a Department of Psychiatry , University of California, San Francisco , San Francisco , CA , USA.
Eat Disord. 2019 Jan-Feb;27(1):6-17. doi: 10.1080/10640266.2019.1567155. Epub 2019 Jan 20.
Current evidence suggests that the majority of patients with eating disorders will not fully recover during treatment, and little doubt can exist around the urgent need for improved treatment outcomes across the field of eating disorders. While empirical efforts are underway to optimize outcomes, this article reviews treatment-related research findings published in Eating Disorders: The Journal of Treatment & Prevention during 2018. Importantly, this review encapsulates research addressing (i) barriers to access and the uptake of empirically supported treatments, (ii) research assessing the delivery of empirically supported treatments across the full spectrum of patient care, and (iii) research aiming to isolate treatment mechanisms and optimize treatment outcomes across a transdiagnostic array of eating disorders. Ultimately, while much ground has been covered in 2018, further research is needed to enhance the accessibility and uptake existing treatments, since only a fraction of those with eating disorders are currently engaged in treatment. Further, with the expanding scope of non-outpatient eating disorder treatment settings, further research is required to adapt and assess the implementation of empirically supported treatments in higher levels of patient care. Lastly, in aiming to optimize patient outcomes, treatment outcome research must seek to identify (i) mechanisms that underlie illness eating disorder psychopathology, and (ii) the active mechanisms of existing treatments.
目前的证据表明，大多数饮食失调症患者在治疗过程中不会完全康复，因此毫无疑问，迫切需要改善整个饮食失调症领域的治疗效果。虽然正在进行实证努力来优化治疗效果，但本文回顾了 2018 年《饮食失调症：治疗与预防杂志》上发表的与治疗相关的研究结果。重要的是，本综述涵盖了以下三个方面的研究：（i）探讨获得和接受实证支持治疗的障碍；（ii）评估在整个患者护理范围内提供实证支持治疗的研究；（iii）旨在分离治疗机制并优化跨诊断性饮食失调症治疗效果的研究。尽管 2018 年已经取得了很多进展，但仍需要进一步研究来提高现有治疗方法的可及性和接受度，因为目前只有一小部分饮食失调症患者接受了治疗。此外，随着非住院饮食失调症治疗环境的范围不断扩大，需要进一步研究以适应和评估实证支持治疗在更高水平的患者护理中的实施。最后，为了优化患者的治疗效果，治疗效果研究必须寻求确定：（i）导致疾病饮食障碍病理的机制；（ii）现有治疗方法的积极机制。
