Teufel M, Becker S, Rieber N, Stephan K, Zipfel S
Medizinische Klinik VI, Psychosomatische Medizin und Psychotherapie, Universitätsklinikum Tübingen, Osianderstr. 5, 72070 Tübingen, Deutschland.
Nervenarzt. 2011 Sep;82(9):1133-9. doi: 10.1007/s00115-010-3230-2.
One fifth of the German population is obese with increasing prevalence. Psychotherapy plays an important role in weight loss programmes. Cognitive behaviour therapy, targeting lifestyle changes, including exercise and eating behaviour, is the evidence-based treatment of choice. Especially the lack of motivation or absence of weight loss, further weight gain or psychosocial burden makes psychotherapy essential. The treatment of a comorbid binge eating disorder should be initiated prior to focusing on weight loss. Remarkably difficult stages in the treatment of obesity are the initiation of changes as well as the maintenance of the achieved weight loss. Internet-based attempts will become increasingly important.
五分之一的德国人口患有肥胖症，且患病率呈上升趋势。心理治疗在减肥计划中起着重要作用。认知行为疗法以生活方式改变为目标，包括运动和饮食行为，是循证治疗的首选。特别是缺乏动力、体重未减轻、体重进一步增加或心理社会负担等情况，使得心理治疗至关重要。在关注减肥之前，应先对共病的暴饮暴食症进行治疗。肥胖治疗中特别困难的阶段是改变的起始以及维持已实现的体重减轻。基于互联网的尝试将变得越来越重要。
