进食障碍心理治疗的系统评价：2005-2012 年。
A systematic review of evidence for psychological treatments in eating disorders: 2005-2012.
机构信息
Foundation Chair of Mental Health & Centre for Health Research, School of Medicine, University of Western Sydney, Australia. p.hay@uws. edu.au
出版信息
Int J Eat Disord. 2013 Jul;46(5):462-9. doi: 10.1002/eat.22103.
OBJECTIVE
To update new evidence for psychotherapies in eating disorders (EDs) since 2005-September 2012.
METHOD
Completed and published in the English language randomized controlled trials (RCTs) were identified by SCOPUS search using terms "bulimia" or "binge eating disorder" (BED) or "anorexia nervosa" (AN) or "eating disorder" and "treatment," and 36 new RCTs met inclusion criteria.
RESULTS
There has been progress in the evidence for family based treatment in adolescents with AN, for cognitive behavior therapy (CBT) in full and guided forms, and new modes of delivery for bulimia nervosa (BN), BED, and eating disorder not otherwise specified with binge eating. Risk of bias was low to moderate in 22 (61%) of RCTs.
DISCUSSION
The evidence base for AN has improved and CBT has retained and extended its status as first-line therapy for BN. However, further research is needed, in particular noninferiority trials of active therapies and the best approach to addressing ED features and weight management in co-morbid BED and obesity.
目的
更新自 2005 年 9 月至 2012 年 9 月以来治疗进食障碍（ED）的心理治疗新证据。
方法
通过 SCOPUS 搜索，使用术语“贪食症”或“暴食障碍（BED）”或“神经性厌食症（AN）”或“饮食障碍”和“治疗”，确定完成并发表的英文随机对照试验（RCT），共 36 项新 RCT 符合纳入标准。
结果
在青少年 AN 的家庭为基础的治疗、全和指导形式的认知行为治疗（CBT），以及新的暴食障碍（BN）、BED 和其他特定暴食障碍的治疗模式方面都有了进展。22 项（61%）RCT 的偏倚风险为低至中度。
讨论
AN 的证据基础得到了改善，CBT 保留并扩展了其作为 BN 的一线治疗方法的地位。然而，还需要进一步的研究，特别是针对积极治疗的非劣效性试验，以及解决 BN 和肥胖症共病时 ED 特征和体重管理的最佳方法。
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