Nicula Maria, Austin Amelia, Couturier Jennifer, Dimitropoulos Gina
Department of Psychiatry and Behavioural Neurosciences, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada.
The Mathison Centre for Mental Health Research & Education, University of Calgary, 3280 Hospital Dr NW, Calgary, AB, T2N 5A1, Canada.
Curr Psychiatry Rep. 2025 Aug 12. doi: 10.1007/s11920-025-01628-2.
There is increasing interest and exploration in tailoring eating disorder (ED) treatment for emerging adults/transition-age youth. This review provides a narrative update on research findings from 2021 to 2025.
There has been continued development of ED-focused family therapy approaches for emerging adults, and we have also started to see the tailoring of existing individual treatments (e.g., Cognitive Behavioural Therapy (CBT), Maudsley Model of Anorexia Nervosa Treatment) for this age group. A notable development is the implementation and evaluation of treatments or service pathways aiming to deliver timely and accessible intervention to emerging adults: the First Episode Rapid Early Intervention for ED (FREED) service model and care pathway continues its scale and spread, and shorter forms of treatment, such as CBT-Ten, have been successfully delivered via both FREED and general mental health early intervention pathways. There has been a marked increase in ED treatment innovation and evaluation for emerging adults over the last few years. As of yet, it remains unclear if there is a single 'best' treatment approach for this age group. Anecdotally, there appears to be a shift away from exclusively family or individual oriented treatments. Future research should advance inclusive, developmentally aligned treatments for emerging adults by addressing peer support, youth engagement, and gaps in care models. Interventions must be adaptable across formats and populations while integrating seamlessly within existing systems through personalized, context-responsive strategies.
针对新兴成年人/过渡年龄青年量身定制饮食失调（ED）治疗方法的兴趣和探索日益增加。本综述对2021年至2025年的研究结果进行了叙述性更新。
针对新兴成年人的以ED为重点的家庭治疗方法不断发展，我们也开始看到针对该年龄组对现有个体治疗方法（如认知行为疗法（CBT）、神经性厌食症治疗的莫兹利模型）进行了调整。一个显著的发展是实施和评估旨在为新兴成年人提供及时且可及干预的治疗或服务途径：ED的首次发作快速早期干预（FREED）服务模式和护理途径继续扩大规模和范围，并且较短形式的治疗，如CBT - Ten，已通过FREED和一般心理健康早期干预途径成功实施。在过去几年中，针对新兴成年人的ED治疗创新和评估显著增加。截至目前，对于该年龄组是否存在单一的“最佳”治疗方法仍不清楚。据传闻，似乎正在从单纯以家庭或个体为导向的治疗方法转变。未来的研究应通过解决同伴支持、青年参与和护理模式差距等问题，推进针对新兴成年人的包容性、与发展相适应的治疗方法。干预措施必须在各种形式和人群中具有适应性，同时通过个性化、因地制宜的策略无缝融入现有系统。
