Stunkard A J
Int J Obes. 1978;2(2):237-48.
The introduction of a behavioral approach to the treatment of obesity ten years ago stimulated a large amount of research and clinical application, and has had an influence upon psychological treatment far beyond the field of obesity. This research has demonstrated that behavior therapy represents a significant improvement over traditional methods of treatment of mild and moderate obesity. Furthermore, ten years of investigation have introduced into psychological treatment research designs and a methodological sophistication without precedent in this field. Although behavior therapy has advanced the treatment of obesity, its results are still of limited clinical significance. Weight losses have been modest and the variability in results large and unexplained even long-term maintenance of weight loss, which, it was originally hoped, would be a particular benefit of the behavioral approach, has not yet been established. On possibility of increasing the effectiveness of behavioral treatments is to combine them with other measures--dietary and pharmacological. Three recent efforts at combining treatments show promise.
十年前，一种行为疗法被引入肥胖症治疗领域，这激发了大量的研究和临床应用，并且对心理治疗的影响远远超出了肥胖症领域。这项研究表明，行为疗法相较于传统的轻中度肥胖症治疗方法有显著改进。此外，十年的研究为心理治疗引入了该领域前所未有的研究设计和方法复杂性。尽管行为疗法推动了肥胖症治疗的发展，但其结果在临床意义上仍然有限。体重减轻幅度不大，结果差异很大且无法解释，甚至最初希望行为疗法能带来的长期体重维持效果也尚未得到证实。提高行为治疗效果有一种可能性，即把它们与其他措施——饮食和药物治疗——相结合。最近三项联合治疗的尝试显示出了前景。
