Fairburn C G
University Department of Psychiatry, Oxford, U.K.
J Psychosom Res. 1988;32(6):635-45. doi: 10.1016/0022-3999(88)90012-8.
The controlled studies of psychological treatments for bulimia nervosa have yielded findings of practical value. Cognitive behavioural treatments in particular seem promising. However, the bias in research towards the refinement and dismantling of the cognitive behavioural approach is not warranted since certain specific forms of brief psychotherapy have also been shown to benefit these patients. Research into the maintenance of change following pharmacological treatment is needed before drugs can be recommended as an alternative to psychological treatments. The value of combining drugs and psychotherapy is only just beginning to be studied. Regrettably, few treatment studies to date have been designed to further our understanding of the nature of bulimia nervosa.
针对神经性贪食症的心理治疗对照研究已得出具有实用价值的结果。尤其是认知行为疗法似乎很有前景。然而，对认知行为疗法进行细化和分解的研究存在偏差，因为某些特定形式的短期心理治疗也已证明对这些患者有益。在推荐药物作为心理治疗的替代方法之前，需要对药物治疗后的变化维持情况进行研究。药物与心理治疗相结合的价值才刚刚开始研究。遗憾的是，迄今为止很少有治疗研究旨在增进我们对神经性贪食症本质的理解。
