Treating Anorexia Nervosa in the Couple Context.
Treating Anorexia Nervosa in the Couple Context.
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DOI：
10.1891/0889-8391.26.1.19
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发表时间：
2012-02-01
影响因子：
0.7
通讯作者：
Kirby JS
中科院分区：
文献类型：
--
作者：
Bulik CM;Baucom DH;Kirby JS
神经性厌食症是一种严重的精神疾病，影响所有年龄段的女性和男性。尽管其慢性发病率，过早死亡的风险和社会负担的严重性，其治疗的证据基础，特别是在成人是薄弱的。在发现以家庭为基础的干预措施在青少年神经性厌食症的治疗中具有益处的指导下，我们为处于承诺关系中的神经性厌食症成人开发了一种认知行为夫妇为基础的干预措施，该干预措施使患者及其伴侣参与治疗过程。本文介绍了在治疗神经性厌食症（UCAN），在提供干预措施的实际考虑，并包括开发人员的反思与夫妇的工作中，其中一个成员患有神经性厌食症的挑战的理论依据。最后，我们讨论了未来的应用程序的一对夫妇为基础的方法来治疗成人饮食失调。
Anorexia nervosa is a serious mental illness that affects women and men of all ages. Despite the gravity of its chronic morbidity, risk of premature death, and societal burden, the evidence base for its treatment—especially in adults—is weak. Guided by the finding that family-based interventions confer benefit in the treatment of anorexia nervosa in adolescents, we developed a cognitive-behavioral couple-based intervention for adults with anorexia nervosa who are in committed relationships that engages both the patient and her/his partner in the treatment process. This article describes the theoretical rationale behind the development of Uniting Couples in the treatment of Anorexia nervosa (UCAN), practical considerations in delivering the intervention, and includes reflections from the developers on the challenges of working with couples in which one member suffers from anorexia nervosa. Finally, we discuss future applications of a couple-based approach to the treatment of adults with eating disorders.