今日暴食症研究聚焦於「創新介入模式」與「精準評估工具」,包含日間治療的高階證據、候診數位介入的實用性,以及重複經顱磁刺激(rTMS)在降低暴食衝動上的新興潛力,為臨床提供了從等待期到難治型個案的全流程解方。
European eating disorders review : the journal of the Eating Disorders Association · Effects of Day-Patient Treatment on Eating Disorder Symptoms in Persons With Bulimia Nervosa: A Meta-Analysis.
日間病房治療能顯著且大幅降低暴食症的病理症狀、暴食及催吐頻率,且不會改變BMI,是極具潛力的門診與住院之間的過渡治療選擇。
European eating disorders review : the journal of the Eating Disorders Association · Effectiveness of a Low-Intensity Self-Guided Psychoeducational Intervention for Individuals Waitlisted for Specialised Eating-Disorder Treatment: A Randomised Controlled Trial.
在候診期間提供簡單的電子郵件心理教育,能有效減輕患者的飲食障礙態度,特別是對於有暴食/清除行為的個案效果最為顯著。
Annals of general psychiatry · Efficacy and safety of repetitive transcranial magnetic stimulation in anorexia and bulimia nervosa: a systematic review and meta-analysis.
rTMS能顯著降低暴食症患者的進食衝動並改善憂鬱症狀,且安全性良好,為難治型暴食症提供了非藥物的神經調節新選擇。
European eating disorders review : the journal of the Eating Disorders Association · Psychometric Properties of the Commitment to Exercise Scale in Inpatients With Anorexia Nervosa and Bulimia Nervosa.
簡短的八題版「運動承諾量表」在暴食症患者中具備優良的心理計量學特性,能有效評估強迫運動並敏感到測出治療期間的變化。
European eating disorders review : the journal of the Eating Disorders Association · Assessment of Maladaptive Exercise History Among Individuals With Eating Disorders: Validation of a Brief, Self-Report Measure.
研究驗證出一套僅六題的篩檢工具,能精準捕捉暴食症患者過去及現在的代償性運動等適應不良運動史。
European eating disorders review : the journal of the Eating Disorders Association · Feasibility and Preliminary Outcomes of Group-Based Cognitive Remediation and Emotion Skills Training (CREST) for Adult Women With Anorexia Nervosa and Bulimia Nervosa: A Pilot Pre-Post Study.
團體形式的認知與情緒技能訓練(CREST)具備可行性,能顯著降低暴食症患者的焦慮與憂鬱,並提升自我同情。
BMC psychiatry
有飲食障礙的大學生無論性別,其自殺與自傷風險皆顯著升高,其中「安慰性進食」與「進食罪惡感」是強烈的預警指標。
Clinical child psychology and psychiatry
青少年反芻症候群常被誤診為飲食障礙,多數合併精神科共病,需透過兒科與精神科跨團隊聯合評估以避免誤診。
The International journal of eating disorders
COVID-19疫情後,哥倫比亞的厭食症與暴食症就診率大幅上升,顯示公共衛生危機對飲食障礙醫療負擔的深遠影響。
European eating disorders review : the journal of the Eating Disorders Association
DSM-5的暴食症嚴重度分類能有效區分臨床變項,而針對暴食障礙調整後的嚴重度指標可能比原版更適合亞洲族群。
European eating disorders review : the journal of the Eating Disorders Association
厭食症暴食/清除亞型的睡眠障礙盛行率最高,雖然自閉症特質與睡眠問題相關,但在控制混淆變項後未達顯著。
European eating disorders review : the journal of the Eating Disorders Association
暴食症候群同時存在恐懼與趨近特質,這兩者皆會加劇暴食症狀,顯示其病理機制同時涵蓋內化與外化光譜。
European eating disorders review : the journal of the Eating Disorders Association
在暴食譜系障礙中,對體重增加的恐懼是導致高比例適應不良運動的特定風險因子,此關聯在暴食症中特別顯著。
European archives of psychiatry and clinical neuroscience
急性厭食症患者存在廣泛的大腦皮層摺疊減少現象,這可能反映神經發育異常與營養不良的狀態依賴效應,但在暴食症中的發現尚無定論。
European archives of psychiatry and clinical neuroscience
暴食症與厭食症患者的適應性身體圖像伴隨本體感覺扭曲,而暴露於纖瘦理想影像會加劇此種異常具身感覺。