Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Int J Eat Disord. 2021 Jan;54(1):102-106. doi: 10.1002/eat.23437. Epub 2020 Dec 17.
In the past 40 years, the prevalence of eating disorders (ED) in China has shown an increasing trend, leading to an urgent need to develop efficient treatment modes and methods. Since the beginning of the new century, the diagnosis, treatment, and research of ED in China have been under development. This article gives an introduction and commentary on the treatment modes, treatment methods and their applications in ED in China. There are two main treatment forms for ED until now, that is, inpatient treatment and outpatient treatment. Inpatient treatment is recommended as the first choice. Since 2008, clinical psychotherapies such as cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), and family-based treatment (FBT), which are effective for pathological symptoms of ED, have been introduced into China and developed clinically. Group CBT and group DBT for patients with ED and group FBT for caregivers might be the most efficient psychotherapy in China nowadays. A multi-family FBT support group could be developed as the basic treatment of ED patients. Although these new types of psychotherapy have observed effectiveness in clinical application, the Randomized Controlled Trials (RCT) are rare and need to be developed.
在过去的 40 年中，中国饮食失调症（ED）的患病率呈上升趋势，因此迫切需要开发有效的治疗模式和方法。自新世纪以来，中国对 ED 的诊断、治疗和研究一直在发展。本文对中国 ED 的治疗模式、治疗方法及其应用进行了介绍和评论。到目前为止，ED 有两种主要的治疗形式，即住院治疗和门诊治疗。住院治疗被推荐为首选。自 2008 年以来，针对 ED 病理性症状有效的临床心理治疗方法，如认知行为疗法（CBT）、辩证行为疗法（DBT）和家庭治疗（FBT），已被引入中国并得到临床发展。针对 ED 患者的团体 CBT 和团体 DBT 以及针对照料者的团体 FBT 可能是目前中国最有效的心理治疗方法。可以开发多家庭 FBT 支持小组作为 ED 患者的基本治疗方法。尽管这些新型心理治疗方法在临床应用中观察到了疗效，但随机对照试验（RCT）很少，需要进一步开展。
