Evolution of cognitive-behavioral therapy for eating disorders.

Evolution of cognitive-behavioral therapy for eating disorders.
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DOI:
10.1016/j.brat.2016.09.004
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发表时间:
2017-01
影响因子:
4.1
通讯作者:
Wilfley DE
Wilfley DE
中科院分区:
心理学2区
文献类型:
--
作者:
Agras WS;Fitzsimmons-Craft EE;Wilfley DE

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本综述描述了治疗贪食症的认知行为疗法 (CBT) 的演变。连续尝试加强 CBT(例如增加暴露和反应预防)的影响;增强认知行为治疗的发展;并考虑将治疗范围从神经性贪食症扩大到暴食症。除了开发先进的 CBT 形式外,将治疗缩短为引导自助是扩大治疗机会的第一步。基于计算机的治疗和最近的互联网等技术的使用有望进一步扩大自助和治疗师指导治疗的范围。我们回顾了这一领域的对照研究,并考虑了技术使用和减少治疗师投入带来的风险和收益的平衡。展望未来,以移动应用程序(“应用程序”)形式提供的更复杂的治疗形式可能会为贪食症提供更个性化和更有效的治疗,从而增强饮食失调治疗的效果。
The evolution of cognitive-behavioral therapy (CBT) for the treatment of bulimic disorders is described in this review. The impacts of successive attempts to enhance CBT such as the addition of exposure and response prevention; the development of enhanced CBT; and broadening the treatment from bulimia nervosa to binge eating disorder are considered. In addition to developing advanced forms of CBT, shortening treatment to guided self-help was the first step in broadening access to treatment. The use of technology such as computer-based therapy and more recently the Internet, promises further broadening of access to self-help and to therapist guided treatment. Controlled studies in this area are reviewed, and the balance of risks and benefits that accompany the use of technology and lessened therapist input are considered. Looking into the future, more sophisticated forms of treatment delivered as mobile applications (“apps”) may lead to more personalized and efficacious treatments for bulimic disorders, thus enhancing the delivery of treatments for eating disorders.
DOI: 10.2196/jmir.5709
发表时间: 2016-06-17
影响因子: 7.4
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