therapy and group interpersonal psychotherapy for the nonpurging bulimic individual: A controlled comparison", Journal of Consulting and Clinical Psychology, 61(2), pp.296~605 (1993)[DOI]
