Chinese General Practice ›› 2023, Vol. 26 ›› Issue (36): 4487-4497.DOI: 10.12114/j.issn.1007-9572.2023.0443
Special Issue: 指南/共识最新文章合集
• Guidelines·Consensus • Previous Articles Next Articles
Received:
2023-07-09
Revised:
2023-07-21
Published:
2023-12-20
Online:
2023-08-06
Contact:
WANG Zhen, CHEN Jue
通讯作者:
王振, 陈珏
基金资助:
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URL: https://www.chinagp.net/EN/10.12114/j.issn.1007-9572.2023.0443
推荐强度 | 证据级别(级) | 病因、治疗、预防 |
---|---|---|
A | 1a | 多个同质随机对照研究的系统综述 |
1b | 单个随机对照研究 | |
1c | "全或无"证据 | |
B | 2a | 同质性队列研究的系统综述 |
2b | 单一的队列研究(包括低质量的随机对照研究,如随访率<80%) | |
2c | 结局性研究 | |
3a | 同质性病例对照研究的系统综述 | |
3b | 单独的病例对照研究 | |
C | 4 | 病例系列 |
D | 5 | 没有严格评价的专家意见,或完全基于生理学和基础研究 |
Table 1 Clinical evidence grading criteria and strength of recommendation by Oxford Centre for Evidence-based Medicine
推荐强度 | 证据级别(级) | 病因、治疗、预防 |
---|---|---|
A | 1a | 多个同质随机对照研究的系统综述 |
1b | 单个随机对照研究 | |
1c | "全或无"证据 | |
B | 2a | 同质性队列研究的系统综述 |
2b | 单一的队列研究(包括低质量的随机对照研究,如随访率<80%) | |
2c | 结局性研究 | |
3a | 同质性病例对照研究的系统综述 | |
3b | 单独的病例对照研究 | |
C | 4 | 病例系列 |
D | 5 | 没有严格评价的专家意见,或完全基于生理学和基础研究 |
项目 | 治疗目标 | 适应人群 | 推荐疗程 | 推荐强度/证据级别 |
---|---|---|---|---|
CBT | 打破暴食-清除恶性循环,控制BN症状,降低对自身体质量和体形的过度关注 | 青少年、成人BN | 4~6个月,约20次访谈 | A/1a |
IPT | 聚焦于识别和改变导致进食问题发生、发展和持续的人际关系背景 | 成人BN | 4~5个月,15~20次访谈 | B/1b |
DBT | 帮助患者认识自我、学会调节情绪、建立良好的人际关系以及学会承受生活中不可避免的痛苦,从而减少暴食和清除行为 | 成人BN | 6个月,20次访谈 | B/2a |
精神动力性心理治疗 | 帮助患者理解其症状与早年经历、生活事件之间的关系,理解BN症状背后的潜意识冲突、防御方式等,理解暴食和清除行为的心理意义、在其生活中的作用,患者通过领悟从而调整其行为 | 成人BN | 约1年,50次访谈 | B/1b |
家庭治疗 | 通过维系家庭平衡,减少暴食清除频率 | 青少年BN | 6个月,20次访谈 | A/1a |
Table 2 Clinical evidence grading criteria and strength of recommendation for psychotherapy in patients with BN
项目 | 治疗目标 | 适应人群 | 推荐疗程 | 推荐强度/证据级别 |
---|---|---|---|---|
CBT | 打破暴食-清除恶性循环,控制BN症状,降低对自身体质量和体形的过度关注 | 青少年、成人BN | 4~6个月,约20次访谈 | A/1a |
IPT | 聚焦于识别和改变导致进食问题发生、发展和持续的人际关系背景 | 成人BN | 4~5个月,15~20次访谈 | B/1b |
DBT | 帮助患者认识自我、学会调节情绪、建立良好的人际关系以及学会承受生活中不可避免的痛苦,从而减少暴食和清除行为 | 成人BN | 6个月,20次访谈 | B/2a |
精神动力性心理治疗 | 帮助患者理解其症状与早年经历、生活事件之间的关系,理解BN症状背后的潜意识冲突、防御方式等,理解暴食和清除行为的心理意义、在其生活中的作用,患者通过领悟从而调整其行为 | 成人BN | 约1年,50次访谈 | B/1b |
家庭治疗 | 通过维系家庭平衡,减少暴食清除频率 | 青少年BN | 6个月,20次访谈 | A/1a |
[1] |
王向群,王高华. 中国进食障碍防治指南[M]. 北京:中华医学电子音像出版社,2015.
|
[2] |
陈珏. 进食障碍[M]. 北京:人民卫生出版社,2013.
|
[3] |
|
[4] |
|
[5] |
National Guideline Alliance (UK). Eating Disorders:Recognition and Treatment[M]. London:National Institute for Health and Care Excellence (NICE),2017.
|
[6] |
|
[7] | |
[8] |
|
[9] |
|
[10] |
American Psychiatric Association. Diagnostic and statistical manual of mental disorders,fifth edition,text revision[M]. Washington:American Psychiatric Association,2022.
|
[11] |
|
[12] |
古练,陈珏,黄悦,等. 进食障碍检查自评问卷6.0中文版在女性进食障碍患者中应用的效度和信度[J]. 中国心理卫生杂志,2017,31(5):350-355. DOI:10.3969/j.issn.1000-6729.2017.05.003.
|
[13] |
|
[14] |
Scottish Intercollegiate Guidelines Network(SIGN). Eating disorders 2022[EB/OL].[2023-02-26].
|
[15] |
|
[16] |
|
[17] |
|
[18] |
|
[19] |
|
[20] |
|
[21] |
邹蕴灵,陈珏. 认知行为疗法在进食障碍治疗中的应用[J]. 临床精神医学杂志,2019,29(3):214-215. DOI:10.3969/j.issn.1005-3220.2019.03.025.
|
[22] |
|
[23] |
|
[24] |
|
[25] |
|
[26] | |
[27] |
陈珏. 辩证行为治疗简介[J]. 心理学通讯,2018,1(2):137-140.
|
[28] |
|
[29] |
|
[30] |
Fluoxetine Bulimia Nervosa Collaborative Study Group. Fluoxetine in the treatment of bulimia nervosa. A multicenter,placebo-controlled,double-blind trial[J]. Arch Gen Psychiatry,1992,49(2):139-147.
|
[31] |
|
[32] |
|
[33] |
|
[34] |
|
[35] |
|
[36] |
|
[37] |
|
[38] |
|
[39] |
|
[40] |
|
[41] |
|
[42] |
|
[43] |
|
[44] |
|
[45] |
|
[46] |
|
[47] |
|
[48] |
|
[49] |
|
[50] |
|
[51] |
|
[52] |
|
[53] |
|
[54] |
|
[55] |
|
[56] |
|
[57] |
|
[58] |
|
[59] |
|
[60] |
|
[61] |
|
[62] |
|
[63] |
|
[64] |
|
[65] |
|
[66] |
|
[67] |
|
[68] |
|
[69] |
|
[70] |
|
[71] |
|
[72] |
陈妍,陈珏. 神经调控技术在进食障碍中的应用[J]. 中华行为医学与脑科学杂志,2021,30(5):469-475. DOI:10.3760/cma.j.cn371468-20210104-00019.
|
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