Starzomska Małgorzata, Wilkos Ewelina, Kucharska Katarzyna
Instytut Psychologii, Wydział Filozofii Chrześcijańskiej, Uniwersytet Kardynała Stefana Wyszyńskiego, Warszawa.
Instytut Psychiatrii i Neurologii, Klinika Nerwic, Zaburzeń Osobowości i Odżywiania, Warszawa.
Psychiatr Pol. 2018 Aug 24;52(4):651-662. doi: 10.12740/PP/OnlineFirst/75338.
Anorexia nervosa (AN) is being considered one of the most difficult mental disorders to treat. The ego-syntonic nature of this mental disorder makes patients particularly reluctant to engage in or consent to treatment with relatively high drop-out rate. For all these reasons the treatment often takes a very long time, and the illness progresses to the chronic form, increasing the suffering of patients. Researchers have been discussing for many years how to provide these patients with measurable aid. Recent years have seen the emergence of arange of new treatment methods for eating disorders, including AN, that provide evidence of their effectiveness, especially in adults. Among them, of special note are those belonging to the third wave of cognitive therapy, mostly offered in the form of training programs. They are discussed in this paper in conjunction with evidence based therapy. This knowledge may help clinicians to decide how to complement traditional forms of treatment in outpatient and inpatient settings.
神经性厌食症（AN）被认为是最难治疗的精神障碍之一。这种精神障碍的自我和谐性质使患者特别不愿意参与或同意治疗，脱落率相对较高。由于所有这些原因，治疗通常需要很长时间，疾病会发展为慢性形式，增加患者的痛苦。多年来，研究人员一直在讨论如何为这些患者提供可衡量的帮助。近年来，出现了一系列针对饮食失调（包括神经性厌食症）的新治疗方法，这些方法证明了它们的有效性，尤其是在成年人中。其中，特别值得注意的是那些属于认知疗法第三波的方法，大多以培训项目的形式提供。本文将结合循证疗法对它们进行讨论。这些知识可能有助于临床医生决定如何在门诊和住院环境中补充传统治疗形式。
