Stiles-Shields Colleen, Hoste Renee Rienecke, Doyle Peter M, Le Grange Daniel
The University of Chicago, Department of Psychiatry and Behavioral Neuroscience, 5841 S Maryland Ave, MC 3077, Chicago, IL 60637, USA.
Rev Recent Clin Trials. 2012 May;7(2):133-40. doi: 10.2174/157488712800100242.
This review focuses on the use of family-based treatment (FBT) for adolescents with eating disorders, including anorexia nervosa (AN) and bulimia nervosa (BN). AN and BN are serious disorders with significant psychiatric and medical morbidity. Data support the use of family treatments for adolescents with eating disorders. Developed at the Maudsley Hospital, FBT is a theoretically agnostic approach that externalizes the illness from the patient and empowers families to actively work to bring about recovery in their relative with an eating disorder. FBT appears to be an effective treatment for adolescents with AN and support is developing for the treatment of adolescents with BN. Manual development is currently underway for the implementation of FBT for young adults with eating disorders, overweight adolescents, and those with subsyndromal AN. Further research is needed to determine the effectiveness of FBT with other populations. In this review, we will provide a critical overview of the literature by focusing upon empirical findings regarding FBT, with particular emphasis on studies conducted with adolescents.
本综述聚焦于针对患有饮食失调症的青少年(包括神经性厌食症[AN]和神经性贪食症[BN])采用基于家庭的治疗(FBT)。AN和BN是严重的疾病,伴有显著的精神和医学发病率。数据支持对患有饮食失调症的青少年采用家庭治疗。FBT由莫兹利医院研发,是一种理论上中立的方法,将疾病从患者身上外化出来,并使家庭有能力积极努力,帮助患有饮食失调症的亲属康复。FBT似乎是治疗患有AN的青少年的有效方法,并且对治疗患有BN的青少年的支持也在不断发展。目前正在进行手册编写,以便将FBT应用于患有饮食失调症的年轻人、超重青少年以及患有亚综合征AN的人群。还需要进一步研究以确定FBT对其他人群的有效性。在本综述中,我们将通过关注有关FBT的实证研究结果,对文献进行批判性概述,特别强调针对青少年开展的研究。