接纳承诺疗法在进食障碍中的应用

Application of acceptance and commitment therapy in eating disorders

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.