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首页> 外文期刊>Journal of Eating Disorders >Medication and psychotherapy in eating disorders: is there a gap between research and practice?
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Medication and psychotherapy in eating disorders: is there a gap between research and practice?

机译：饮食失调的药物治疗和心理治疗：研究与实践之间是否存在差距？

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BackgroundLittle research has investigated the use of evidence-based guidelines by eating disorder (ED) therapists, or prescribing of psychotropic medication. Moreover, people with EDs have rarely been surveyed on these topics, and their clinical and demographic features have not been presented. This study investigated perception of psychotherapy, psychotropic medication and the clinical characteristics of a community sample of people with EDs. MethodAn online survey methodology was used to recruit 253 people with eating disorders in the community. Where feasible, comparisons were made between four types of eating disorder, anorexia nervosa, bulimia nervosa, and two types of atypical or ‘sub-threshold’ eating disorder. ResultsUnlike medication, reported psychotherapy showed some congruence with evidence based and other guidance. Most participants were currently receiving either psychotherapy, medication or both, and most had a severe and chronic ED. ConclusionsFindings are considered in light of use of evidence-based treatment for EDs, calls for greater dissemination of cognitive behaviour therapy (CBT); indications that much may be poor quality; and the importance of what treatments to offer those who are chronically and severely ill. Development of theory and novel treatments is considered a priority.
机译：背景很少有研究调查饮食失调（ED）治疗师或开具精神药物处方的循证指南的使用。此外，极少有人对EDs进行过这些主题的调查，并且未介绍其临床和人口统计学特征。这项研究调查了对心理疗法，精神药物和ED患者社区样本的临床特征的看法。方法使用在线调查方法来招募社区中253名饮食失调的人。在可行的情况下，对四种类型的饮食失调，神经性厌食症，神经性贪食症和两种类型的非典型或“阈下”饮食失调进行了比较。结果与药物治疗不同，已报道的心理治疗与循证医学和其他指导有一定的一致性。大多数参与者目前正在接受心理治疗，药物治疗或两者同时接受治疗，并且大多数参与者患有严重的慢性ED。结论考虑到对EDs使用循证治疗的发现，要求更大程度地传播认知行为疗法（CBT）;迹象表明很多东西可能是劣质的;以及为慢性和重症患者提供何种治疗的重要性。理论和新方法的发展被认为是当务之急。

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