Loeb Katharine L, le Grange Daniel
Department of Psychology, Fairleigh Dickinson University, Teaneck, NJ.
Int J Child Adolesc health. 2009 Jan 1;2(2):243-254.
Family-based treatment (FBT) is emerging as a treatment of choice for adolescent anorexia nervosa (AN) and bulimia nervosa (BN). This paper reviews the history of FBT, core clinical and theoretical elements, and key findings from the FBT for AN and BN treatment outcome literature. In addition, we address clinical questions and controversies regarding FBT for eating disorders, including whether FBT is clinically appropriate for all adolescents (e.g., older adolescents, patients with comorbid conditions), and whether it indicated for all types of families (e.g., critical, enmeshed, and non-intact families). Finally, we outline recently manualized, innovative applications of FBT for new populations currently under early investigation, such as FBT as a preventive/early intervention for AN, FBT for young adults with eating disorders, and FBT for pediatric overweight.
基于家庭的治疗（FBT）正在成为青少年神经性厌食症（AN）和神经性贪食症（BN）的首选治疗方法。本文回顾了FBT的历史、核心临床和理论要素，以及FBT治疗AN和BN的治疗效果文献中的关键发现。此外，我们还讨论了关于饮食失调的FBT的临床问题和争议，包括FBT在临床上是否适用于所有青少年（如年龄较大的青少年、患有合并症的患者），以及它是否适用于所有类型的家庭（如挑剔型、纠结型和不完整家庭）。最后，我们概述了FBT最近针对目前正在早期研究的新人群进行的手册化创新应用，如FBT作为AN的预防/早期干预、针对饮食失调的年轻成年人的FBT，以及针对儿童超重的FBT。
