Department of Psychiatry and the Behavioral Sciences, University of Southern California, Los Angeles, California, USA.
Eat Disord. 2020 Jan-Feb;28(1):21-31. doi: 10.1080/10640266.2020.1723373.
Empirical evidence continues to suggest that the majority of patients with eating disorders will not fully recover during treatment, and that treatment gains are vulnerable to relapse in the longer term. The urgent need for improved treatment options for those with eating disorders cannot be overstated. This review article provides an overview of treatment-related research findings published in on during 2019. Importantly, this review encapsulates research (i) outlining guidelines in managing the medical risk inherent to the treatment of eating disorders, (ii) examining the treatment of eating disorders in cross-cultural contexts, (iii) expanding treatment research to novel and atypical eating disorder populations, and (iv) augmenting existing treatment approaches for anorexia nervosa and bulimia nervosa in novel contexts. These articles represent important contributions to the ongoing evolution of the treatment of eating disorders. However, further work is needed in precisely identifying the mechanisms of eating disorder psychopathology, such that emerging treatment efforts may be mapped onto specific targets.
实证证据持续表明，大多数饮食障碍患者在治疗过程中不会完全康复，而且治疗效果在长期内容易复发。对于那些患有饮食障碍的人来说，改善治疗选择的迫切需求怎么强调都不为过。本文综述了 2019 年发表的与治疗相关的研究结果。重要的是，本综述涵盖了（i）概述管理治疗饮食障碍固有医疗风险的指南，（ii）研究跨文化背景下的饮食障碍治疗，（iii）将治疗研究扩展到新的和非典型的饮食障碍人群，以及（iv）在新的背景下增加对神经性厌食症和神经性贪食症的现有治疗方法。这些文章为饮食障碍治疗的持续发展做出了重要贡献。然而，还需要进一步研究准确确定饮食障碍精神病理学的机制，以便将新兴的治疗努力映射到特定的目标上。
