Brotman A W, Herzog D B, Hamburg P
Eating Disorders Unit, Massachusetts General Hospital, Boston.
J Clin Psychiatry. 1988 Apr;49(4):157-60.
Fourteen patients with bulimia were treated with group psychotherapy and with strategic use of antidepressants and individual psychotherapy as needed. The 12 who achieved sustained remission required an average of 21 months of treatment. Patients with both an axis I and an axis II diagnosis did less well and required longer treatment than those who met criteria for bulimia only. Bulimic symptoms varied substantially with time, so that a definition of remission requiring that a patient be symptom-free for 6 months was more accurate than acute outcome data. Patients with comorbid affective disorders, personality disorders, and bulimia had the poorest prognosis.
14名贪食症患者接受了团体心理治疗，并根据需要有策略地使用抗抑郁药和进行个体心理治疗。12名实现持续缓解的患者平均需要21个月的治疗。同时患有轴I和轴II诊断的患者比仅符合贪食症标准的患者治疗效果更差，且需要更长的治疗时间。贪食症状随时间有很大变化，因此要求患者6个月无症状的缓解定义比急性结果数据更准确。伴有情感障碍、人格障碍和贪食症的患者预后最差。
