Cognitive Behavior Therapy for the Eating Disorders

Cognitive Behavior Therapy for the Eating Disorders
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DOI:
10.1016/j.psc.2019.01.001
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发表时间:
2019-06-01
影响因子:
1.7
通讯作者:
Agras, William Stewart
Agras, William Stewart
中科院分区:
医学3区
文献类型:
--
作者:
Agras, William Stewart

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认知行为疗法(CBT)是一种针对神经性贪食症和暴食症的循证治疗方法,被认为是治疗这两种饮食失调症的一线治疗方法。该疗法的增强版 (CBT-E) 似乎对于治疗患有严重合并症的患者更有效。很少有证据表明 CBT 对治疗神经性厌食症有效。有证据表明,对于成人持续性神经性厌食症 (AN),CBT-E 并不比包括定期医疗随访和支持性心理治疗在内的专科护理更有效。早期研究表明 CBT-E 可能有助于治疗青少年型 AN。
Cognitive behavioral therapy (CBT) is an evidence-based treatment for bulimia nervosa and binge-eating disorder and is regarded as the first line treatment for both eating disorders. An enhanced version of the treatment (CBT-E) appears more effective in treating patients with severe comorbidity. There is less evidence that CBT is effective for the treatment of anorexia nervosa. Evidence suggests that CBT-E is no more effective than specialist care involving regular medical follow-up and supportive psychotherapy in the persistent adult form of anorexia nervosa (AN). Early studies suggest that CBT-E may be useful in treating the adolescent form of AN.