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Using individual networks to identify treatment targets for eating disorder treatment: a proof-of-concept study and initial data. | LitMetric

AI Article Synopsis

  • Eating disorders (EDs) are complex mental health issues affecting many people, with limited current treatment effectiveness, prompting the need for personalized approaches.* -
  • The study involved 34 participants and used experience sampling over 15 days to identify individual treatment targets, which showed that central symptoms like weight and shape concerns were not endorsed by most.* -
  • Results suggest variability in treatment targets and highlight the importance of personalized treatment methods, with future research needed to refine these strategies using idiographic network analysis.*

Article Abstract

Background: Eating disorders (EDs) are severe mental illnesses, with high morbidity, mortality, and societal burden. EDs are extremely heterogenous, and only 50% of patients currently respond to first-line treatments. Personalized and effective treatments for EDs are drastically needed.

Methods: The current study (N = 34 participants with an ED diagnosis collected throughout the United States) aimed to investigate best methods informing how to select personalized treatment targets utilizing idiographic network analysis, which could then be used for evidence based personalized treatment development. We present initial data collected via experience sampling (i.e., ecological momentary assessment) over the course of 15 days, 5 times a day (75 total measurement points) that were used to select treatment targets for a personalized treatment for EDs.

Results: Overall, we found that treatment targets were highly variable, with less than 50% of individuals endorsing central symptoms related to weight and shape, consistent with current treatment response rates for treatments designed to target those symptoms. We also found that different aspects of selection methods (e.g., number of items, type of centrality measure) impacted treatment target selection.

Conclusions: We discuss implications of these data, how to use idiographic network analysis to personalize treatment, and identify areas that need future research.

Trial Registration: Clinicaltrials.gov, NCT04183894. Registered 3 December 2019-Retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT04183894 . NCT04183894 (ClinicalTrials.gov identifier).

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8567590PMC
http://dx.doi.org/10.1186/s40337-021-00504-7DOI Listing

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