强化社区和家庭治疗饮食障碍:一个范围审查
Başak İnce1, Amelia Austin2,3, Matthew D Phillips4
1Department of Psychological Medicine, Centre for Research in Eating and Weight Disorders (CREW), Institute of Psychiatry, Psychology, and Neuroscience, King's College London, London, UK. basak.ince@kcl.ac.uk.
Journal of eating disorders
|November 11, 2025
概括
强化社区治疗 (ICT) 和家庭治疗 (HBT) 对饮食障碍 (ED) 是有前途的,为住院护理提供了替代方案. 需要进一步的高质量研究来证实它们的有效性.
科学领域:
- 心理健康 心理健康
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
背景情况:
- 密集社区治疗 (ICT) 和家庭治疗 (HBT) 是严重精神疾病的机构护理的替代方案.
- 关于ICT和HBT治疗饮食障碍 (ED) 的研究是有限的,但越来越多.
研究的目的:
- 对有关ICT和HBT治疗饮食障碍的文献进行范围审查.
- 绘制可用研究的地图,并确定实施和结果的趋势.
主要方法:
- 在四个数据库,灰色文献和试验注册表中进行了全面的搜索.
- 纳入标准集中在所有年龄段的任何ED诊断的>2次计划治疗接触/周的治疗.
主要成果:
- 46个来源符合纳入标准,其中大多数研究来自欧洲和美国.
- 研究主要集中在神经厌食症 (AN) 或混合性ED,证据质量低至中等,没有随机对照试验.
- 主要针对儿童的HBT与基于家庭的方法;ICT在年龄/诊断方面更为多样化,经常结合CBT/DBT和家庭组件.
- 尽管方法差异很大,但研究报告了临床结果,可行性,可接受性,患者满意度,坚持性和成本效益的改善.
结论:
- ICT和HBT是对EDs传统密集治疗的有希望的替代方案.
- 需要更高质量的,大规模的随机试验,并提供标准化的报告,以强有力的调查有效性.
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