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Using technology within the treatment of eating disorders: A clinical practice review

机译：在饮食失调症治疗中使用技术：临床实践回顾

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The focus of this clinical practice review is to provide clinicians a framework for incorporating technology into the treatment of eating disorders (EDs). We detailed studies that were published within the past 11 years (2002-2012) and that included at least 10 participants. Our primary aims were to describe how technology has been used to enhance the delivery of ED treatment as well as report the effectiveness of these technology-based interventions. We also provided clinical applications and considerations for clinicians who wish to use technology within their own practice. We found that a range of technologies (e.g., televideo, e-mail, CD-ROM, Internet, text message) have been used as a means to either deliver or enhance treatment at various levels of care (e.g., therapy, guided self-help, treatment adjunct). The majority of the studies were based on cognitive- behavioral principles and included samples diagnosed with bulimia nervosa (BN), binge eating disorder (BED), or subclinical levels of BN or BED. Most researchers reported positive results, with a few caveats such as technology-based interventions may not be optimal for individuals with more severe pathology, and some individuals described wanting more personal interaction. The overarching finding was that technology may be successfully integrated within ED treatment and may offer new ways to extend ED interventions to individuals who may not otherwise have access to specialty ED care.
机译：本临床实践评论的重点是为临床医生提供将技术纳入饮食失调（ED）治疗的框架。我们详细介绍了过去11年（2002年至2012年）发表的研究，其中至少包括10名参与者。我们的主要目的是描述如何使用技术来增强ED治疗的交付，并报告这些基于技术的干预措施的有效性。我们还为希望在自己的实践中使用技术的临床医生提供了临床应用和注意事项。我们发现，一系列技术（例如电视录像，电子邮件，CD-ROM，互联网，文本消息）已被用作在各种护理级别（例如治疗，指导性自我护理）提供或增强治疗的手段。帮助，治疗辅助）。大多数研究基于认知行为原理，包括诊断为神经性贪食症（BN），暴食症（BED）或亚临床水平的BN或BED的样本。大多数研究人员报告了积极的结果，但有一些注意事项，例如基于技术的干预措施可能对于病理更严重的个体不是最佳选择，并且一些个体表示希望更多的人际交往。最重要的发现是，技术可以成功地整合到ED治疗中，并且可以提供新的方法将ED干预扩展到原本无法获得特殊ED护理的个人。

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