New York State Psychiatric Institute and Columbia University Irving Medical Center, New York, New York, USA.
Int J Eat Disord. 2024 Jun;57(6):1369-1371. doi: 10.1002/eat.24047. Epub 2023 Aug 14.
Treatments for eating disorders have established benefits; yet, current psychotherapies focus specifically on the cognitions and behaviors of the eating disorder. Wade et al. (2023) propose that the myriad symptoms and disorders that occur together with eating disorders merit specific attention in treatment research protocols. We seek to amplify the authors' call to take a fresh look at the characterization of eating disorders, and the need for treatment research to consider both the role of symptoms that occur as part and parcel of an eating disorder (such as mood, anxiety, and obsessionality) and the role of co-occurring disorders (such as obsessive-compulsive disorder and substance use disorders). We discuss additional aspects in the care of patients with eating disorders that were beyond the scope of Wade et al., such as the impact of systems of care, and consideration of medication trials. We propose that current research priorities (mechanism-based treatment development, transdiagnostic symptoms, and patient perspectives) can be leveraged to advance treatment research and develop a systematic approach to evaluation and treatment planning.
治疗饮食失调症已有明确的疗效；然而，目前的心理疗法专门针对饮食失调症的认知和行为。Wade 等人（2023 年）提出，与饮食失调症一起发生的众多症状和障碍值得在治疗研究方案中给予特别关注。我们希望强调作者的呼吁，即重新审视饮食失调症的特征，以及治疗研究需要考虑作为饮食失调症一部分的症状的作用（如情绪、焦虑和强迫性）和同时发生的障碍的作用（如强迫症和物质使用障碍）。我们讨论了 Wade 等人的研究范围之外的、与饮食失调症患者护理相关的其他方面，如护理系统的影响，以及药物试验的考虑。我们提出，当前的研究重点（基于机制的治疗开发、跨诊断症状和患者观点）可以用来推进治疗研究，并制定一种系统的评估和治疗计划方法。
