Peterson C B, Mitchell J E
Eating Disorders Research Program, University of Minnesota, Minneapolis 55414, USA.
J Clin Psychol. 1999 Jun;55(6):685-97. doi: 10.1002/(sici)1097-4679(199906)55:6<685::aid-jclp3>3.0.co;2-y.
Research on the treatment of eating disorders has focused primarily on cognitive-behavioral therapy (CBT) and, more recently, interpersonal psychotherapy (IPT). Numerous studies have shown that CBT is helpful in reducing symptoms of bulimia nervosa and binge-eating disorder. In addition, CBT has been found to be superior or comparable to other psychotherapies in reducing bulimic symptoms. Preliminary findings indicate that CBT and IPT produce similar results at follow-up for bulimia nervosa and binge-eating disorder. Antidepressant medications are also useful in the treatment of bulimia nervosa and binge-eating disorder, but are less likely to result in remission of symptoms than CBT. The results from comparison studies are inconsistent, with modest evidence that combining antidepressant medication and psychotherapy produces greater improvement in bulimic symptoms. Limited research has been conducted on the treatment of anorexia nervosa, although preliminary studies suggest that psychotherapy and fluoxetine may be helpful in preventing relapse after weight restoration.
饮食失调症的治疗研究主要集中在认知行为疗法（CBT）上，最近也关注人际心理治疗（IPT）。大量研究表明，CBT有助于减轻神经性贪食症和暴饮暴食症的症状。此外，研究发现CBT在减轻贪食症状方面优于或等同于其他心理疗法。初步研究结果表明，对于神经性贪食症和暴饮暴食症，CBT和IPT在随访时产生相似的效果。抗抑郁药物在治疗神经性贪食症和暴饮暴食症方面也有作用，但与CBT相比，症状缓解的可能性较小。比较研究的结果并不一致，仅有适度证据表明抗抑郁药物与心理治疗相结合能更有效地改善贪食症状。关于神经性厌食症治疗的研究有限，不过初步研究表明心理治疗和氟西汀可能有助于防止体重恢复后复发。
