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Psychotherapies for eating disorders: findings from a rapid review.

作者信息

Russell Haley, Aouad Phillip, Le Anvi, Marks Peta, Maloney Danielle, Touyz Stephen, Maguire Sarah

机构信息

InsideOut Institute, Central Clinical School, Faculty of Medicine and Health, Level 2, Charles Perkins Centre (D17), University of Sydney, Sydney, NSW, 2006, Australia.

Healthcare Management Advisors, Melbourne, Australia.

出版信息

J Eat Disord. 2023 Oct 4;11(1):175. doi: 10.1186/s40337-023-00886-w.


DOI:10.1186/s40337-023-00886-w
PMID:37794513
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10548609/
Abstract

BACKGROUND: Psychotherapy is considered central to the effective treatment of eating disorders-focusing on behavioural, psychological, and social factors that contribute to the illness. Research indicates psychotherapeutic interventions out-perform placebo, waitlist, and/or other treatments; but, outcomes vary with room for major improvement. Thus, this review aims to (1) establish and consolidate knowledge on efficacious eating disorder psychotherapies; (2) highlight select emerging psychotherapeutic interventions; and (3) identify knowledge gaps to better inform future treatment research and development. METHODS: The current review forms part of a series of Rapid Reviews published in a special issue in the Journal of Eating Disorders to inform the development of the Australian-government-funded National Eating Disorder Research and Translation Strategy 2021-2031. Three databases were searched for studies published between 2009 and 2023, published in English, and comprising high-level evidence studies (meta-analyses, systematic reviews, moderately sized randomised controlled studies, moderately sized controlled-cohort studies, and population studies). Data pertaining to psychotherapies for eating disorders were synthesised and outlined in the current paper. RESULTS: 281 studies met inclusion criteria. Behavioural therapies were most commonly studied, with cognitive-behavioural and family-based therapies being the most researched; and thus, having the largest evidence-base for treating anorexia nervosa, bulimia nervosa, and binge eating disorder. Other therapies, such as interpersonal and dialectical behaviour therapies also demonstrated positive treatment outcomes. Emerging evidence supports specific use of Acceptance and Commitment; Integrative Cognitive Affective; Exposure; Mindfulness; and Emotionally-Focused therapies; however further research is needed to determine their efficacy. Similarly, growing support for self-help, group, and computer/internet-based therapeutic modalities was noted. Psychotherapies for avoidant/restrictive food intake disorder; other, and unspecified feeding and eating disorders were lacking evidence. CONCLUSIONS: Currently, clinical practice is largely supported by research indicating that behavioural and cognitive-behavioural psychotherapies are most effective for the treatment of eating disorders. However, the efficacy of psychotherapeutic interventions varies across studies, highlighting the need for investment and expansion of research into enhanced variants and novel psychotherapies to improve illness outcomes. There is also a pressing need for investigation into the whole range of eating disorder presentations and populations, to determine the most effective interventions.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b57/10548609/87eac059d489/40337_2023_886_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b57/10548609/87eac059d489/40337_2023_886_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b57/10548609/87eac059d489/40337_2023_886_Fig1_HTML.jpg

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[1]
Anorexia nervosa-an update.

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[2]
[Anorexia nervosa-An update. German version].

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[3]
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"I mean, it kind of saved my life, to be honest": a qualitative study of participants' views of a dialectical behaviour therapy for multidiagnostic eating disorders programme.

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[5]
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[6]
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[7]
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[8]
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[9]
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J Eat Disord. 2023-12-11

本文引用的文献

[1]
Reward retraining: A pilot randomized controlled trial of a novel treatment approach for transdiagnostic binge eating.

Int J Eat Disord. 2023-3

[2]
Assessment and Treatment of Avoidant/Restrictive Food Intake Disorder.

Curr Psychiatry Rep. 2023-2

[3]
A pilot randomized controlled trial of a cognitive-behavioral therapy guided self-help mobile app for the post-acute treatment of anorexia nervosa: A registered report.

Int J Eat Disord. 2023-3

[4]
Internet-based cognitive behavioral therapy for bulimic eating disorders in a clinical setting: Results from a randomized trial with one-year follow-up.

Internet Interv. 2022-12-21

[5]
Cognitive behavioral therapy for eating disorders: A map of the systematic review evidence base.

Int J Eat Disord. 2023-2

[6]
Treatment of eating disorders: A systematic meta-review of meta-analyses and network meta-analyses.

Neurosci Biobehav Rev. 2022-11

[7]
A Randomized Controlled Trial of CBT+: A Clinician-Controlled, Just-In-Time, Adjunctive Intervention for Bulimia-Spectrum Disorders.

Behav Modif. 2023-5

[8]
Effectiveness of delivering evidence-based eating disorder treatment via telemedicine for children, adolescents, and youth.

Eat Disord. 2023

[9]
Dialectical behavior therapy compared to cognitive behavior therapy in binge-eating disorder: An effectiveness study with 6-month follow-up.

Int J Eat Disord. 2022-7

[10]
Physical and mental health outcomes of an integrated cognitive behavioural and weight management therapy for people with an eating disorder characterized by binge eating and a high body mass index: a randomized controlled trial.

BMC Psychiatry. 2022-5-24

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