Department of Child Psychiatry and Pediatrics, Stanford University, Stanford, CA 94305, USA.
Curr Opin Psychiatry. 2011 Jul;24(4):274-9. doi: 10.1097/YCO.0b013e328346f71e.
Interest in the effectiveness of family interventions for eating disorders has increased over the past 5 years. This review considers the theoretical justification and current evidence base for the use of family treatments for eating disorders in children and adolescents.
Family-based treatment is the best studied treatment. It has the strongest evidence base for effectiveness for anorexia nervosa in adolescents. Family-based treatment can be delivered in several formats and doses, and preliminary data suggest it can be disseminated by training and manuals. There is a more limited evidence base demonstrating the usefulness of family interventions for bulimia nervosa in adolescents.
The implications of the findings of this review are that family interventions are the current first-line treatment for adolescent anorexia nervosa and promising for adolescent bulimia nervosa. Pilot studies suggest that family interventions can be disseminated in diverse clinical settings.
在过去的 5 年中，人们对家庭干预治疗饮食失调症的有效性产生了浓厚的兴趣。本综述考虑了在儿童和青少年中使用家庭治疗饮食失调症的理论依据和当前证据基础。
以家庭为基础的治疗是研究最多的治疗方法。它为青少年神经性厌食症的有效性提供了最有力的证据基础。家庭为基础的治疗可以采用多种形式和剂量进行，初步数据表明，通过培训和手册可以推广这种治疗方法。对于青少年神经性贪食症，家庭干预的有效性也有一些有限的证据支持。
本综述结果表明，家庭干预是目前青少年神经性厌食症的一线治疗方法，对青少年贪食症也有一定的治疗效果。初步研究表明，家庭干预可以在不同的临床环境中推广。
