暴食症的诊断、治疗及其疗效

张衍 席居哲

心理科学 ›› 2011, Vol. 34 ›› Issue (6) : 1508-1511.

中文  |  English
心理科学 ›› 2011, Vol. 34 ›› Issue (6) : 1508-1511.
临床与咨询

暴食症的诊断、治疗及其疗效

  • 张衍1,席居哲2,3
作者信息 +

Diagnosis, Therapy and Therapeutic Potency of Binge Eating Disorder (BED)

  • Yan Zhang1,Ju-Zhe XI2,3
Author information +
文章历史 +

摘要

暴食症已成为目前世界上广泛流行的三大进食障碍之一,我国患者亦不在少数并有增加之势,但对暴食症的研究与治疗尚属起步阶段。文章回顾了暴食症的表征及其诊断技术,简要介绍了常见的三种治疗方法(即行为疗法、认知疗法及伴随症状改善法),并讨论了影响暴食症疗效的诸个体因素。暴食症的诊断主要是根据美国精神疾病诊断与统计手册第四版(DSM-IV)、进食障碍检测评估表(EDE)(治疗者用)和患者用进食障碍检测问卷(EDE-Q)(患者用),并结合过往病史和伴随症状。三类治疗方法在理论与操作层面各有倚重,均可收到一定治疗效果。但各疗法的效果与预后会因患者而异甚或迥乎相异,这是因为暴食症疗效还受到患者自身人格、社会和认知诸因素的影响,治疗者应根据特定患者选择适合该患者的疗法。

Abstract

Binge eating disorder (BED) has been proved to be one of the three most prevalent eating disorders in the world. In China, the number of those who are suffering from BED is not small and on rise. But studies on and treatments of this kind of disorder are almost on their primary stages. Systematically, this article reviews the syndromes that symbolize BED and the criteria of diagnosing BED, with mainly making an introduction to three common-used therapeutic methods on BED (i.e., the behavioral therapy, the cognitive therapy, and the therapy for improving other symptoms with BED). The article also discusses clients’ personal factors that could affect the therapeutic potency. The diagnosis of BED mainly depends on the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), Eating Disorder Examination (EDE) (investigator/interviewer-based) and Eating Disorder Examination Questionnaire (EDE-Q) (clients/interviewee-based). A combination of medical history as well as other symptoms is also used as supplementary evidences to diagnosis. The three kinds of therapies place emphasis on different parts in theory and in practice. Although each of the three has been confirmed to lead to good results, the specific therapeutic potencies change much in different patients. The reason is that the therapeutic potencies are also influenced by the personality, social and cognitive factors of patients,which implies that the treatments should be chosen accordingly to the particular patient.

关键词

进食障碍 / 暴食症 / 诊断评估 / 治疗 / 疗效

Key words

Eating disorders / Binge Eating Disorder (BED) / diagnosis and evaluations / therapy / therapeutic potency

引用本文

导出引用
张衍 席居哲. 暴食症的诊断、治疗及其疗效[J]. 心理科学. 2011, 34(6): 1508-1511
Yan Zhang Ju-Zhe XI. Diagnosis, Therapy and Therapeutic Potency of Binge Eating Disorder (BED)[J]. Journal of Psychological Science. 2011, 34(6): 1508-1511

参考文献

[1]江光荣.心理咨询与治疗(修订版).安徽: 安徽人民出版社.[J].,2001,:. [2]季建林,徐俊冕.人际心理治疗[J].中国卫生心理杂志,1991,5(6):276-278 [3]赵静波,季建林.人际心理治疗[J].中国临床心理学杂志,2000,8(1):58-61 [4]Alger, S. A., Schwalberg, M. D., Bigaoueite, J. M., Michalek, A. V., & Howard, L. J..Effect of a tricyclic antidepressant and opiate antagonist on binge-eating behavior in normoweight bulimic and obese, binge-eating subjects[J].The American Journal of Clinical Nutrition,1991,53(4):865-871 [5]Fairburn, C. G. .Cognitive Behavior Therapy and Eating Disorders. New York: The Guilford Press.[J].,2008,:. [6]Gauvin, L., Steiger, H., & Brodeur, J.-M..Eating-disorder symptoms and syndromes in a sample of urban-dwelling Canadian women: Contributions toward a population health perspective[J].International Journal of Eating Disorders,2009,42:158-165 [7]Hilbert, A., Saelens, B. E., Stein, R. I., Mockus, D. S., Welch, R. R., Matt, G. E., et al..Pretreatment and process predictors of outcome in interpersonal and cognitive behavioral psychotherapy for binge eating disorder[J].Journal of Consulting and Clinical Psychology,2007,75(4):645-651 [8]Hoek, H. W., & van Hoeken, D..Review of the Prevalence and Incidence of Eating Disorders[J].International Journal of Eating Disorders,2003,34:383-396 [9]Hrabosky, J. I., Masheb, R. M., White, M. A., & Grilo, C. M..Overvaluation of shape and weight in binge eating disorder[J].Journal of Consulting and Clinical Psychology,2007,75(1):175-180 [10]Latner, J. D., & Wilson, G. T..Binge Eating and Satiety in Bulimia Nervosa and Binge Eating Disorder: Effects of Macronutrient Intake[J].International Journal of Eating Disorders,2004,36(4):402-415 [11]Lynch, F. L., Striegel-Moore, R. H., Dickerson, J. F., Perrin, N., DeBar, L., Wilson, G. T., et al..Cost-effectiveness of guided self-help treatment for recurrent binge eating[J].Journal of Consulting and Clinical Psychology,2010,78(3):322-333 [12]Masheb, R. M., & Grilo, C. M..Examination of predictors and moderators for self-help treatments of binge-eating disorder[J].Journal of Consulting and Clinical Psychology,2008,76(5):900-904 [13]McElroy, S. L., Guerdjikova, A. I., Martens, B., Keck, P. E., Jr., Pope, H. G., & Hudson, J. I..Role of antiepileptic drugs in the management of eating disorders[J].CNS Drugs,2009,23(2):139-156 [14]Munsch, S., Meyer, A. H., Milenkovic, N., Schlup, B., Margraf, J., & Wilhelm, F. H..Ecological momentary assessment to evaluate cognitive-behavioral treatment for binge eating disorder[J].International Journal of Eating Disorders,2009,42:648-657 [15]Rabin, M.Art Therapy and Eating Disorders. New York: Columbia University Press.[J].,2003,:. [16]Riva, G., Bacchetta, M., Baruffi, M., Rinaldi, S., Vincelli, F., & Molinari, E..Virtual reality-based experiential cognitive treatment of obesity and binge-eating disorders[J].Clinical Psychology & Psychotherapy,2000,7:209-219 [17]Striegel-Moore, R. H., Wilson, G. T., DeBar, L., Perrin, N., Lynch, F., Rosselli, F., et al..Cognitive behavioral guided self-help for the treatment of recurrent binge eating[J].Journal of Consulting and Clinical Psychology,2010,78(3):312-321 [18]Telch, C. F., Agras, W. S., & Linehan, M. M..Dialectical behavior therapy for binge eating disorder[J].Journal of Consulting and Clinical Psychology,2001,69(6):1061-1065 [19]Wildes, J. E., Marcus, M. D., Grilo, C. M., & Mitchell, J. E. .Diagnosis, assessment, and treatment planning for binge-eating disorder and eating disorder not otherwise specified The treatment of eating disorders: A clinical handbook. (pp. 44-65). New York, NY US: Guilford Press.[J].,2010,:. [20]Wilfley, D. E., Friedman, M. A., Dounchis, J. Z., Stein, R. I., Welch, R. R., & Ball, S. A..Comorbid psychopathology in binge eating disorder: Relation to eating disorder severity at baseline and following treatment[J].Journal of Consulting and Clinical Psychology,2000,68(4):641-649

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