Abbate-Daga Giovanni, Marzola Enrica, Amianto Federico, Fassino Secondo
Department of Neuroscience, Eating Disorders Center for Treatment and Research, University of Turin, Via Cherasco 15, 10126, Turin, Italy.
Eat Weight Disord. 2016 Dec;21(4):553-580. doi: 10.1007/s40519-016-0265-9. Epub 2016 Mar 15.
To comprehensively review the existing literature on the effectiveness of psychodynamic psychotherapies in eating disorders (EDs) and to stimulate both debate and research on this topic.
Online and hand searches were conducted to identify papers published between 1980 and 2015 on psychodynamic treatments delivered to adults with anorexia nervosa (AN), bulimia nervosa (BN), and binge eating disorder (BED).
A total of 47 studies were finally included in this review. Fifteen studies were available for AN, 9 for BN, 12 for BED, and 11 for samples with mixed diagnoses. Several methodological flaws emerged, but overall psychodynamic interventions showed promising results at the end of treatment and follow-up, when available.
The body of literature on psychodynamic treatments is sparse and sometimes methodologically questionable; nevertheless, current data provide support to the effectiveness of these interventions, particularly for AN. However, both a defined approach (focus, themes, and techniques) and randomized controlled trials (RCTs) are warranted to clarify the effectiveness of psychodynamic psychotherapies.
全面回顾关于心理动力心理治疗对饮食失调症（EDs）有效性的现有文献，并激发对此主题的讨论和研究。
通过在线和手工检索，以确定1980年至2015年间发表的有关对患有神经性厌食症（AN）、神经性贪食症（BN）和暴饮暴食症（BED）的成年人进行心理动力治疗的论文。
本综述最终纳入了47项研究。其中15项针对AN，9项针对BN，12项针对BED，11项针对混合诊断样本。出现了一些方法学上的缺陷，但总体而言，心理动力干预在治疗结束时以及随访时（如有）显示出了有前景的结果。
关于心理动力治疗的文献较少，且有时在方法学上存在问题；尽管如此，目前的数据支持这些干预措施的有效性，尤其是对AN。然而，需要一种明确的方法（重点、主题和技术）以及随机对照试验（RCT）来阐明心理动力心理治疗的有效性。
