Eating Disorder Program, Weill Medical College of Cornell University, New York Presbyterian Hospital, Westchester Division, White Plains, NY 10605, USA.
World Psychiatry. 2005 Jun;4(2):69-73.
The treatment of eating disorders is based on a multimodal model, recognizing that these disorders do not have a single cause or a predictable course. The treatment strategy is determined by the severity of illness and the specific eating disorder diagnosis. For the treatment of anorexia nervosa, the key elements are medical management, behavioral therapy, cognitive therapy and family therapy, while pharmacotherapy is at best an adjunct to other therapies. In bulimia nervosa, the treatment of choice is cognitive-behavioral therapy, but a greater improvement in mood and anxiety occurs when antidepressant therapy is added. In binge eating disorder, cognitive-behavioral therapy and interpersonal therapy produce substantial and long-lasting changes and pharmacological treatment has often a useful role.
进食障碍的治疗基于多模式模型，认识到这些障碍没有单一的原因或可预测的病程。治疗策略取决于疾病的严重程度和特定的进食障碍诊断。对于神经性厌食症的治疗，关键要素是医疗管理、行为疗法、认知疗法和家庭疗法，而药物治疗充其量只是其他疗法的辅助手段。在神经性贪食症中，首选的治疗方法是认知行为疗法，但添加抗抑郁治疗会更显著地改善情绪和焦虑。在暴食障碍中，认知行为疗法和人际治疗会产生实质性和持久的变化，药物治疗通常具有有用的作用。
