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2022年饮食失调症治疗进展:《饮食失调症》年度回顾

Updates in the treatment of Eating Disorders in 2022: a year in review in Eating Disorders.

作者信息

Friedlich Cassandra E, Covarrubias Andrea, Park Hyoungjin, Murray Stuart B

机构信息

Department of Psychiatry and the Behavioral Sciences, University of Southern California, Los Angeles, Califonia, USA.

出版信息

Eat Disord. 2023 Mar-Apr;31(2):128-138. doi: 10.1080/10640266.2023.2179774. Epub 2023 Feb 16.

Abstract

A broad array of important and diverse studies surrounding the treatment of eating disorders were published in in 2022. Novel interventions such as neurosurgical and neuromodulatory treatments were discussed, as evidence continues to mount around their potential utility in treating eating disorders, in particular namely anorexia nervosa. Important pragmatic and theoretical developments around feeding and refeeding approaches emerged, and are also discussed. In this review, we carefully review evidence alluding to the potential efficacy of exercise in partially ameliorating binge eating disorder symptomatology, while examining broader evidence underscoring the importance of therapeutically ameliorating compulsive exercise in anorexia nervosa and bulimia nervosa. In addition, we overview evidence relating to the risk and sequelae associated with premature discharge from intensive eating disorder treatment, as well as the efficacy of CBT versus group therapy-based maintenance treatments. Finally, important developments around the use of open versus blind weighing in treatment are assessed. Overall, the articles published in Eating Disorders: The Journal of Treatment & Prevention in 2022 evidence the promise of treatment advances in the field and requires further work to address the development of efficacious treatments to achieve greater outcomes for those with eating disorders.

摘要

2022年发表了一系列围绕饮食失调治疗的重要且多样的研究。讨论了诸如神经外科和神经调节治疗等新型干预措施,因为围绕它们在治疗饮食失调,特别是神经性厌食症方面的潜在效用的证据不断增加。围绕喂养和重新喂养方法出现了重要的实践和理论进展,也进行了讨论。在本综述中,我们仔细审查了暗示运动在部分改善暴饮暴食症症状方面潜在疗效的证据,同时研究了更广泛的证据,强调了在神经性厌食症和神经性贪食症中治疗性改善强迫性运动的重要性。此外,我们概述了与饮食失调强化治疗过早出院相关的风险和后遗症的证据,以及认知行为疗法与基于团体治疗的维持治疗的疗效。最后,评估了治疗中使用公开称重与盲法称重的重要进展。总体而言,2022年发表在《饮食失调:治疗与预防杂志》上的文章证明了该领域治疗进展的前景,并且需要进一步开展工作来开发有效的治疗方法,以便为饮食失调患者取得更好的治疗效果。

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