Cooper Zafra, Bailey-Straebler Suzanne
Department of Psychiatry, Warneford Hospital, Oxford University, Oxford, OX3 7JX, UK,
Curr Psychiatry Rep. 2015 Mar;17(3):551. doi: 10.1007/s11920-015-0551-7.
The research-practice gap is of concern in the treatment of eating disorders. Despite the existence of empirically supported treatments, few receive them. The barriers to wider dissemination and implementation of evidence-based treatment include clinician attitudes towards such treatments and the lack of sufficient numbers of suitably trained therapists to provide treatment. In this review we discuss these barriers in the context of the wider issue of the dissemination and implementation of psychological treatments and review the research with regard to the treatment of eating disorders. Particular emphasis is placed on examining recent efforts to expand the availability and reach of treatments by making treatment delivery and training more scalable. We highlight promising developments and areas where further research is needed.
在饮食失调症的治疗中，研究与实践之间的差距令人担忧。尽管存在经实证支持的治疗方法，但很少有人接受这些治疗。循证治疗更广泛传播和实施的障碍包括临床医生对这类治疗的态度，以及缺乏足够数量经过适当培训的治疗师来提供治疗。在这篇综述中，我们在心理治疗传播和实施这一更广泛问题的背景下讨论这些障碍，并回顾关于饮食失调症治疗的研究。特别强调考察最近通过使治疗提供和培训更具可扩展性来扩大治疗的可及性和覆盖面所做的努力。我们突出了有前景的进展以及需要进一步研究的领域。
