Sollten/müssen wir neue Medien in der Behandlung der Essstörungen einsetzen?

 

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Zusammenfassung

Ergänzend zu konventionellen therapeutischen Verfahren wird zunehmend die Nutzung von Informations- und Kommunikationstechnologien („E-Mental Health“) in der Prävention und Behandlung von Essstörungen vorgeschlagen. Internet-basierte angeleitete Selbsthilfeprogramme gelten bei Bulimia nervosa (BN) und Binge-Eating Störung (BES) mittlerweile als gut untersuchte und wissenschaftlich nachweislich wirksame Therapieansätze. Internet-basierte Selbsthilfe-Programme stellen eine ernsthafte Option im Rahmen von Stepped-Care Versorgungssystemen und als Rückfallprophylaxe nach stationärer Behandlung dar. Weitere Einsatzbereiche für E-Mental Health im Bereich der Essstörungen sind Prävention und Frühintervention sowie die Unterstützung von Angehörigen.

Abstract

The use of information and communication technologies (“e-mental health”) has been suggested for the prevention and treatment of eating disorders as an addition to conventional treatment approaches. Guided internet-based self-help programs can be viewed as evidence-based treatment options for bulimia nervosa (BN) and binge eating disorder (BED) based on existing controlled studies. They represent an option within a stepped-care treatment approach and as relapse prevention after inpatient treatment. Additional fields of application for e-mental health in eating disorders are prevention and early intervention as well as carers’ support.

• Literatur

• 1 Riper H, Andersson G, Christensen H et al Theme issue on e-mental health: a growing field in internet research. J Med Internet Res 2010; 12: e74
  CrossrefPubMedGoogle Scholar
• 2 Berger T, Andersson G. Internet-based psychotherapies: characteristics and empirical evidence. Psychother Psychosom Med Psychol 2009; 59: 159-166
  Article in Thieme ConnectPubMedGoogle Scholar
• 3 Moessner M, Özer F, Minarik C et al. Nutzungsgewohnheiten von Teilnehmern eines Online-Programms zur Prävention und frühen Intervention bei Essstörungen. Psychotherapie im Dialog 2013; 4
  PubMedGoogle Scholar
• 4 Kersting A, Schlicht S, Kroker K. Internet therapy. Opportunities and boundaries. Nervenarzt 2009; 80: 797-804
  CrossrefPubMedGoogle Scholar
• 5 Hart LM, Granillo MT, Jorm AF et al. Unmet need for treatment in the eating disorders: A systematic review of eating disorder specific treatment seeking among community cases. Clin Psychol Rev 2011; 31: 727-735
  CrossrefPubMedGoogle Scholar
• 6 Forschungsgruppe Wahlen e.V Im Internet: http://www.forschungsgruppe.de/Umfragen/Internet-Strukturdaten Stand: 30.9.2014
  PubMed
• 7 Aardoom J, Dingemans A, Spinhoven P et al. Treating Eating Disorders over the Internet: A systematic review and future directions. Int J Eat Disord 2013; 46: 539-552
  CrossrefPubMedGoogle Scholar
• 8 Dölemeyer R, Tietjen A, Kersting A et al. Internet-based interventions for eating disorders in adults: a systematic review. BMC Psychiatry 2013; 13: 207
  CrossrefPubMedGoogle Scholar
• 9 Lewis C, Pearce J, Bisson JI. Efficacy, cost-effectiveness and acceptability of self-help interventions for anxiety disorders: systematic review. Br J Psychiatry 2012; 200: 15-21
  CrossrefPubMedGoogle Scholar
• 10 de Zwaan M, Herpertz S, Zipfel S et al. INTERBED: internet-based guided self-help for overweight and obese patients with full or subsyndromal binge eating disorder. A multicenter randomized controlled trial. Trials 2012; 13: 220
  PubMedGoogle Scholar
• 11 Grover M, Naumann U, Mohammad-Dar L et al. A randomized controlled trial of an Internet-based cognitive-behavioural skills package for carers of people with anorexia nervosa. Psychol Med 2011; 41: 2581-2591
  CrossrefPubMedGoogle Scholar
• 12 Bauer S, Moessner M. Harnessing the power of technology for the treatment and prevention of eating disorders. Int J Eat Disord 2013; 46: 508-515
  CrossrefPubMedGoogle Scholar
• 13 Fichter MM, Quadflieg N, Lindner S. Internet-based relapse prevention for anorexia nervosa: nine-month follow-up. J Eat Disord 2013; 1: 23
  CrossrefPubMedGoogle Scholar
• 14 Minarik C, Moessner M, Ozer F et al. Implementation and dissemination of an internet-based program for prevention and early intervention in eating disorders. Psychiatr Prax 2013; 40: 332-338
  Article in Thieme ConnectPubMedGoogle Scholar
• 15 Beintner I, Jacobi C, Taylor CB. Effects of an Internet-based prevention programme for eating disorders in the USA and Germany – a meta-analytic review. Eur Eat Disord Rev 2012; 20: 1-8
  CrossrefPubMedGoogle Scholar
• 16 Kordy H. Internet- and media-assisted therapy. Psychother Psychosom Med Psychol 2013; 63: 12-18
  Article in Thieme ConnectPubMedGoogle Scholar