ABSTRACT

Commonly developing in adolescence and following a chronic course, eating disorders are life-threatening psychological disorders and typically very difficult to treat despite the body of research exploring treatment options. Due to the high levels of severity and the enduring nature of eating disorders, schema therapy has been proposed as a more effective treatment than cognitive behaviour therapy. To assess the effectiveness of schema therapy in adults with eating disorders, the present systematic review was designed in accordance with PRISMA guidelines. A structured search of electronic databases and grey literature was conducted, and the Mixed Methods Assessment Tool was used to assess the quality of each article. Four articles including 151 participants were found which demonstrated that schema therapy is effective at reducing eating disorder symptoms and behaviour and general psychopathology. Despite the limitations of this study, including the scarcity of research available and varying methodologies used, the present systematic review found evidence supporting the use of schema therapy in patients with eating disorders, particularly those experiencing severe and enduring forms.

摘要

饮食失调通常在青春期发展并经过慢性病程，是危及生命的心理障碍，尽管有大量研究探索治疗方案，但通常很难治疗。由于进食障碍的严重性和持久性，图式疗法被认为是比认知行为疗法更有效的治疗方法。为了评估图式疗法对患有进食障碍的成年人的有效性，本系统评价是根据 PRISMA 指南设计的。对电子数据库和灰色文献进行了结构化搜索，并使用混合方法评估工具评估每篇文章的质量。发现了包括 151 名参与者在内的四篇文章，证明图式疗法可有效减少饮食失调症状和行为以及一般精神病理学。尽管这项研究存在局限性，包括可用研究的匮乏和使用的方法不同，但本系统评价发现了支持对进食障碍患者使用图式疗法的证据，尤其是那些经历严重和持久形式的患者。