Tölgyes Tamás, Unoka Zsolt
Semmelweis Egyetem Pszichiátriai es Pszichoterápiás Klinika, Budapest.
Psychiatr Hung. 2009;24(5):352-64.
Author's aim is to give a comprehensive review of the behavioural and cognitive-behavioural psychotherapeutic development in the treatment of anorexia nervosa and bulimia nervosa, on the base of the literature as well as on own clinical experiences. Behavioural therapies, currently applied as part of integrative therapies mainly, will be shown, and theoretical background and techniques of classical cognitive behavioural therapy of anorexia and bulimia nervosa will be shortly summarized. Theory and therapeutic techniques of the schema-focused cognitive behavioural therapy, applied in the treatment of eating disorders more frequently in the last few years, will be made acquainted in details. Indications and contraindications of classic cognitive behavioural therapy and schema-focused cognitive behavioural therapy in eating disorders will be discussed. Stress will be laid on the fact, that schema-focused cognitive behaviour therapy is to be chosen mostly in the cases where comorbid dissociation, personality disorder, very low self-esteem or traumatic history diminishes the applicability of traditional cognitive behavioural therapy. Authors emphasize the importance of further controlled efficacy studies in the field of schema-focused cognitive behavioural therapy, to define the indication fields regarding different subgroups of eating disorders.
作者的目的是基于文献以及自身临床经验，对神经性厌食症和神经性贪食症治疗中的行为和认知行为心理治疗发展进行全面综述。将展示目前主要作为综合治疗一部分应用的行为疗法，并简要总结神经性厌食症和神经性贪食症经典认知行为疗法的理论背景和技术。将详细介绍近年来在饮食失调治疗中更频繁应用的聚焦图式认知行为疗法的理论和治疗技术。将讨论经典认知行为疗法和聚焦图式认知行为疗法在饮食失调中的适应症和禁忌症。将强调这样一个事实，即在共病解离、人格障碍、极低自尊或创伤史降低传统认知行为疗法适用性的情况下，大多应选择聚焦图式认知行为疗法。作者强调在聚焦图式认知行为疗法领域进一步进行对照疗效研究的重要性，以确定针对不同饮食失调亚组的适应症范围。
