接纳承诺疗法在进食障碍中的应用  

Application of acceptance and commitment therapy in eating disorders

作　　者：汤俊 胡茂荣[1] 赖雄[1] 徐静 邬思亮 Tang Jun;Hu Maorong;Lai Xiong;Xu Jing;Wu Siliang(Department of Psychosomatic Medicine,the First Affiliated Hospital of Nanchang University,Nanchang 330006,China;School of Medicine,Nanchang University,Nanchang 330006,China)

机构地区：[1]南昌大学第一附属医院心身医学科,330006 [2]南昌大学医学院,330006

出　　处：《中华行为医学与脑科学杂志》2019年第12期1145-1148,共4页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：国家重点研发计划项目(2016YFC1306805);国家自然科学基金项目(81360211);南昌大学研究生创新专项资金立项项目(CX2019145)。

摘　　要：接纳承诺疗法(acceptance and commitment therapy,ACT)旨在正确认识到生活的两面性,接纳其不可避免的痛苦,明确自身真正的价值并承诺行动,最终以提高心理灵活性,过上更充实、富有意义的生活为目标。进食障碍(eating disorders,ED)患者通常存在经验性回避、僵化行为、动力不足等个性特征,故接纳承诺疗法对进食障碍的患者尤为适合。本文首先对ACT进行了的简要概述,之后介绍了ED的定义、流行病学及病因,并通过查阅文献,回顾了近年来使用ACT治疗ED的相关文献,并指出了ACT治疗ED的优势,使用ACT治疗ED可能的机制,以及未来研究方向和需要注意的问题。Acceptance and Commitment Therapy(ACT)aims at correctly recognizing the different sides of life,accepting its inevitable pain,defining its true value and committing to action.Its ultimately aim is to improve psychological flexibility and lead a more fulfilling and meaningful life.Patients with Eating Disorders(ED)often have personality characteristics such as experiential avoidance,rigid behavior,and lack of motivation.Therefore,Acceptance and Commitment Therapy is particularly suitable for patients with Eating Disorders.This article make a brief overview of the ACT firstly,then introduces the definition,epidemiology and etiology of ED.By reviewing the relevant literatures on the use of ACT in the treatment of ED in recent years,we point out the advantages of using ACT and the possible mechanism of ACT in the treatment of ED,the future research directions and issues needing attention.

关 键 词：接纳承诺疗法 进食障碍 心理灵活性 经验性回避 

分 类 号：R749.7[医药卫生—神经病学与精神病学]