Joshua Phoebe R, Lewis Vivienne, Kelty Sally F, Boer Douglas P
Discipline of Psychology, Faculty of Health, University of Canberra, Bruce 2617, Australia.
Cogn Behav Ther. 2023 May;52(3):213-231. doi: 10.1080/16506073.2022.2158926. Epub 2023 Jan 12.
Commonly developing in adolescence and following a chronic course, eating disorders are life-threatening psychological disorders and typically very difficult to treat despite the body of research exploring treatment options. Due to the high levels of severity and the enduring nature of eating disorders, schema therapy has been proposed as a more effective treatment than cognitive behaviour therapy. To assess the effectiveness of schema therapy in adults with eating disorders, the present systematic review was designed in accordance with PRISMA guidelines. A structured search of electronic databases and grey literature was conducted, and the Mixed Methods Assessment Tool was used to assess the quality of each article. Four articles including 151 participants were found which demonstrated that schema therapy is effective at reducing eating disorder symptoms and behaviour and general psychopathology. Despite the limitations of this study, including the scarcity of research available and varying methodologies used, the present systematic review found evidence supporting the use of schema therapy in patients with eating disorders, particularly those experiencing severe and enduring forms.
饮食失调通常在青少年时期出现且病程呈慢性，是危及生命的心理障碍，尽管有大量研究探索治疗方案，但通常很难治疗。由于饮食失调的严重程度高且具有持续性，有人提出图式疗法比认知行为疗法更有效。为评估图式疗法对患有饮食失调的成年人的有效性，本系统评价按照PRISMA指南进行设计。对电子数据库和灰色文献进行了结构化检索，并使用混合方法评估工具来评估每篇文章的质量。发现了四篇文章，共151名参与者，这些文章表明图式疗法在减轻饮食失调症状、行为及一般精神病理学方面是有效的。尽管本研究存在局限性，包括现有研究稀缺以及使用的方法各异，但本系统评价发现有证据支持在饮食失调患者中使用图式疗法，尤其是那些患有严重且持续性形式的患者。
