Dawson Lisa, Rhodes Paul, Touyz Stephen
School of Psychology, The University of Sydney, Sydney, Australia
School of Psychology, The University of Sydney, Sydney, Australia.
Aust N Z J Psychiatry. 2014 Nov;48(11):1009-16. doi: 10.1177/0004867414539398. Epub 2014 Jun 13.
Treatments in anorexia nervosa (AN) have not been wholly effective and, accordingly, practices need to be reviewed. The recovery model is an approach to treatment that has become a guiding principle for mental health policy worldwide that might provide promise for AN treatment. The model has received much attention in recent years; however, there is a dearth of literature exploring how useful this model is for AN. The aim of the current article was to consider the relevance of this model in AN.
This article provides a summary of the recovery model and reviews the literature to establish whether it is compatible with AN. The possible utility of the approach in AN is explored and suggestions are made as to how the model might be implemented in treatment.
Qualitative studies examining the patient's perspective of AN support the recovery model. Many evidenced-based treatments currently used in AN have elements that are consistent with a recovery model approach. Treatments that are most consistent with recovery approaches have been effective for those with chronic AN.
It is proposed that the model might offer a way in which to add to current practice and might have particular relevance for those with chronic AN. Future research is required to better understand how the model can best be utilised in AN.
神经性厌食症(AN)的治疗尚未完全有效,因此,治疗方法需要重新审视。康复模式是一种治疗方法,已成为全球心理健康政策的指导原则,可能为AN治疗带来希望。近年来,该模式受到了广泛关注;然而,缺乏探讨该模式对AN治疗有效性的文献。本文的目的是探讨该模式在AN治疗中的相关性。
本文概述了康复模式,并回顾了相关文献,以确定其是否与AN治疗相兼容。探讨了该方法在AN治疗中的潜在效用,并就如何在治疗中实施该模式提出了建议。
定性研究从患者角度对AN的研究支持了康复模式。目前AN治疗中使用的许多循证治疗方法都包含与康复模式方法一致的元素。与康复方法最一致的治疗方法对慢性AN患者有效。
建议该模式可能为当前治疗方法提供补充途径,对慢性AN患者可能具有特殊意义。未来需要开展更多研究,以更好地了解如何在AN治疗中最佳地应用该模式。