Treatment of bulimia nervosa: Where are we and where are we going?

Treatment of bulimia nervosa: Where are we and where are we going?
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DOI:
10.1002/eat.20343
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发表时间:
2007-03-01
影响因子:
5.5
通讯作者:
Wonderlich, Stephen
Wonderlich, Stephen
中科院分区:
医学2区
文献类型:
--
作者:
Mitchell, James E.;Agras, Stewart;Wonderlich, Stephen

文献摘要

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目的:S对神经性贪食症的现有治疗文献进行综述,并对今后的研究方向提出建议。方法:从药物疗法和心理疗法两方面对现有的治疗研究进行综述。结果:药物疗法和心理疗法在神经性贪食症的治疗中均有作用,但现有资料表明认知行为疗法仍是治疗神经性贪食症的首选方法。结论:辅助性自助和非辅助性自助仍需进一步研究。CBT的增强型和认知-情感综合疗法都值得进一步研究。需要试行新的方法。需要对治疗模型进行更多的研究。(C)威利期刊公司2006年出版。
Objective: The purpose of this article I S to review the extant treatment literature on bulimia nervosa and to offer suggestions for future research directions.Method: The available treatment studies regarding both pharmacotherapy and psychotherapy are reviewed.Results: Both pharmacotherapy and psychotherapy appear to play a role in the treatment of bulimia nervosa; however, available data suggest that cognitive behavioral therapy remains the treatment of choice.Conclusion: Additional work is clearly indicated regarding assisted and unassisted self-help. An enhanced form of CBT and the integrative cognitive-affective therapy both deserve further study. New approaches need to be piloted. More research is needed on treatment modeling. (c) 2006 by Wiley Periodicals, Inc.