PDF(Pubmed)
Abstract：
This article aims to review the current evidence-based psychotherapy and psychopharmacological treatments for adults and youths with bulimia nervosa (BN) and binge-eating disorder (BED). Treatments for adults and for children and adolescents are discussed separately, including developmental considerations in the management of these disorders among youths. Although several evidence-based psychotherapy and psychopharmacological treatment options have been established for adults with BN or BED, there is much less empirical support for the management of these eating disorders among children and adolescents. This review concludes by discussing promising modalities and innovations, highlighting the potential utility of integrating technology into treatment approaches. Despite decades of treatment development and testing, a sizable proportion of individuals with BN or BED do not respond to the current evidence-based treatments, highlighting the need for continued research in these domains. Future research should focus on testing psychotherapy treatments among diverse samples in large, randomized controlled trials, as well as on treatments that can be easily scaled and implemented in community settings.
摘要：
本文旨在回顾针对患有神经性贪食症（BN）和暴饮暴食症（BED）的成年人和年轻人的基于证据的心理治疗和精神药理学治疗。成人和儿童和青少年的治疗分开讨论，包括在青少年中管理这些疾病的发展考虑。尽管已经为患有BN或BED的成年人建立了几种基于证据的心理治疗和精神药理学治疗方案，在儿童和青少年中，对这些饮食失调的管理的经验支持要少得多。这篇综述最后讨论了有希望的模式和创新，强调将技术整合到治疗方法中的潜在效用。尽管几十年的治疗发展和测试，相当比例的BN或BED患者对目前的循证治疗没有反应，强调需要在这些领域继续研究。未来的研究应该集中在测试不同样本中的心理治疗方法，随机对照试验，以及可以在社区环境中轻松扩展和实施的治疗方法。
