Karolinska Institutet, Resource Centre for Eating Disorders, Wollmar Yxkullsgatan, 27, 118 50 Stockholm, Sweden.
Eur Eat Disord Rev. 2010 Jan;18(1):1-9. doi: 10.1002/erv.986.
The field of eating disorders is currently at a crossroads and faces important challenges of sustainability. These challenges include problems with the current diagnostic classification of eating disorders and the divide between scientific research and clinical practice. If not addressed, there is a danger that the field will fail to evolve adaptively, risking increased stagnation and reduced relevance. To meet these challenges, researchers and clinicians must work toward a more holistic ecology of eating disorders based on the interaction of theory, research and practice. The present paper proposes six steps towards increased sustainability based on developing clinically relevant diagnosis, using systematic quality assurance, expanding the scope of treatment research and the definition of evidence, promoting therapist development, as well as stimulating diversity and discourse. If we rise to the occasion and face these challenges, then we will be better equipped to meet the evolving needs of clinicians, researchers, and most importantly patients.
目前，进食障碍领域正处于一个十字路口，面临着可持续性的重要挑战。这些挑战包括进食障碍的当前诊断分类存在问题，以及科学研究和临床实践之间存在脱节。如果这些问题得不到解决，该领域将有可能无法适应性地发展，从而面临停滞不前和相关性降低的风险。为了应对这些挑战，研究人员和临床医生必须努力在基于理论、研究和实践相互作用的更全面的进食障碍生态系统的基础上开展工作。本文提出了基于制定具有临床相关性的诊断标准、使用系统的质量保证、扩大治疗研究和证据定义范围、促进治疗师发展，以及激发多样性和对话的六个步骤，以提高可持续性。如果我们能够应对这些挑战，那么我们将更有能力满足临床医生、研究人员，以及最重要的是患者的不断发展的需求。
