Murray Stuart B, Anderson Leslie K, Rockwell Roxanne, Griffiths Scott, Le Grange Daniel, Kaye Walter H
a Department of Psychiatry , University of California, San Diego , San Diego , California , USA.
Eat Disord. 2015;23(4):302-14. doi: 10.1080/10640266.2015.1042317. Epub 2015 May 26.
An increasing body of evidence supports the use of family-based treatment (FBT) in medically stable outpatient presentations of adolescent anorexia nervosa, although there is relatively less research on adapting evidence-based treatment approaches in more intensive levels of patient care. The integration of FBT, which centrally leverages parental involvement in more intensive levels of care which typically require greater clinical management, requires careful consideration. We provide an overview of several key practical and theoretical considerations when adjusting the delivery of FBT across more intensive levels of patient care, providing clinical guidelines for the delivery of FBT while ensuring fidelity to the core theoretical tenets. Implications for clinical practice and future research are discussed.
越来越多的证据支持在医学状况稳定的青少年神经性厌食症门诊患者中使用基于家庭的治疗(FBT),尽管在更高强度的患者护理中调整循证治疗方法的研究相对较少。FBT的核心是利用父母参与更高强度的护理,而这种护理通常需要更严格的临床管理,因此在整合FBT时需要仔细考虑。我们概述了在更高强度的患者护理中调整FBT实施时的几个关键实践和理论考量因素,提供了FBT实施的临床指南,同时确保忠实于核心理论原则。还讨论了对临床实践和未来研究的启示。