过度饮食障碍干预:审查,当前状态和影响
Carlos M Grilo1,2, Adrienne Juarascio3,4
1Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA. carlos.grilo@yale.edu.
Current obesity reports
|July 13, 2023
概括
过度饮食障碍 (BED) 的有效治疗方法包括认知行为疗法 (CBT) 和人际关系疗法 (IPT). 行为生活方式干预也显示出减少暴饮暴食和帮助减肥的希望.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 药理学 药理学是指药理学的学科.
背景情况:
- 暴饮暴食障碍 (BED) 是一种严重的精神疾病,具有相当大的发病率.
- 病情经常被诊断不足,治疗不足,导致长时间的痛苦.
研究的目的:
- 审查当前的行为,心理和药物治疗成年人BED.
- 为了突出最近的发现和BED治疗的进展.
主要方法:
- 对BED的各种治疗方式进行现有研究的审查.
- 对最近随机对照试验 (RCT) 数据和药理学研究的分析.
主要成果:
- 认知行为疗法 (CBT),人际关系疗法 (IPT) 和辩证行为疗法 (DBT) 证明了具有持久益处的有效性.
- 行为减肥 (BWL) 干预措施在过度饮食和饮食障碍精神病理方面表现出与CBT相当的有效性,并增加了减肥的好处.
- 利斯德克萨姆胺 (LDX) 是FDA批准的唯一药物;其他非标签药物显示混合的短期效果,长期数据有限.
- 药物治疗和心理治疗的结合通常不会改善超出单独心理治疗的结果.
结论:
- 有几种基于证据的BED干预措施可用,可以产生快速的结果.
- 需要进一步的研究来确定不响应患者的治疗方法,并探索新的药理选择.
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