Department of Psychology, The Australian National University, Canberra, Australian Capital Territory, Australia.
Clin Psychol Rev. 2010 Jun;30(4):400-10. doi: 10.1016/j.cpr.2010.02.001. Epub 2010 Feb 14.
Several studies support the efficacy of interpersonal psychotherapy (IPT) in the treatment of eating disorders. Treatment outcomes are likely to be augmented through a greater understanding, and hence treatment targeting, of the mechanisms whereby IPT induces therapeutic gains. To this end, the present paper seeks to develop a theoretical model of IPT in the context of eating disorders (IPT-ED). After providing a brief description of IPT, the IPT-ED model is presented and research supporting its theorized mechanisms is summarized. This model proposes that negative social evaluation plays a pivotal role as both a cause (via its detrimental impact on self evaluation and associated affect) and consequence of eating disorder symptoms. In the final section, key eating disorder constructs (namely, the developmental period of adolescence, clinical perfectionism, cognitive dysfunction, and affect regulation) are re-interpreted from the standpoint of negative social evaluation thereby further explicating IPT's efficacy as an intervention for individuals with an eating disorder.
几项研究支持人际心理治疗（IPT）在治疗饮食失调方面的疗效。通过更深入地了解IPT 诱导治疗效果的机制，并针对这些机制进行治疗，治疗效果可能会得到提高。为此，本文旨在为饮食失调的IPT 建立一个理论模型（IPT-ED）。在简要介绍IPT 之后，提出了IPT-ED 模型，并总结了支持其理论机制的研究。该模型提出，负面的社会评价既是饮食失调症状的原因（通过对自我评估和相关情感的不利影响），也是其后果。在最后一节中，从负面社会评价的角度重新解释了饮食失调的关键结构（即青春期的发展阶段、临床完美主义、认知功能障碍和情感调节），从而进一步阐明了IPT 作为干预饮食失调个体的有效性。
