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以情绪为中心的疗法在饮食失调治疗中的疗效:一项系统综述。

Efficacy of emotion-focused therapy in the treatment of eating disorders: A systematic review.

作者信息

Osoro Andrea, Villalobos Dolores, Tamayo José Antonio

机构信息

Department of Psychology, San Juan de Dios Foundation, Calle Herreros de Tejada, 3, Madrid, Spain, 28016, Spain.

Department of Psychology, San Rafael-Nebrija Health Sciences Center, Paseo de la Habana, 70 bis, Madrid, Spain, 28036, Spain.

出版信息

Clin Psychol Psychother. 2022 May;29(3):815-836. doi: 10.1002/cpp.2690. Epub 2021 Nov 30.

Abstract

BACKGROUND

The high incidence of eating disorders (EDs) means that its treatment is approached from various perspectives, among which we find emotion-focused therapy (EFT). Therefore, the main objective of this systematic review was to know the effectiveness of EFT for eating disorders.

METHOD

A systematic review of PubMed, the Cochrane Library and the Psychology and Behavioural Sciences Collection was carried out without a time limit and in a population with an eating disorder diagnosis.

RESULTS

Eight studies fulfilled the eligibility criteria: (1) six studies treated the population with binge eating disorder (BED) five were group treatments, and four included the combined modality; (2) one with BED, bulimia nervosa (BN) and Eating Disorder No Otherwise Specified (EDNOS); and (3) one for a single case of anorexia nervosa (AN). The duration of treatments ranged from 12 weeks to 18 months, and all studies used the original EFT protocol. Specific variables of each type of eating disorder were studied, as well as comorbid symptoms.

CONCLUSIONS

It seems that the results coincide in the existence of post-treatment improvements both in eating psychopathology and in affective symptoms, although with variable data during follow-up. More research is needed to affirm the efficacy of EFT as an empirically validated treatment for EDs.

摘要

背景

饮食失调(EDs)的高发病率意味着其治疗需从多个角度进行,其中包括以情绪为中心的疗法(EFT)。因此,本系统评价的主要目的是了解EFT对饮食失调的有效性。

方法

对PubMed、考克兰图书馆和心理学与行为科学文集进行了无时间限制的系统评价,研究对象为被诊断患有饮食失调的人群。

结果

八项研究符合纳入标准:(1)六项研究针对暴饮暴食症(BED)患者进行治疗,五项为团体治疗,四项采用联合治疗方式;(2)一项针对BED、神经性贪食症(BN)和未特定的饮食失调(EDNOS)患者;(3)一项针对一例神经性厌食症(AN)患者。治疗时长从12周至18个月不等,所有研究均采用原始的EFT方案。研究了每种饮食失调类型的特定变量以及共病症状。

结论

尽管随访期间数据存在差异,但治疗后饮食心理病理学和情感症状均有所改善,这一点似乎在各项研究结果中是一致的。需要更多研究来证实EFT作为一种经实证验证的饮食失调治疗方法的疗效。

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