Department of Psychiatry, University of California, San Francisco, 401 Parnassus Avenue, San Francisco, CA 94143, USA.
School of Psychology, Fairleigh Dickinson University, 1000 River Road (T-WH1-01), Teaneck, NJ 07666, USA.
Psychiatr Clin North Am. 2019 Jun;42(2):193-204. doi: 10.1016/j.psc.2019.01.004. Epub 2019 Apr 3.
Eating disorders (EDs) are serious psychiatric illnesses that typically develop during adolescence or young adulthood, indicating that individuals with EDs may benefit from early intervention. Family-based treatment is the leading treatment of youth with anorexia nervosa, with increasing evidence of its efficacy for youth with bulimia nervosa. This review describes the role of family engagement within family-based treatment of EDs, followed by a summary of current empirically supported, family-based ED interventions. It concludes with discussion of the ways in which family interventions are expanding and adapting to improve the breadth and scope of ED treatment in adolescence and young adulthood.
进食障碍（EDs）是严重的精神疾病，通常在青少年或成年早期发展，这表明 ED 患者可能受益于早期干预。家庭为基础的治疗是治疗青少年神经性厌食症的主要方法，越来越多的证据表明其对青少年神经性贪食症也有效。本综述描述了家庭参与在 ED 的家庭为基础的治疗中的作用，接着对目前有实证支持的、基于家庭的 ED 干预措施进行了总结。最后讨论了家庭干预措施如何扩展和适应，以改善青少年和成年早期 ED 治疗的广度和范围。
