Clinical Psychology Review最新文献_第5页

Together and beyond: A systematic review on characteristics and efficacy of transdiagnostic psychotherapeutic group-based interventions for children and adolescents 共同和超越：对儿童和青少年跨诊断心理治疗群体干预的特征和疗效的系统回顾

IF 12.2 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review

Pub Date : 2025-08-14 DOI: 10.1016/j.cpr.2025.102642

Celia Bähr , David Phan , Natalia Murawska , Julia Gerber , Annie Jordan , Kyra Hoffmann , Claudia Calvano

Transdiagnostic group interventions address the limitations of youth mental health care services, including the disorder-specific nature of existing treatments and the limited capacity of individual psychotherapies. This review synthesizes the 1) characteristics, applications, parental involvement, patient and public involvement (PPI), and 2) data on efficacy, adherence, safety and treatment satisfaction evidence of transdiagnostic group interventions for children and adolescents. Following PRISMA guidelines, a preregistered systematic literature search identified 6845 publications on transdiagnostic in-person group-based interventions for children and adolescents (mean age ≤ 18 years). Two reviewers independently screened for inclusion, extracted data, and assessed risk of bias using the RoB-2 and ROBINS-I tool. The review examined 80 studies encompassing 4152 participants (M_{age =} 12.81 years), mostly conducted in high-income countries. Cognitive behavioural therapy was the most commonly used approach (κ = 59), with the core components mindfulness, emotion regulation, and cognitive restructuring. Interventions averaged 11 sessions and 52 % involved parents. 22 studies targeted anxiety and depression jointly with positive pre-post effects. Significant reductions in symptom severity were also reported for other disorders, though outcome measures highly varied and group comparisons with active control conditions or treatment-as-usual were often non-significant. Few studies examined disorder-unspecific outcomes like psychosocial functioning, quality of life, or reported remission rates, treatment satisfaction or applied a PPI framework. While a large number of different transdiagnostic group interventions for youth have been developed and evaluated, the lack of rigorous reporting and high risk of bias highlight the need for better-quality research to strengthen evidence and improve clinical implementation.

跨诊断团体干预措施解决了青年心理保健服务的局限性，包括现有治疗方法的特定障碍性质和个人心理治疗的有限能力。本文综述了儿童和青少年跨诊断群体干预的特点、应用、家长参与、患者和公众参与（PPI），以及儿童和青少年跨诊断群体干预的有效性、依从性、安全性和治疗满意度证据。遵循PRISMA指南，预先注册的系统文献检索确定了6845份关于儿童和青少年（平均年龄≤18岁）跨诊断面对面群体干预措施的出版物。两位审稿人使用rob2和ROBINS-I工具独立筛选纳入、提取数据并评估偏倚风险。该综述检查了80项研究，包括4152名参与者（年龄为12.81岁），主要在高收入国家进行。认知行为疗法是最常用的方法（κ = 59），其核心成分是正念、情绪调节和认知重组。干预平均为11次，52%涉及父母。22项研究针对焦虑和抑郁的联合，并有积极的前后效应。其他疾病的症状严重程度也有显著降低的报道，尽管结果测量差异很大，与积极对照条件或常规治疗的组比较通常不显著。很少有研究检查非特异性疾病的结果，如心理社会功能、生活质量，或报告的缓解率、治疗满意度或应用PPI框架。虽然已经开发和评估了大量不同的青年跨诊断群体干预措施，但缺乏严格的报告和高偏倚风险突出表明需要进行更高质量的研究，以加强证据和改善临床实施。

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引用次数: 0

Underrepresentation and moderation of parent education levels in ADHD psychosocial treatment trials: A meta-analysis ADHD心理社会治疗试验中父母教育水平的不足和适度：一项荟萃分析

IF 12.2 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review

Pub Date : 2025-08-13 DOI: 10.1016/j.cpr.2025.102639

Samantha M. Margherio , Hannah Brockstein , Azadeh Bakhtiari , Steven W. Evans

Objective

We sought to ascertain the representativeness of psychosocial treatment trials for youth with ADHD in terms of parent education (PE) and race and to determine whether these study characteristics moderated treatment outcomes.

Method

High-quality randomized controlled trials (RCTs) of psychosocial treatments for children and adolescents with ADHD conducted in the U.S. and published between 2007 and 2025 were included in this study if they reported PE (% of parents with a college degree or higher) and race/ethnicity.

Results

A total of 46 studies were included, representing 5837 participants. Between 48 % and 52 % of parents had a college degree or higher, compared to 38 % in the U.S. population. Two-thirds of studies overrepresented highly educated parents. Samples were generally representative of diverse races and ethnicity, although this appeared driven by the 35 % of studies that oversampled racially minoritized youth whereas 26 % underrepresented racially minoritized youth. Subgroup meta-analyses indicated treatment was only superior to control conditions in reducing ADHD symptoms in samples with highly educated parents. For race, treatment was only associated with significant effects on hyperactivity/impulsivity symptoms among racially-representative samples who also had high PE.

Conclusion

These findings question the effectiveness of psychosocial interventions for youth with ADHD for families of diverse educational backgrounds. There is a dire need to recruit more diverse samples in terms of PE, and to develop interventions that are effective for families across all educational backgrounds.

目的：我们试图从父母教育（PE）和种族方面确定青少年多动症心理社会治疗试验的代表性，并确定这些研究特征是否会调节治疗结果。方法2007年至2025年间在美国进行并发表的关于儿童和青少年多动症心理社会治疗的高质量随机对照试验（rct），如果他们报告了PE（具有大学或更高学历的父母的百分比）和种族/民族，则纳入本研究。结果共纳入46项研究，5837名受试者。48%到52%的父母拥有大学或更高学历，而在美国，这一比例为38%。三分之二的研究过度代表了受过高等教育的父母。样本通常具有不同种族和民族的代表性，尽管这似乎是由于35%的研究过度抽样了少数民族青年，而26%的研究未充分代表少数民族青年。亚组荟萃分析显示，在父母受过高等教育的样本中，治疗仅在减少ADHD症状方面优于对照组。就种族而言，治疗仅在具有高PE的具有种族代表性的样本中对多动/冲动症状有显著影响。结论这些发现质疑了不同教育背景家庭对青少年ADHD患者进行心理社会干预的有效性。迫切需要在体育方面招募更多不同的样本，并制定对所有教育背景的家庭有效的干预措施。

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引用次数: 0

Wiping the slate clean: A meta-analysis of post-detention aftercare programs for young offenders 洗心革面：对少年犯拘留后善后项目的荟萃分析

IF 12.2 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review

Pub Date : 2025-08-13 DOI: 10.1016/j.cpr.2025.102640

Rita Selimi , Jesse Roest , Geert Jan Stams , Tarah Hoebrechts , Esmee van de Graaf , Sanne Janssen , Marjolein Snijder , Njomza Llullaku , Peer van der Helm , Janneke Staaks , Naomi Koning , Mark Assink

This three-level meta-analysis examined the effects of post-detention aftercare programs for adolescent and young adult offenders on several types of criminal recidivism (primary outcomes) and dynamic risk and protective factors for criminal behavior (secondary outcomes). A systematic search was conducted in the databases APA PsycInfo, Medline, ERIC, Web of Science Core Collection, SocINDEX, and Google Scholar, resulting in 26 relevant studies that produced 259 effect sizes. The results revealed a small overall effect (g = 0.26). Aftercare was effective for both primary (g = 0.23) and secondary (g = 0.35) outcomes. Smaller effects were found for general offenses (g = 0.23) and violent offenses (g = 0.26), a somewhat larger effect for minor offenses (g = 0.39), and no effect for substance abuse offenses (g = −0.04). Larger effects were found for arrests (g = 0.25) compared to convicted offenses (g = 0.12). Moderator analyses showed that mentoring and multi-modal interventions were effective, whereas family interventions as well as service and surveillance interventions were not effective. Positive changes in skills, substance abuse, family functioning, externalizing problems, internalizing problems, and general health were associated with larger intervention effects on recidivism, and thus may be considered important levers of change in post-detention aftercare programs. It was concluded that aftercare programs can fulfill a crucial role in deterring youth from re-offending. Future research should focus on refining aftercare programs and identifying program components that contribute to the success of aftercare for young offenders.

这个三层次的荟萃分析考察了青少年和青年罪犯的拘留后善后项目对几种类型的犯罪再犯（主要结果）和犯罪行为的动态风险和保护因素（次要结果）的影响。在APA PsycInfo、Medline、ERIC、Web of Science Core Collection、SocINDEX和谷歌Scholar等数据库中进行了系统搜索，得到了26项相关研究，产生了259个效应量。结果显示总体效应较小（g = 0.26）。术后护理对主要结局（g = 0.23）和次要结局（g = 0.35）均有效。一般犯罪（g = 0.23）和暴力犯罪（g = 0.26）的影响较小，轻微犯罪（g = 0.39）的影响稍大，滥用药物犯罪（g = - 0.04）没有影响。逮捕（g = 0.25）比定罪（g = 0.12）的影响更大。调节分析表明，指导和多模式干预是有效的，而家庭干预以及服务和监督干预则无效。技能、药物滥用、家庭功能、外化问题、内化问题和一般健康方面的积极变化与对累犯的更大干预效果有关，因此可能被认为是拘留后护理项目中改变的重要杠杆。结论是，善后项目在阻止青少年再次犯罪方面起着至关重要的作用。未来的研究应集中于完善善后护理方案，并确定有助于青少年罪犯善后护理成功的方案组成部分。

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引用次数: 0

A systematic review and integrative framework of psychotherapy microprocess: Linking the science of psychological interventions with the art of moment-to-moment practice 心理治疗微过程的系统回顾和综合框架：将心理干预科学与即时实践的艺术联系起来

IF 12.2 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review

Pub Date : 2025-08-13 DOI: 10.1016/j.cpr.2025.102641

Xiaochen Luo , Alytia A. Levendosky

Despite advancements in psychotherapy research on effectiveness and critical therapy processes, there remains a significant gap between the science and the art of psychotherapy, specifically on how to understand what to do moment-to-moment with each patient. A burgeoning research literature addresses this question by examining psychotherapy microprocesses, which typically referred to within-session changes of therapy processes, aiming to bridge psychotherapy research with clinical practice. In this pre-registered systematic review, we reviewed 86 empirical quantitative studies examining observational psychotherapy microprocesses over 35 years. We extracted 28 microprocess constructs across six categories (affective/emotional, behavioral, cognitive, relational/interpersonal, linguistic, and movement), four key methodological features of operationalizing microprocesses, and three types of research questions that focused on within-session change patterns, dyadic and intra-personal momentary associations, and associations with outcomes/macroprocesses/predictors. The literature demonstrated unique advantages in embracing theoretical plurality, real-world settings, and dyadic influences, while being limited by theoretical and methodological challenges such as the scatteredness in construct operationalizations, limited inclusion of diverse samples/therapy modalities and culture-related constructs, disconnections from theoretically driven hypotheses, and a lack of standard in reporting methodological features. To address these challenges, we propose the Multilevel Integrative Microprocess Model (MIMM), an integrative framework that situates microprocesses within the broader context of psychotherapy research traditionally centered on macro-level processes and outcomes. We conclude by suggesting a future research agenda that provides a checklist for future microprocess studies to enhance theoretical coherence and methodological rigor.

尽管心理治疗在有效性和关键治疗过程方面的研究取得了进展，但在心理治疗的科学和艺术之间仍然存在着巨大的差距，特别是在如何理解如何对每个病人进行实时治疗方面。一个新兴的研究文献通过研究心理治疗的微过程来解决这个问题，微过程通常指的是治疗过程的内部变化，旨在将心理治疗研究与临床实践联系起来。在这篇预先注册的系统综述中，我们回顾了35年来86项实证定量研究，研究了观察性心理治疗微过程。我们提取了28个微过程结构，涉及6个类别（情感/情绪、行为、认知、关系/人际、语言和运动），操作微过程的4个关键方法论特征，以及关注会话内变化模式、二元和个人内部瞬间关联以及与结果/宏观过程/预测因子的关联的3种研究问题。文献在拥抱理论多元性、现实环境和二元影响方面显示出独特的优势，同时也受到理论和方法挑战的限制，如构建操作化的分散性、不同样本/治疗方式和文化相关构建的有限包含、与理论驱动假设的脱节以及报告方法特征缺乏标准。为了应对这些挑战，我们提出了多层次整合微过程模型（Multilevel Integrative Microprocess Model， MIMM），这是一个整合框架，将微过程置于传统上以宏观层面的过程和结果为中心的心理治疗研究的更广泛背景下。最后，我们提出了一个未来的研究议程，为未来的微过程研究提供了一个清单，以增强理论的一致性和方法的严谨性。

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引用次数: 0

Does meta-analytic evidence support inter-identity amnesia in dissociative identity disorder? A commentary and corrected analysis for Beker et al. (2024) 元分析证据是否支持分离性身份障碍患者的身份间遗忘？的评论和修正分析。

IF 12.2 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review

Pub Date : 2025-08-08 DOI: 10.1016/j.cpr.2025.102638

Wencke Donath , Robin Van der Linde , Bruno Verschuere , John J.B. Allen , Richard J. McNally , Rafaele J.C. Huntjens

引用次数: 0

To Tigger from Pooh, “There's still work to do”: A response to Donath et al. 对《小熊维尼》里的跳跳虎，“还有工作要做”：对Donath等人的回应。

IF 12.2 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review

Pub Date : 2025-08-05 DOI: 10.1016/j.cpr.2025.102629

Julia Beker , Martin J. Dorahy , Jacinta Cording

引用次数: 0

Prevalence of Post-Traumatic Stress Disorder (PTSD) in autistic children or young people (CYP) and adults: A systematic review and meta-analysis. 自闭症儿童或青少年（CYP）和成人中创伤后应激障碍（PTSD）的患病率：系统回顾和荟萃分析。

IF 12.2 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review

Pub Date : 2025-08-01 Epub Date: 2025-07-19 DOI: 10.1016/j.cpr.2025.102621

Hassan Mansour, Suman Kurana, Aphrodite Eshetu, Sarah Hoare, Celine El Baou, Isabelle Arnold, Clemence Halys, Gavin R Stewart, Roopal Desai, Amber John, Will Mandy, Elizabeth O'Nions, Joshua Stott

Autistic individuals are more likely to encounter traumatic events and mental health challenges throughout their lives. While multiple studies have explored the link between autism and post-traumatic stress disorder (PTSD), no meta-analysis has comprehensively synthesised PTSD prevalence rates according to DSM or ICD diagnostic manuals. This is important for ensuring appropriate intervention for this underserved population. Therefore, the current meta-analysis investigated the point and lifetime prevalence of PTSD among diagnosed autistic children or young people (CYP) and adults. A thorough systematic search identified 17 studies involving 53,918 autistic CYP and 13 studies with 142,081 autistic adults. Random-effects meta-analyses indicated a point prevalence of 1.11 % (95 % CI: 0.32; 2.38) among autistic CYP and 2.06 % (95 % CI: 0.00; 11.97) among autistic adults. Lifetime prevalence was 5.74 % (95 % CI: 2.12; 10.99) for autistic CYP and 2.72 % (95 % CI: 2.54; 2.90) for autistic adults. Subgroup analyses identified several factors influencing rates: co-occurring intellectual disability, gender proportion, diagnostic criteria (e.g., DSM vs. ICD), and informant type (self-report vs. combined self and carer/parent). Although PTSD prevalence rates are similar to general population estimates, they contrast with previous studies using screening tools, which reported substantially higher PTSD symptomatology in autistic individuals. This discrepancy may highlight some limitations of current PTSD diagnostic criteria, which may not fully capture how trauma is experienced and expressed by autistic individuals, leading to underdiagnosis and potentially significant adverse outcomes. Future research should focus on developing autism-specific diagnostic guidelines to better identify and address PTSD in this population, ensuring more timely support.

自闭症患者一生中更有可能遇到创伤性事件和心理健康挑战。虽然有多项研究探索了自闭症和创伤后应激障碍（PTSD）之间的联系，但没有一项荟萃分析根据DSM或ICD诊断手册全面综合了PTSD的患病率。这对于确保对这一得不到充分服务的人群进行适当干预至关重要。因此，本荟萃分析调查了诊断为自闭症的儿童或青少年（CYP）和成人中创伤后应激障碍的点和终生患病率。一项全面的系统搜索确定了17项研究，涉及53,918名自闭症CYP和13项研究，涉及142,081名自闭症成年人。随机效应荟萃分析显示，点患病率为1.11% (95% CI: 0.32；2.38), 2.06% (95% CI: 0.00；11.97)。终生患病率为5.74% (95% CI: 2.12；10.99), 2.72% (95% CI: 2.54；2.90)。亚组分析确定了影响发生率的几个因素：共同发生的智力残疾、性别比例、诊断标准（例如，DSM vs. ICD）和信息提供者类型（自我报告vs.自我和照顾者/父母联合报告）。尽管PTSD患病率与一般人群估计相似，但它们与先前使用筛查工具的研究形成对比，后者报告自闭症个体的PTSD症状明显较高。这种差异可能突出了当前PTSD诊断标准的一些局限性，这些标准可能没有完全捕捉到自闭症患者是如何经历和表达创伤的，从而导致诊断不足和潜在的严重不良后果。未来的研究应侧重于制定自闭症特异性诊断指南，以更好地识别和解决这一人群的创伤后应激障碍，确保更及时的支持。

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引用次数: 0

A scoping review of decision-aid tools for disclosure and help-seeking of mental health concerns 对披露和寻求心理健康问题帮助的决策辅助工具的范围审查

IF 12.2 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review

Pub Date : 2025-08-01 DOI: 10.1016/j.cpr.2025.102628

Kassandra Hon , Mark Boyes , Penelope Hasking , Katrina Hon , Stephen P. Lewis

Globally, there is a large discrepancy between the prevalence of mental health concerns and the proportion of people who disclose or seek help for their mental health. As such, decision-aid tools have recently emerged in the mental health context to facilitate the disclosure and help-seeking process. Given recent developments in this field, a synthesis of the literature is needed to consolidate existing decision-aid tools and assess their effectiveness, particularly in facilitating the disclosure or help-seeking process. This scoping review aimed to capture and synthesise the growing literature on decision-aid tools designed to support people in the decision to disclose or seek help for their mental health concerns. The review considered empirical studies, including theses and dissertations that matched the following criteria: 1) focused on populations with a mental health concern, 2) reported the development and/or evaluation of a decision-aid tool, and 3) assessed a tool specifically designed to facilitate the disclosure or help-seeking process, or reported on at least one disclosure or help-seeking related outcome. The review was guided by Arksey and O’Malley's framework and the Joanna Briggs Institute's guidelines for scoping reviews. The findings of the review indicate that decision-aid tools can support various cognitive-emotional processes relevant to decision-making. There was also evidence demonstrating the effectiveness of decision-aid tools in increasing the rates of disclosure and help-seeking behaviours for mental health concerns. Overall, decision-aid tools appear to be a promising approach to enhance the effectiveness of disclosure and help-seeking decisions in the mental health context.

在全球范围内，心理健康问题的普遍程度与披露或寻求心理健康帮助的人的比例之间存在很大差异。因此，最近在精神卫生方面出现了决策援助工具，以促进披露和寻求帮助的过程。鉴于这一领域的最新发展，需要综合文献，以巩固现有的辅助决策工具并评估其有效性，特别是在促进披露或寻求帮助过程方面。这项范围审查的目的是收集和综合越来越多的关于决策辅助工具的文献，这些工具旨在支持人们决定披露或寻求心理健康问题的帮助。本综述考虑了实证研究，包括符合以下标准的论文：1)关注有心理健康问题的人群，2)报告了决策辅助工具的开发和/或评估，以及3)评估了专门设计用于促进披露或寻求帮助过程的工具，或报告了至少一个披露或寻求帮助相关的结果。这次审查以Arksey和O 'Malley的框架和乔安娜布里格斯研究所的审查范围指南为指导。研究结果表明，决策辅助工具可以支持与决策相关的各种认知-情绪过程。也有证据表明，决策援助工具在提高心理健康问题的披露率和寻求帮助行为方面是有效的。总体而言，决策援助工具似乎是一种有希望的方法，以提高在精神卫生背景下披露和寻求帮助的决定的有效性。

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引用次数: 0

A systematic review and meta-analysis of empathy in autism: The influence of measures 自闭症共情的系统回顾与元分析：措施的影响

IF 12.2 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review

Pub Date : 2025-08-01 DOI: 10.1016/j.cpr.2025.102623

Noémie M. Cusson , Alexa J. Meilleur , Boris C. Bernhardt , Isabelle Soulières , Laurent Mottron

Empathy deficits are considered a core attribute of autism and are scored in standardized autism diagnostic instruments. However, empirical evidence concerning empathy in autism is contradictory. This systematic review, which included 226 studies, thus offers a comprehensive overview of empathy in autism. It additionally examined the impact of the chosen empathy measure and the effect of several moderators. The results reveal a large effect size for cognitive empathy (g = −0.85) and unidimensional empathy (g = −1.70), but only a small effect size for affective empathy (g = −0.17), which became non-significant when limiting analyses to high-quality studies. Meta-regressions suggest that publication year, study quality, alexithymia, verbal IQ, and age do not moderate empathy, whereas sex specifically moderates unidimensional empathy. Critically, there were notable differences in effect sizes obtained across empathy measures and even between subscales of the same measure. For instance, results for the affective empathy subscales of the Interpersonal Reactivity Index reveal lower empathic concern (g = −0.59) but increased personal distress (g = 0.67) in autistic relative to typical participants. A qualitative review of ecological and neuroimaging tasks mostly demonstrated minimal autistic versus non-autistic differences. This meta-analysis thus suggests that measuring empathy as a unidimensional construct may both distort and increase the notion of an empathy deficit in autism.

共情缺陷被认为是自闭症的核心特征，并在标准化的自闭症诊断工具中得到评分。然而，关于自闭症的共情的经验证据是矛盾的。这篇系统综述，包括226项研究，因此提供了自闭症共情的全面概述。它还检查了所选择的共情测量的影响和几个调节因子的影响。结果显示，认知共情（g = - 0.85）和一维共情（g = - 1.70）的效应量很大，但情感共情的效应量很小（g = - 0.17），当分析仅限于高质量研究时，这种效应量就变得不显著了。元回归表明，出版年份、研究质量、述情障碍、语言智商和年龄对共情没有调节作用，而性别对单向度共情有调节作用。至关重要的是，在共情测量中，甚至在同一测量的子量表之间，获得的效应大小存在显著差异。例如，人际反应指数的情感共情分量表的结果显示，相对于典型参与者，自闭症患者的共情关注较低（g = - 0.59），但个人痛苦增加（g = 0.67）。一项关于生态和神经成像任务的定性研究表明，自闭症与非自闭症之间的差异微乎其微。因此，本荟萃分析表明，将共情作为一种单向度的结构来测量，可能会扭曲和增加自闭症患者共情缺陷的概念。

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引用次数: 0

Integrating maintaining theories for addiction and binge-eating pathology: A review of affective and reward-based theories 成瘾和暴饮暴食病理学的整合维持理论：情感理论和基于奖励的理论综述

IF 13.7 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review

Pub Date : 2025-07-24 DOI: 10.1016/j.cpr.2025.102627

Emily K. Burr , Lauren M. Schaefer , Robert D. Dvorak , Stephen A. Wonderlich

Binge eating disorder (BED) is characterized by recurrent binge eating episodes. Many factors have been analyzed in the maintenance of binge eating disorder, but current treatments still fall short of optimal success rates, with approximately half of individuals with BED relapsing following intervention. Perhaps partially due to the many shared vulnerabilities and high rates of comorbidity, interventions of BED have increasingly incorporated strategies utilized in substance use disorder treatment and indeed, there are many overlapping components in prevailing theories of BED and addiction. Despite interventions increasingly sharing mechanisms, there is lacking an in-depth review of conceptualization overlaps and differences. Although there are many reviews of models for BED and substance use disorders, none to-date compare and contrast the models of the most analyzed maintenance factors across both disorders: affect-based models and reward-based models. This narrative review, incorporating key and currently influential models that have been included in reviews with empirical support from the last 15 years, explores these models in-depth and provides critical analysis of where they differ and overlap to inform future interventions. Affect-based models largely evolved separably, however, most contemporary reward-based models of BED borrow concepts historically explored in addiction. Clinical implications, including refinement of treatment for individuals with BED or BED and concurrent problematic substance use are discussed.

暴食症（BED）以反复暴食为特征。在暴饮暴食症的维持过程中，已经分析了许多因素，但目前的治疗方法仍然没有达到最佳的成功率，大约一半的暴饮暴食症患者在干预后复发。也许部分原因是由于许多共同的弱点和高比例的合并症，BED的干预措施越来越多地纳入了物质使用障碍治疗中使用的策略，事实上，在流行的BED和成瘾理论中有许多重叠的成分。尽管干预措施越来越多地共享机制，但缺乏对概念化重叠和差异的深入审查。虽然有许多关于BED和物质使用障碍模型的综述，但迄今为止还没有对两种疾病中分析最多的维持因素模型进行比较和对比：基于影响的模型和基于奖励的模型。本叙述性审查纳入了在过去15年的经验支持下纳入审查的关键和当前有影响力的模型，深入探讨了这些模型，并对它们的不同和重叠之处进行了批判性分析，以便为未来的干预提供信息。基于情感的模型在很大程度上是独立发展的，然而，大多数当代基于奖励的BED模型借用了成瘾史上探索过的概念。临床意义，包括改进治疗的个人与床或床和并发问题物质使用进行了讨论。

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引用次数: 0