Tabuenca Krista, Crowe Danielle E, Gillis Artha J, Kabiling Chessa, Saccacio Brandy, Velkova Amanda V, Murray Stuart B
Eating Disorders Program, Resnick Neuropsychiatric Hospital, University of California, Los Angeles, California, USA.
Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, California, USA.
Eat Disord. 2025 Jul-Aug;33(4):434-450. doi: 10.1080/10640266.2025.2497750. Epub 2025 May 8.
A broad array of important and diverse studies surrounding the treatment of eating disorders were published in in 2024. Anorexia nervosa is the most lethal and arguably the most well-studied eating disorder, yet treatment outcomes have been slow to advance. Herein, we review advances to both measuring AN symptom severity specifiers, identifying key treatment targets, and overview treatment advances. With regards to binge spectrum eating disorders, we review how purging and non-purging compensatory behaviors impact illness severity, and carefully review evidence relating to treatment outcomes. In this review, we also review novel treatment developments including yoga-based and ayahuasca-based interventions, as well as novel treatments for augmenting weight restoration in restrictive eating disorders. Additionally, we review evidence relating to eating disorder comorbidities, elucidating the impact on illness severity and treatment outcomes, and evidence addressing access to care for specialized eating disorder treatment, and lastly, how non-outpatient levels of eating disorder care may augment outcomes. Overall, the articles published in Eating Disorders: The Journal of Treatment & Prevention in 2024 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.
2024年发表了一系列围绕饮食失调治疗的重要且多样的研究。神经性厌食症是最致命且可能是研究最充分的饮食失调症，但治疗效果进展缓慢。在此，我们回顾了在测量神经性厌食症症状严重程度指标、确定关键治疗靶点方面的进展，并概述了治疗进展。关于暴饮暴食谱系饮食失调症，我们回顾了清除和非清除补偿行为如何影响疾病严重程度，并仔细审查了与治疗效果相关的证据。在本综述中，我们还回顾了新的治疗进展，包括基于瑜伽和基于死藤水的干预措施，以及用于促进限制性饮食失调症体重恢复的新疗法。此外，我们回顾了与饮食失调共病相关的证据，阐明其对疾病严重程度和治疗效果的影响，以及有关获得专门饮食失调治疗的护理的证据，最后，非门诊水平的饮食失调护理如何可能改善治疗效果。总体而言，《饮食失调：治疗与预防杂志》2024年发表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以开发有效的治疗方法，为饮食失调患者取得更好的治疗效果。
