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):663-672. doi: 10.12740/PP/OnlineFirst/73733.
Due to its ego-syntonic nature, anorexia nervosa (AN) is considered one of the most difficult mental disorders to treat. Patients are often reluctant to accept treatment, while a large group of those who receive therapy have a poor prognosis. Unfortunately, despite suffering from physical and psychosocial impairment, patients with AN are often reluctant to receive any intervention whatsoever. Recent years have seen the development of many new treatment methods for eating disorders in general, and AN in particular. Therapy of anorexia nervosa requires a multidisciplinary approach based on the "cornerstone" of psychotherapy. Despite the growing body of studies and publications concerning psychological treatment of AN, there is still a dearth of high-quality randomized controlled trials which could serve as the basis for developing guidelines in this area.This paper offers a compendium of knowledge on treatment standards recommended for AN, as well as on psychotherapeutic paradigms and programs. Most of the therapies presented herein have been empirically proven effective. Therefore, the paper may facilitate the selection of the most appropriate treatment choices, whether in outpatient or inpatient settings.
由于神经性厌食症（AN）具有自我和谐的性质，它被认为是最难治疗的精神障碍之一。患者往往不愿接受治疗，而接受治疗的患者中很大一部分预后不佳。不幸的是，尽管患有身体和心理社会障碍，但神经性厌食症患者通常不愿接受任何干预。近年来，总体上针对饮食失调症，尤其是神经性厌食症，出现了许多新的治疗方法。神经性厌食症的治疗需要基于心理治疗“基石”的多学科方法。尽管关于神经性厌食症心理治疗的研究和出版物越来越多，但仍然缺乏高质量的随机对照试验，而这些试验可以作为制定该领域指南的基础。本文提供了有关推荐用于神经性厌食症的治疗标准以及心理治疗范式和方案的知识纲要。本文介绍的大多数疗法已被经验证明确实有效。因此，无论是在门诊还是住院环境中，本文都可能有助于选择最合适的治疗方案。
