Wilson G T, Fairburn C G
Department of Psychology, Rutgers University, Piscataway, New Jersey 08854.
J Consult Clin Psychol. 1993 Apr;61(2):261-9. doi: 10.1037//0022-006x.61.2.261.
Cognitive-behavioral therapy (CBT) is applicable to all eating disorders but has been most intensively studied in the treatment of bulimia nervosa (BN). CBT is designed to alter abnormal attitudes about body shape and weight, replace dysfunctional dieting with normal eating habits, and develop coping skills for resisting binge eating and purging. CBT is effective in reducing all core features of BN and shows good maintenance of therapeutic improvement. Although superior to therapy with antidepressant drugs, CBT has not been shown to be consistently superior to alternative psychological treatments. Different hypotheses about CBT's mechanisms of action are discussed.
认知行为疗法（CBT）适用于所有饮食失调症，但在神经性贪食症（BN）的治疗方面进行了最为深入的研究。认知行为疗法旨在改变对体型和体重的异常态度，用正常饮食习惯取代功能失调的节食行为，并培养应对技能以抵制暴饮暴食和催吐行为。认知行为疗法在减少神经性贪食症的所有核心特征方面是有效的，并且显示出良好的治疗改善维持效果。虽然认知行为疗法优于使用抗抑郁药物的治疗，但它并未始终如一地显示出优于其他心理治疗方法。文中讨论了关于认知行为疗法作用机制的不同假设。
