Rosenblum Jennifer, Forman Sara
Division of Adolescent and Young Adult Medicine, Children's Hospital, Boston, Massachusetts 02115, USA.
Curr Opin Pediatr. 2002 Aug;14(4):379-83. doi: 10.1097/00008480-200208000-00003.
Anorexia nervosa and bulimia nervosa are common problems facing adolescents and young adults. Treatment of these disorders poses a challenge to health care providers given the general paucity of clinical trials to guide management. There is evidence to support the use of CBT as well as psychopharmacotherapy to decrease binge and purge behaviors in bulimia nervosa. Significantly fewer trials have examined the efficacy of such therapies for anorexia nervosa. Short-term trials appear promising regarding potential treatments for bone loss in anorexia nervosa. The role of exercise in the management of anorexia nervosa remains controversial and begs future investigative efforts.
神经性厌食症和神经性贪食症是青少年和年轻人面临的常见问题。鉴于指导治疗的临床试验普遍匮乏,这些疾病的治疗给医疗服务提供者带来了挑战。有证据支持使用认知行为疗法(CBT)以及心理药物治疗来减少神经性贪食症中的暴饮暴食和清除行为。研究此类疗法对神经性厌食症疗效的试验要少得多。关于神经性厌食症骨质流失的潜在治疗方法,短期试验似乎很有前景。运动在神经性厌食症管理中的作用仍存在争议,需要未来进一步的研究。